Recent Developments in Diagnostic Imaging Techniques and Management for Acute Pulmonary Embolism : Multicenter Registry by The Japanese Society of Pulmonary Embolism Research
スポンサーリンク
概要
- 論文の詳細を見る
Objective There are many reports on the diagnosis and management of acute pulmonary embolism (APE), but there have been no investigations concerning the actual conditions in which recent developments in diagnostic imaging techniques and therapies have been applied in clinical practice. The present study was designed to investigate the changes in diagnostic imaging techniques and therapies for APE. Methods and Patients Three hundred and nine APE patients diagnosed during January 1994-October 1997 (Group 1) were compared with 257 APE patients diagnosed during November 1997-October 2000 (Group 2) in terms of the diagnostic imaging techniques and therapies for APE. Results Compared with Group 1, pulmonary angiography and contrast-enhanced computed tomography were more frequently performed for diagnosis in Group 2 [45.3% vs 56.8% (p=0.0069) and 13.9% vs 57.6% (p<0.0001), respectively]. Heparin and vena cava filter were used more often in Group 2 [74.4% vs 82.1% (p=0.033) and 18.4% vs 33.9% (p<0.0001), respectively]. The frequency of thrombolytic therapy was unchanged between the two groups. Warfarin use in discharged patients increased from 71.9% to 83.8% (p=0.0022). However, the examination rates for deep vein thrombosis (DVT) were low (60.8% in Group 1 and 65.4% in Group 2, p=0.29) and unchanged using any imaging techniques. Conclusion The diagnostic imaging techniques for APE increased in variety and the management has improved, while the diagnosis for DVT remains unchanged. (Internal Medicine 42: 470-476, 2003)
- 社団法人 日本内科学会の論文
- 2003-06-01
著者
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SAKUMA Masahito
Department of Cardiovascular Medicine, Tohoku University Graduate School of Medicine
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SHIRATO Kunio
Department of Cardiovascular Medicine, Tohoku University Graduate School of Medicine
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Miyahara Yoshiyuki
the Second Department of Internal Medicine, Nagasaki University, School of Medicine
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Soma Masayoshi
日本大学 医学部内科学系腎臓高血圧内分泌内科
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Nakano Takeshi
The First Department of Internal Medicine
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Yamada Norikazu
三重大学 医学系研究科循環器内科学
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Yamada Norikazu
Department Of Cardiology Mie University Graduate School Of Medicine
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Nakanishi Norifumi
The Japanese Society Of Pulmonary Embolism Research
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Nakanishi Norifumi
Department Of Cardiovascular Medicine National Cardiovascular Center
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Soma Masayoshi
Division Of General Medicine Department Of Medicine Nihon University School Of Medicine
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Kuriyama Takayuki
Department of Chest Medicine, School of Medicine, Chiba University
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KUNIEDA TAKEYOSHI
Department of Internal Medicine, National Cardiovascular Center Hospital
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Sugimoto Tsuneaki
Kanto Central Hospital
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Kunieda Takeyoshi
The Japanese Society Of Pulmonary Embolism Research
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Shirato Kunio
Department Of Cardiovascular Medicine Tohoku University Graduate School Of Medicine
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KURIYAMA Takayuki
School Med. Chiba Univ.
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Sugimoto Tsuneaki
The Japanese Society Of Pulmonary Embolism Research
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Miyahara Yoshiyuki
The Japanese Society of Pulmonary Embolism Research
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Kuriyama Takayuki
The Japanese Society of Pulmonary Embolism Research
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OKADA Osamu
Department of Chest Medicine, Chiba University
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NAKAMURA Mashio
the First Department of Internal Medicine, Mie University
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YAMADA Norikazu
the First Department of Internal Medicine, Mie University
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FUJIOKA Hirofumi
the First Department of Internal Medicine, Mie University
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Kawata Takayuki
Department Of Respirology Graduate School Of Medicine Chiba University
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Kunieda Takeyoshi
Ise Keio Hospital
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Kuriyama Takayuki
Chiba University Graduate Schoolof Medicine
-
Nakanishi Norifumi
Department Of Cardiology Jichi Medical School
-
Sakuma Masahito
Department Of Cardiovascular Medicine
-
Okada Osamu
Department Of Chest Medicine Chiba University
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Miyahara Yoshiyuki
The Second Department Of Internal Medicine Nagasaki University
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Sugimoto Tsuneaki
Kanto Cental Hospital
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Kuriyama Takayuki
Department Of Cardiovascular Science And Medicine Chiba University Graduate School Of Medicine
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Fujioka Hirofumi
The First Department Of Internal Medicine Mie University
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Yamada Norikazu
The First Department Of Internal Medicine Mie University School Of Medicine
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Fujioka Hirofumi
The First Department Of Internal Medicine Mie University School Of Medicine
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Nakano Noritsugu
Department Of Molecular Pathogenesis Division Of Medical Science Medical Research Institute Tokyo Me
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Yamada Norikazu
Department Of Cardiology Mie University Hospital
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Okada Osamu
Department Of Cardiovascular Surgery Gunma Cardio-vascular Hospital
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Kunieda Takeyoshi
Department Of Cardiovascular Medicine Kaken Hospital Clinical Medicine Research Center International
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Fujioka Hirobumi
The 1st Department Of Internal Medicine Mie University School Of Medicine
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Kuriyama Takayasu
Department Of Respirology Chiba Graduate School Of Medicine
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