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Comment
. 2002 Nov 2;146(44):2073-4.

[Diagnostic workup for indicating the presence of pulmonary embolism: still not optimal]

[Article in Dutch]
Affiliations
  • PMID: 12448959
Comment

[Diagnostic workup for indicating the presence of pulmonary embolism: still not optimal]

[Article in Dutch]
H R Büller. Ned Tijdschr Geneeskd. .

Abstract

Despite numerous studies, which have documented that only 25-30% of patients presenting with suspected pulmonary embolism actually have emboli, the tendency to overdiagnose and overtreat this disease remains. Findings from the study by Kamphuisen et al. (2002:2083-7) in consecutive patients with suspected pulmonary embolism (non-diagnostic ventilation perfusion scan) in a general training hospital, confirm that with an optimal collaboration between pulmonologists, internists, radiologists and nuclear specialists, who follow a previously agreed diagnostic work-up, the proportion of patients without a proper confirmation or exclusion of pulmonary embolism can be minimized. However, a more promising solution to the problem might be the implementation of a strategy consisting of anamnestic features, measurement of the D-dimer concentration in plasma, and spiral CT.

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