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©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Cardiol. May 26, 2020; 12(5): 161-166
Published online May 26, 2020. doi: 10.4330/wjc.v12.i5.161
Published online May 26, 2020. doi: 10.4330/wjc.v12.i5.161
New guidelines for the diagnosis and management of pulmonary embolism: Key changes
Anastasia Erythropoulou-Kaltsidou, Konstantinos Tziomalos, First Propedeutic Department of Internal Medicine, Medical School, Aristotle University of Thessaloniki, AHEPA Hospital, Thessaloniki 54636, Greece
Stelina Alkagiet, Department of Cardiology, Georgios Papanikolaou Hospital, Thessaloniki 57010, Greece
Author contributions: Erythropoulou-Kaltsidou A and Alkagiet S drafted the editorial; Tziomalos K critically revised the draft.
Conflict-of-interest statement: All authors declare no conflict of interest related to this publication.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Konstantinos Tziomalos, MD, MSc, PhD, Associate Professor, First Propedeutic Department of Internal Medicine, Medical School, Aristotle University of Thessaloniki, AHEPA Hospital, 1 Stilponos Kyriakidi Street, Thessaloniki 54636, Greece. ktziomalos@yahoo.com
Received: February 29, 2020
Peer-review started: February 29, 2020
First decision: April 7, 2020
Revised: April 29, 2020
Accepted: May 5, 2020
Article in press: May 5, 2020
Published online: May 26, 2020
Peer-review started: February 29, 2020
First decision: April 7, 2020
Revised: April 29, 2020
Accepted: May 5, 2020
Article in press: May 5, 2020
Published online: May 26, 2020
Core Tip
Core tip: We discuss the basic changes between the recent guidelines published in August 2019 by the European Society of Cardiology in collaboration with the European Respiratory Society regarding the diagnosis and management of pulmonary embolism and the previous guidelines that were published in 2014. The use of age-specific cut-off levels of D-dimers, detailed recommendations for risk stratification and the possibility of outpatient management are some of the key changes. Knowledge and adherence to these new guidelines will improve the outcome of patients with pulmonary embolism.