CHEST 2023 On Demand Pass-Follow-up After Acute Pulmonary Embolism and the SEARCH Algorithm: A Rapid-Fire Discussion

Follow-up After Acute Pulmonary Embolism and the SEARCH Algorithm: A Rapid-Fire Discussion

Video Transcription

Video Summary

The video transcript discusses the follow-up after pulmonary embolism and the use of a search algorithm to evaluate patients with suspected chronic thromboembolic disease (CTED). The algorithm includes various tests such as symptomatology assessment, exercise testing, imaging studies, and right heart catheterization. The experts discuss the importance of assessing dyspnea and its impact on patients' quality of life. They also highlight the need for objective measurements of dyspnea and the use of different questionnaires to evaluate its severity. The use of echocardiography is discussed to assess various parameters related to right ventricular function and pressure overload. The experts mention the use of CT scanning to evaluate the chronicity of emboli and the presence of bronchial artery anastomosis. Invasive cardiopulmonary exercise testing is highlighted as a useful tool to evaluate patients' hemodynamics during exercise and to differentiate between increased dead space and right ventricular limitations. The algorithm is designed to help guide treatment decisions and provide appropriate interventions such as rehabilitation, invasive procedures, or medication therapy based on the underlying pathology identified. Overall, the discussion emphasizes the importance of a comprehensive approach to evaluating patients after pulmonary embolism to identify and manage potential complications such as CTED.

Meta Tag

Category Pulmonary Vascular Disease

Session ID 2006

Speaker Jina Chung

Speaker Timothy Fernandes

Speaker Erik Klok

Speaker Timothy Morris

Speaker William Stringer

Track Pulmonary Vascular Disease

Keywords

pulmonary embolism

chronic thromboembolic disease

search algorithm

dyspnea assessment

echocardiography

CT scanning

invasive cardiopulmonary exercise testing

treatment decisions

rehabilitation

complications