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Can the years algorithm rule out PE in pregnant patients?

According to the PIOPED II study, these are the most common presenting signs YEARS Algorithm appears to be possible viable clinical decision tool to rule out PE in pregnant patients .

What are the clinical criteria for pulmonary embolism (PE)?

The three YEARS clinical criteria are: clinical signs of deep vein thrombosis, hemoptysis, and PE as the most likely diagnosis. If zero YEARS criteria are met, a D-dimer < 1000 ng/mL will rule out PE. If ≥1 YEARS criteria are met, a D-dimer < 500 ng/mL will rule out PE.

Is pulmonary embolism (PE) safe during pregnancy?

Pulmonary embolism was safely ruled out by the pregnancy-adapted YEARS diagnostic algorithm across all trimesters of pregnancy. CT pulmonary angiography was avoided in 32 to 65% of patients. (Funded by Leiden University Medical Center and 17 other participating hospitals; Artemis Netherlands Trial Register number, NL5726 .)

What are the most common presenting signs of PE in pregnancy?

Right ventricular dysfunction (RVD) and/or myocardial necrosis in the absence of persistent hypotension or shock (SBP >90) According to the PIOPED II study, these are the most common presenting signs YEARS Algorithm appears to be possible viable clinical decision tool to rule out PE in pregnant patients . MDCalc link .


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