Universität zu Köln

Klok, Frederikus A., Ageno, Walter, Ay, Cihan, Back, Magnus, Barco, Stefano ORCID: 0000-0002-2618-347X, Bertoletti, Laurent, Becattini, Cecilia, Carlsen, Jorn, Delcroix, Marion, van Es, Nick, Huisman, Menno, V, Jara-Palomares, Luis ORCID: 0000-0002-4125-3376, Konstantinides, Stavros, Lang, Irene, Meyer, Guy, Ainle, Fionnuala Ni, Rosenkranz, Stephan and Pruszczyk, Piotr (2022). Optimal follow-up after acute pulmonary embolism: a position paper of the European Society of Cardiology Working Group on Pulmonary Circulation and Right Ventricular Function, in collaboration with the European Society of Cardiology Working Group on Atherosclerosis and Vascular Biology, endorsed by the European Respiratory Society. Eur. Heart J., 43 (3). S. 183 - 190. OXFORD: OXFORD UNIV PRESS. ISSN 1522-9645

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Abstract

This position paper provides a comprehensive guide for optimal follow-up of patients with acute pulmonary embolism (PE), covering multiple relevant aspects of patient counselling. It serves as a practical guide to treating patients with acute PE complementary to the formal 2019 European Society of Cardiology guidelines developed with the European Respiratory Society. We propose a holistic approach considering the whole spectrum of serious adverse events that patients with acute PE may encounter on the short and long run. We underline the relevance of assessment of modifiable risk factors for bleeding, of acquired thrombophilia and limited cancer screening (unprovoked PE) as well as a dedicated surveillance for the potential development of chronic thromboembolic pulmonary hypertension as part of routine practice; routine testing for genetic thrombophilia should be avoided. We advocate the use of outcome measures for functional outcome and quality of life to quantify the impact of the PE diagnosis and identify patients with the post-PE syndrome early. Counselling patients on maintaining a healthy lifestyle mitigates the risk of the post-PE syndrome and improves cardiovascular prognosis. Therefore, we consider it important to discuss when and how to resume sporting activities soon after diagnosing PE. Additional patient-relevant topics that require Focused counselling are travel and birth control.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Klok, Frederikus A. UNSPECIFIED UNSPECIFIED UNSPECIFIED Ageno, Walter UNSPECIFIED UNSPECIFIED UNSPECIFIED Ay, Cihan UNSPECIFIED UNSPECIFIED UNSPECIFIED Back, Magnus UNSPECIFIED UNSPECIFIED UNSPECIFIED Barco, Stefano UNSPECIFIED orcid.org/0000-0002-2618-347X UNSPECIFIED Bertoletti, Laurent UNSPECIFIED UNSPECIFIED UNSPECIFIED Becattini, Cecilia UNSPECIFIED UNSPECIFIED UNSPECIFIED Carlsen, Jorn UNSPECIFIED UNSPECIFIED UNSPECIFIED Delcroix, Marion UNSPECIFIED UNSPECIFIED UNSPECIFIED van Es, Nick UNSPECIFIED UNSPECIFIED UNSPECIFIED Huisman, Menno, V UNSPECIFIED UNSPECIFIED UNSPECIFIED Jara-Palomares, Luis UNSPECIFIED orcid.org/0000-0002-4125-3376 UNSPECIFIED Konstantinides, Stavros UNSPECIFIED UNSPECIFIED UNSPECIFIED Lang, Irene UNSPECIFIED UNSPECIFIED UNSPECIFIED Meyer, Guy UNSPECIFIED UNSPECIFIED UNSPECIFIED Ainle, Fionnuala Ni UNSPECIFIED UNSPECIFIED UNSPECIFIED Rosenkranz, Stephan UNSPECIFIED UNSPECIFIED UNSPECIFIED Pruszczyk, Piotr UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-698501
DOI:	10.1093/eurheartj/ehab816
Journal or Publication Title:	Eur. Heart J.
Volume:	43
Number:	3
Page Range:	S. 183 - 190
Date:	2022
Publisher:	OXFORD UNIV PRESS
Place of Publication:	OXFORD
ISSN:	1522-9645
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language UNPROVOKED VENOUS THROMBOEMBOLISM; ARTERIAL CARDIOVASCULAR EVENTS; AIR-TRAVEL; RISK; THROMBOSIS; ASSOCIATION; GUIDELINES; MANAGEMENT; CANCER; PREVALENCE Multiple languages Cardiac & Cardiovascular Systems Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/69850