RT Journal Article
T1 Optimal follow-up after acute pulmonary embolism: a position paper of the European Society of Cardiology Working Group on Pulmonary Circulation and Right Ventricular Function, in collaboration with the European Society of Cardiology Working Group on Atherosclerosis and Vascular Biology, endorsed by the European Respiratory Society.
A1 Klok, Frederikus A
A1 Ageno, Walter
A1 Ay, Cihan
A1 Bäck, Magnus
A1 Barco, Stefano
A1 Bertoletti, Laurent
A1 Becattini, Cecilia
A1 Carlsen, Jørn
A1 Delcroix, Marion
A1 van Es, Nick
A1 Huisman, Menno V
A1 Jara-Palomares, Luis
A1 Konstantinides, Stavros
A1 Lang, Irene
A1 Meyer, Guy
A1 Ní Áinle, Fionnuala
A1 Rosenkranz, Stephan
A1 Pruszczyk, Piotr
K1 Anticoagulation therapy
K1 Bleeding
K1 Cardiovascular diseases
K1 Contraceptive agents
K1 Neoplasms
K1 Pulmonary embolism
K1 Pulmonary hypertension
K1 Sports
K1 Thrombophilia
K1 Travel
AB This position paper provides a comprehensive guide for optimal follow-up of patients with acute pulmonary embolism (PE), covering multiple relevant aspects of patient counselling. It serves as a practical guide to treating patients with acute PE complementary to the formal 2019 European Society of Cardiology guidelines developed with the European Respiratory Society. We propose a holistic approach considering the whole spectrum of serious adverse events that patients with acute PE may encounter on the short and long run. We underline the relevance of assessment of modifiable risk factors for bleeding, of acquired thrombophilia and limited cancer screening (unprovoked PE) as well as a dedicated surveillance for the potential development of chronic thromboembolic pulmonary hypertension as part of routine practice; routine testing for genetic thrombophilia should be avoided. We advocate the use of outcome measures for functional outcome and quality of life to quantify the impact of the PE diagnosis and identify patients with the post-PE syndrome early. Counselling patients on maintaining a healthy lifestyle mitigates the risk of the post-PE syndrome and improves cardiovascular prognosis. Therefore, we consider it important to discuss when and how to resume sporting activities soon after diagnosing PE. Additional patient-relevant topics that require Focused counselling are travel and birth control.
YR 2022
FD 2022
LK https://hdl.handle.net/10668/24656
UL https://hdl.handle.net/10668/24656
LA en
DS RISalud
RD Apr 6, 2025