Outpatient Management Eligibility Criteria for Patients Who Have Acute Symptomatic Pulmonary Embolism

Yusen, Roger D.; Jiménez, David

doi:10.1513/annalsats.201503-149ed

Cited by 2 publications

(1 citation statement)

References 12 publications

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“…[8][9][10] International consensus exists across major societies in recommending outpatient management for low-risk pulmonary embolism. [11][12][13][14][15] The definition of 'outpatient management', however, varies widely in the literature. 16 Most outpatient management studies of acute pulmonary embolism have been undertaken in the emergency department or secondary care settings.…”

Section: Introductionmentioning

confidence: 99%

Comprehensive management of acute pulmonary embolism in primary care using telemedicine in the COVID-era

et al. 2021

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A healthy, active woman in her 70s reported intermittent exertional dyspnoea for 2 months, notable during frequent open-water swimming. Symptoms were similar to an episode of travel-provoked pulmonary embolism 3 years prior. She denied chest pain, cough, fever, extremity complaints and symptoms at rest. Due to the COVID-19 pandemic, her healthcare system was using secure telemedicine to evaluate non-critical complaints. During the initial video visit, she appeared well, conversing normally without laboured breathing. An elevated serum D-dimer prompted CT pulmonary angiography, which identified acute lobar pulmonary embolism. After haematology consultation and telephone conversation with the patient, her physician prescribed rivaroxaban. Her symptoms rapidly improved. She had an uneventful course and is continuing anticoagulation indefinitely. The pandemic has increased the application of telemedicine for acute care complaints. This case illustrates its safe and effective use for comprehensive management of acute pulmonary embolism in the primary care setting.

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