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Prevalence of Pulmonary Embolism in Patients With Syncope

The prevalence of pulmonary embolism (PE) in patients presenting with syncope to the emergency department (ED) is largely unknown. This information, however, is necessary to balance the potential medical benefit or harm of systematic PE screening in patients presenting with syncope to the ED. This s... Full description

Journal Title: Journal of the American College of Cardiology 13 August 2019, Vol.74(6), pp.744-754
Main Author: Badertscher, Patrick
Other Authors: Du Fay de Lavallaz, Jeanne , Hammerer-Lercher, Angelika , Nestelberger, Thomas , Zimmermann, Tobias , Geiger, Marc , Imahorn, Orell , Miró, Òscar , Salgado, Emilio , Christ, Michael , Cullen, Louise , Than, Martin , Martin-Sanchez, F. Javier , Di Somma, Salvatore , Peacock, W. Frank , Keller, Dagmar I , Costabel, Juan Pablo , Walter, Joan
Format: Electronic Article Electronic Article
Language: English
Subjects:
Ci
ECG
Ed
Pe
V/Q
ID: ISSN: 0735-1097 ; E-ISSN: 1558-3597 ; DOI: 10.1016/j.jacc.2019.06.020
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recordid: elsevier_sdoi_10_1016_j_jacc_2019_06_020
title: Prevalence of Pulmonary Embolism in Patients With Syncope
format: Article
creator:
  • Badertscher, Patrick
  • Du Fay de Lavallaz, Jeanne
  • Hammerer-Lercher, Angelika
  • Nestelberger, Thomas
  • Zimmermann, Tobias
  • Geiger, Marc
  • Imahorn, Orell
  • Miró, Òscar
  • Salgado, Emilio
  • Christ, Michael
  • Cullen, Louise
  • Than, Martin
  • Martin-Sanchez, F. Javier
  • Di Somma, Salvatore
  • Peacock, W. Frank
  • Keller, Dagmar I
  • Costabel, Juan Pablo
  • Walter, Joan
subjects:
  • Diagnostic Testing
  • Pulmonary Embolism
  • Syncope
  • Diagnostic Testing
  • Pulmonary Embolism
  • Syncope
  • Ci
  • Ctpa
  • ECG
  • Ed
  • Pe
  • V/Q
  • Medicine
ispartof: Journal of the American College of Cardiology, 13 August 2019, Vol.74(6), pp.744-754
description: The prevalence of pulmonary embolism (PE) in patients presenting with syncope to the emergency department (ED) is largely unknown. This information, however, is necessary to balance the potential medical benefit or harm of systematic PE screening in patients presenting with syncope to the ED. This study sought to determine the prevalence of PE in patients with syncope. Unselected patients presenting with syncope to the ED were prospectively enrolled in a diagnostic multicenter study. Pre-test clinical probability for PE was assessed using the 2-level Wells score and the results of D-dimer testing using age-adapted cutoffs. Presence of PE was evaluated by imaging modalities, when ordered as part of the clinical assessment by the treating ED physician or by long-term follow-up data. Long-term follow-up was complete in 1,380 patients (99%) at 360 days and 1,156 patients (83%) at 720 days. Among 1,397 patients presenting with...
language: eng
source:
identifier: ISSN: 0735-1097 ; E-ISSN: 1558-3597 ; DOI: 10.1016/j.jacc.2019.06.020
fulltext: no_fulltext
issn:
  • 0735-1097
  • 07351097
  • 1558-3597
  • 15583597
url: Link


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titlePrevalence of Pulmonary Embolism in Patients With Syncope
creatorBadertscher, Patrick ; Du Fay de Lavallaz, Jeanne ; Hammerer-Lercher, Angelika ; Nestelberger, Thomas ; Zimmermann, Tobias ; Geiger, Marc ; Imahorn, Orell ; Miró, Òscar ; Salgado, Emilio ; Christ, Michael ; Cullen, Louise ; Than, Martin ; Martin-Sanchez, F. Javier ; Di Somma, Salvatore ; Peacock, W. Frank ; Keller, Dagmar I ; Costabel, Juan Pablo ; Walter, Joan
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subjectDiagnostic Testing ; Pulmonary Embolism ; Syncope ; Diagnostic Testing ; Pulmonary Embolism ; Syncope ; Ci ; Ctpa ; ECG ; Ed ; Pe ; V/Q ; Medicine
descriptionThe prevalence of pulmonary embolism (PE) in patients presenting with syncope to the emergency department (ED) is largely unknown. This information, however, is necessary to balance the potential medical benefit or harm of systematic PE screening in patients presenting with syncope to the ED. This study sought to determine the prevalence of PE in patients with syncope. Unselected patients presenting with syncope to the ED were prospectively enrolled in a diagnostic multicenter study. Pre-test clinical probability for PE was assessed using the 2-level Wells score and the results of D-dimer testing using age-adapted cutoffs. Presence of PE was evaluated by imaging modalities, when ordered as part of the clinical assessment by the treating ED physician or by long-term follow-up data. Long-term follow-up was complete in 1,380 patients (99%) at 360 days and 1,156 patients (83%) at 720 days. Among 1,397 patients presenting with...
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