Current and future diagnostic strategies in venous thromboembolic disease
Gabriel Botella, F.; Labiós Gómez, M.; Brasó Aznar, J.V.; Llavador Ros, G.; Bort Martí, J.
Anales de Medicina Interna 16(8): 427-433
1999
ISSN/ISBN: 0212-7199 PMID: 10507172 Document Number: 502686
Thromboembolic disease (TD), which includes deep venous thrombosis (DVT) and pulmonary embolism (PE), is the most common acute cardiovascular condition after ischemic cardiopathy and stroke. It is often difficult to diagnose, as it is well-known that half of PE episodes appear are recognized while the patient is still alive and which appear in 30-40% of symptomatic patients. Nonetheless, there are two well-differentiated phases in the diagnosis of TD: the suspicion, and the diagnosis. The first is very important, and is within the competence of any physician. The second can be ratified when carrying out specific tests. We have developed successive steps in the two phases of diagnosis, we critically review the distinct parts currently implicated in the strategic diagnosis of TD. Finally, we analyze the new diagnostic techniques to substitute, possibly, angiography in many cases, and perhaps to include ventilation/perfusion (V/Q) pulmonary gammagraphy, once become generally available.