Troboembolia de pulmón

  1. Jiménez Castro, David
  2. Kopecna, D.
  3. de Miguel Díez, Javier
  4. Sueiro Bendito, Antonio
Revista:
Medicine: Programa de Formación Médica Continuada Acreditado

ISSN: 0304-5412

Año de publicación: 2014

Título del ejemplar: Enfermedades respiratorias (VI): Enfermedades vasculares pulmonares y pleurales

Serie: 11

Número: 68

Páginas: 4051-4058

Tipo: Artículo

DOI: 10.1016/S0304-5412(14)70882-0 DIALNET GOOGLE SCHOLAR

Otras publicaciones en: Medicine: Programa de Formación Médica Continuada Acreditado

Resumen

La tromboembolia de pulmón (TEP) es la tercera causa de muerte cardiovascular tras el infarto agudo de miocardio y el ictus, y supone la primera causa de muerte prevenible en el hospital. Su diagnóstico requiere la combinación de la probabilidad clínica, los resultados del dímero D y las pruebas de imagen. La mayoría de los pacientes responden al tratamiento anticoagulante y la fibrinolisis se reserva para una minoría que comienza con situación de inestabilidad hemodinámica. La duración del tratamiento nunca debe ser inferior a los 3 meses, y se debe valorar su prolongación en aquellos pacientes con TEP idiopática o con un factor de riesgo trombótico persistente.

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