sul tromboembolismo venoso - Supplements - Haematologica

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DIAGNOSI DI EMBOLIA POLMONARE
PREMESSA
L’embolia polmonare (EP) è la terza più
importante causa di morte cardiovascolare
nei paesi occidentali e la sua incidenza
annua è stata stimata in 60-70 casi per
100.000 abitanti. 1 L’EP è particolarmente
frequente nella popolazione ospedaliera.
Nonostante la pronta disponibilità di presidi
diagnostici e terapeutici, la mortalità in
questo tipo di pazienti è notevole (17.5% a
tre mesi) ed è direttamente causata dall’EP
in circa il 50% dei casi. 2 Il precoce riconoscimento
di questa patologia è essenziale
per l’ottimizzazione del trattamento ed il
miglioramento della prognosi.
ELEMENTI CLINICI
Elemento essenziale per la diagnosi di EP
è il sospetto clinico. Questo deriva dalla sintomatologia
presentata dal paziente e tiene
conto del rischio di tromboembolismo
venoso dello stesso. Le manifestazioni clini-
haematologica vol. 88[supplement 18]: December 2003