Developing Real-World Patient Pathways in Acute Pulmonary Embolism

Sandy Agnew
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Abstract

This case-based satellite symposium chaired by Prof Konstantinides addressed important and topical aspects of the management of acute pulmonary embolism (PE) with a focus on effective management in a real-world setting. The objectives of the symposium were to provide information and expert guidance on the effective management of a patient with PE from diagnosis and assessment of severity, through to the practical use of non-vitamin K antagonist non-oral anticoagulants (NOACs) and the management of challenging cases found in routine clinical practice. Following Prof Konstantinides’ introduction, Dr Hughes presented a low-risk PE case and discussed assessment of the severity of PE, the optimisation of hospital care, and the importance of patient discharge protocols and clear integrated management pathways. Dr Jiménez went on to illustrate the use of risk assessment and non-vitamin K antagonist (VKA) therapies through consideration of an intermediate high risk PE case with comorbidities. Finally, Dr Eikelboom presented an unprovoked PE case and discussed the key question of ‘how long is long enough’, emphasising the importance of adequate anticoagulation, both acutely and in prevention of recurrence, and the potential benefits of NOACs. In a final Question and Answer Hub session, the audience were able to participate in a lively case-based discussion.
在急性肺栓塞中发展真实世界的患者途径
这次以病例为基础的卫星研讨会由Konstantinides教授主持,讨论了急性肺栓塞(PE)管理的重要和热门方面,重点是在现实环境中进行有效管理。研讨会的目的是为PE患者的有效管理提供信息和专家指导,从诊断和严重程度评估,到非维生素K拮抗剂非口服抗凝剂(NOACs)的实际使用,以及日常临床实践中发现的挑战性病例的管理。在Konstantinides教授的介绍之后,Hughes博士介绍了一个低风险PE病例,并讨论了PE严重程度的评估、医院护理的优化以及患者出院协议和明确综合管理途径的重要性。jim nez博士接着通过考虑一个伴有合并症的中度高风险PE病例,说明了风险评估和非维生素K拮抗剂(VKA)疗法的使用。最后,Eikelboom博士介绍了一个无端PE病例,并讨论了“多长时间才足够”的关键问题,强调了充分抗凝的重要性,无论是急性抗凝还是预防复发,以及NOACs的潜在益处。在最后的问答中心环节,观众能够参与到一个生动的基于案例的讨论中。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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