Pocket Guidelines on Acute Pulmonary Embolism

Publication Date: 2019
Chairperson: Stavros Konstantinides & Guy Meyer

Table of Contents

• Tables of classes of recommendations and levels of evidence
• What is new in the 2019 Guidelines?
• Epidemiology and natural history
• Predisposing factors
• Pathophysiology and determinants of outcome
• Diagnosis
  • Clinical presentation
  • Assessment of clinical (pre-test) probability
  • D-dimer testing
  • Imaging tests for diagnosis of pulmonary embolism
  • Echocardiography
  • Compression venous ultrasonography
    • Recommendations for diagnosis
• Assessment of pulmonary embolism severity and the risk of early death
  • Recommendations for prognostic assessment....
• Treatment in the acute phase
  • Haemodynamic and respiratory support
  • Initial anticoagulation
  • Reperfusion treatment
  • Multidisciplinary pulmonary embolism teams
  • Vena cava filters
    • Recommendations for acute-phase treatment of high-risk PE
    • Recommendations for acute-phase treatment of intermediate or
      low-risk PE
    • Recommendations for multidisciplinary pulmonary embolism teams
    • Recommendations for inferior vena cava filters
    • Recommendations for early discharge and home treatment
• Integrated risk-adapted diagnosis and management
  • Diagnostic strategies
  • Treatment strategies
• Chronic treatment and prevention of recurrence
  • Assessment of venous thromboembolism recurrence risk
  • Anticoagulant-related bleeding risk
    • Recommendations for the regimen and duration of anticoagulation
      after PE in patients without cancer
  • Management of pulmonary embolism in patients with cancer
    • Recommendations for the regimen and the duration of anticoagulation after PE in patients with active cancer
• Pulmonary embolism and pregnancy
  • Diagnosis of pulmonary embolism in pregnancy
  • Treatment of pulmonary embolism in pregnancy
    • Recommendations for pulmonary embolism in pregnancy
• Long-term sequelae of pulmonary embolism
  • Persisting symptoms and functional limitation
  • Chronic thromboembolic pulmonary hypertension
  • Strategies for patient follow-up after pulmonary embolism
    • Recommendations for follow-up after acute PE