Evidence map›Paper›PMID 38202264›Full record

ReviewJournal of clinical medicine2024

Risk Stratification and Management of Intermediate-Risk Acute Pulmonary Embolism.

Nichole Brunton, Robert McBane, Ana I Casanegra, Damon E Houghton, Dinu V Balanescu, Sumera Ahmad, Sean Caples, Arashk Motiei, Stanislav Henkin

Open access · goldAbstract readReview
In one paragraph

Review in Journal of clinical medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
9.9field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. The latest in the management of pulmonary embolism.Breathe (Sheffield, England) · 2025
    Review
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Management of Venous and Arterial Thrombosis.Journal of clinical medicine · 2024
    Article
  16. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 1 country.

Nichole BruntonGonda Vascular Center, Mayo Clinic, Rochester, MN 55901, USA.
Robert McBaneGonda Vascular Center, Mayo Clinic, Rochester, MN 55901, USA.
Ana I CasanegraGonda Vascular Center, Mayo Clinic, Rochester, MN 55901, USA.
Damon E HoughtonGonda Vascular Center, Mayo Clinic, Rochester, MN 55901, USA.ORCID 0000-0002-6065-9523
Dinu V BalanescuDepartment of Cardiovascular Medicine, Mayo Clinic, Rochester, MN 55901, USA.
Sumera AhmadDivision of Pulmonary and Critical Care Medicine, Mayo Clinic, Rochester, MN 55901, USA.
Sean CaplesDivision of Pulmonary and Critical Care Medicine, Mayo Clinic, Rochester, MN 55901, USA.
Arashk MotieiGonda Vascular Center, Mayo Clinic, Rochester, MN 55901, USA.
Stanislav HenkinGonda Vascular Center, Mayo Clinic, Rochester, MN 55901, USA.ORCID 0000-0001-5968-1216
Mayo Clinic · USMayo Clinic in Arizona · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pulmonary embolism (PE) is the third most common cause of cardiovascular death and necessitates prompt, accurate risk assessment at initial diagnosis to guide treatment and reduce associated mortality. Intermediate-risk PE, defined as the presence of right ventricular (RV) dysfunction in the absence of hemodynamic compromise, carries a significant risk for adverse clinical outcomes and represents a unique diagnostic challenge. While small clinical trials have evaluated advanced treatment strategies beyond standard anticoagulation, such as thrombolytic or endovascular therapy, there remains continued debate on the optimal care for this patient population. Here, we review the most recent risk stratification models, highlighting differences between prediction scores and their limitations, and discuss the utility of serologic biomarkers and imaging modalities to detect right ventricular dysfunction. Additionally, we examine current treatment recommendations including anticoagulation strategies, use of thrombolytics at full and reduced doses, and utilization of invasive treatment options. Current knowledge gaps and ongoing studies are highlighted.

Indexed as

intermediate-risk pulmonary embolismright ventricular dysfunctionrisk stratificationthrombolytic therapy

Identifiers

PMID38202264
PMCPMC10779572
OpenAlexW4390501583

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.