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European Heart Journal Advance Access originally published online on September 7, 2007
European Heart Journal 2007 28(20):2430-2431; doi:10.1093/eurheartj/ehm366
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2007. For permissions please email: journals.permissions@oxfordjournals.org

Functional limitation and right ventricular dysfunction at 6-month follow-up in patients with non-massive pulmonary embolism: useful outcomes for testing therapy of acute submassive pulmonary embolism?

Vittorio Palmieri*, Emiliano Antonio Palmieri and Aldo Celentano

Unit of Cardiology, ‘Ospedale dei Pellegrini’, ASL NA1, Naples, Italy

* Corresponding author. Tel: +39 081 2543536; fax: +39 081 2543536. E-mail address: vpalmier@med.cornell.edu

This editorial refers to ‘Echocardiographic and functional cardiopulmonary problems 6 months after first-time pulmonary embolism in previously healthy patients’ by B.G. Stevinson et al., on page 2517

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The opinions expressed in this article are not necessarily those of the Editors of the European Heart Journal or of the European Society of Cardiology.

The first 10% of the full text of this article appears below.

Acute pulmonary embolism (PE) is a syndrome with a significant annual incidence, potentially associated with an elevated morality rate.1 Patients presenting with acute PE and persistent systemic hypotension, cardiogenic shock, or cardiac arrest are classified as having massive PE; in the absence of haemodynamic instability, PE is defined generically as non-massive. The latter, however, is classified as submassive acute PE in the presence of right ventricular (RV) dysfunction,1 to indicate that patients with normotensive acute PE and RV dysfunction may suddenly need escalation of therapy (vasopressor and/or inotropic support, rescue fibrinolysis, cardiopulmonary . . . [Full Text of this Article]


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Related articles in EHJ:

Echocardiographic and functional cardiopulmonary problems 6 months after first-time pulmonary embolism in previously healthy patients
Brad G. Stevinson, Jackeline Hernandez-Nino, Geoffrey Rose, and Jeffrey A. Kline
EHJ 2007 28: 2517-2524. [Abstract] [FREE Full Text]