Resumen de Diagnostico de troboembolismo pulmonar agudo

Gindreska Paizano Vanega, Evelyn Fernandez Zúñiga, David Villalobos Bonilla

• español

  La tromboembolia pulmonar (TEP) consiste en la obstrucción del flujo sanguíneo arterial pulmonar por embolismo de un coágulo desde sitios distantes de la vasculatura, principalmente en miembros inferiores. La verdadera incidencia, prevalencia y tasa de mortalidad se desconocen.  El diagnóstico se basa en una serie de signos y síntomas,  inespecíficos y comunes a otras patologías cardiorrespiratorias, hasta el choque cardiogénico con muerte súbita debido a falla ventricular derecha aguda, su diagnóstico  es tanto clínico, como por imágenes, también se emplea métodos de laboratorio como el dímero D el cual es útil , ya que da un gran valor predictivo negativo en el diagnóstico de TEP.  La angiotomografía de tórax es actualmente el estándar de oro para su diagnóstico ya que presenta una alta sensibilidad y especificidad. 

• English

  Pulmonary thromboembolism (PE) consists of obstruction of pulmonary arterial blood flow due to embolism of a clot from distant sites of the vasculature, mainly in the lower limbs. The true incidence, prevalence, and mortality rate are unknown.  The diagnosis is based on a series of signs and symptoms, nonspecific and common to other cardiorespiratory pathologies, up to cardiogenic shock with sudden death due to acute right ventricular failure, its diagnosis is both clinical and by imaging, laboratory methods are also used such as the D-dimer which is useful, since it gives a great negative predictive value in the diagnosis of (PE). Chest CT angiography is currently the gold standard for its diagnosis as it has a high sensitivity and specificity. Pulmonary thromboembolism (PE) consists of obstruction of pulmonary arterial blood flow due to embolism of a clot from distant sites of the vasculature, mainly in the lower limbs. The true incidence, prevalence, and mortality rate are unknown. The diagnosis is based on a series of signs and symptoms, nonspecific and common to other cardiorespiratory pathologies, up to cardiogenic shock with sudden death due to acute right ventricular failure, its diagnosis is both clinical and by imaging, laboratory methods are also used such as the D-dimer which is useful, since it gives a great negative predictive value in the diagnosis of (PE). Chest CT angiography is currently the gold standard for its diagnosis as it has a high sensitivity and specificity.