Characteristics of pulmonary thromboembolism in the elderly and thought of its diagnosis and treatment
  
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DOI:10.11915/j.issn.1671-5403.2015.12.214
Key words:aged  pulmonary embolism  diagnosis  treatment
Author NameAffiliationE-mail
GONG Juan-Ni1, ZHAI Zhen-Guo1,2,3,4, YANG Yuan-Hua1* 1Department of Respiratory and Critical Care Medicine, Beijing Institute of Respiratory Medicine, Beijing Key Laboratory of Respiratory and Pulmonary Circulation, Beijing Chaoyang Hospital of Capital Medical University, Beijing 100020, China
2Faculty of Respiratory Medicine, Capital Medical University, Beijing 100069, China
3Department of Respiratory and Critical Care Medicine, China-Japan Friendship Hospital, Beijing 100029, China
4National Clinical Research Center of Respiratory Diseases, Beijing 100730, China 
yyh1031@sina.com 
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Abstract:
      The elderly are at high risk for pulmonary thromboembolism (PTE). Evidence shows that the prevalence of PTE is increased during aging, and its mortality, recurrence and hemorrhage rate are extremely high in the elderly than in the young people. Therefore, as an important global health issue, the elderly PTE draws attention from clinicians all over the world. In the past 2 decades, great progress has been achieved in the diagnosis and treatment of elderly PTE, including the establishment of new diagnostic strategy (Wells score and modified Geneva score), the application of age-adjusted D-dimer cutoff levels for excluding PTE, the use of new oral anticoagulants for older patients, etc. In this article, we mainly summarized the progress in the diagnosis and treatment of PTE and hoped this would be helpful to Chinese pulmonary vascular clinicians.
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