PE – Half Dyspneic at One Year
PE may cause chronic dyspnea in almost half of affected patients.
ECG in PE – Not What You Were Taught
ECG changes are common in PE, most often new inferior T-wave inversions or flattening or new sinus tachycardia.
PE Prevalent in Syncope – PESIT
The PESIT study found 17% of patients admitted for syncope had PE, but there are several issues that need to be considered before this changes practice.
CT vs TTE for RV strain in PE
CTPA has good sensitivity for detecting RV strain but is not specific and is a poor sole predictor of bad outcome if TTE does not confirm RV strain.
PE and COPD exacerbation
PE prevalence was high in patients with acute exacerbation of COPD, 16.1%.
PERC rule for kids
The PERC rule performed well in this small retrospective study of pediatric patients.
Frown to prevent PE
A smiling face affected physician estimate of the Wells score, making it less reliable, but it didn't affect physician gestalt for PE. A patient can smile while having a PE.
Not so fast to debunk age-adjusted D-dimer
Age adjusted D-dimer is still valid despite this study.
C-section is a greater PE risk than normal delivery
C-section increases risk for VTE more than vaginal delivery.
Wells score or gestalt before PERC?
Should you use low gestalt prior to ticking off the 8 PERC criteria or a more objective measure, like the Wells score?