title: [Current and future diagnostic strategies in venous thromboembolic disease].
abstract: Thromboembolic disease (TD), which includes deep venous thrombosis (DVT) and pulmonary embolism (PE), is the most common acute cardiovascular condition after ischemic cardiopathy and stroke. It is often difficult to diagnose, as it is well-known that half of PE episodes appear are recognized while the patient is still alive and which appear in 30-40% of symptomatic patients. Nonetheless, there are two well-differentiated phases in the diagnosis of TD: the suspicion, and the diagnosis. The first is very important, and is within the competence of any physician. The second can be ratified when carrying out specific tests. We have developed successive steps in the two phases of diagnosis, we critically review the distinct parts currently implicated in the strategic diagnosis of TD. Finally, we analyze the new diagnostic techniques to substitute, possibly, angiography in many cases, and perhaps to include ventilation/perfusion (V/Q) pulmonary gammagraphy, once become generally available.
authors.affiliation: Servicio de Medicina Interna, Hospital Clínico Universitario, Valencia.
authors.forename: F
authors.initials: F
authors.lastname: Gabriel Botella
authors.forename: M
authors.initials: M
authors.lastname: Labiós Gómez
authors.forename: J V
authors.initials: JV
authors.lastname: Brasó Aznar
authors.forename: G
authors.initials: G
authors.lastname: Llavador Ros
authors.forename: J
authors.initials: J
authors.lastname: Bort Martí
mesh_terms: D000328:Adult; D000368:Aged; D015901:Angiography, Digital Subtraction; D002986:Clinical Trials as Topic; D005260:Female; D006801:Humans; D008168:Lung / Q000000981:diagnostic imaging; D008279:Magnetic Resonance Imaging; D008297:Male; D011655:Pulmonary Embolism / Q000175:diagnosis* / Q000000981:diagnostic imaging; D011877:Radionuclide Imaging; D012307:Risk Factors; D014057:Tomography, X-Ray Computed; D020246:Venous Thrombosis / Q000175:diagnosis* / Q000000981:diagnostic imaging; D014692:Ventilation-Perfusion Ratio