Current state of the problem of diagnosis, treatment and prevention of pulmonary embolism

The article analyzes foreign and domestic sources to identify similarities and differences in approaches to the classification, diagnosis and treatment of pulmonary embolism (PE) within various treatment profiles. The literature search was carried out using the eLibrary, CyberLeninka, and PubMed databases. Using the keyword “pulmonary embolism” over the past 10 years, 783 published clinical studies, 741 meta-analyses, >3000 review articles, >1000 systematic reviews, 90 monographs and textbooks were found. It is noted that PE does not have a specific clinical picture, it can be a complication of many diseases or occur under the “mask” of another pathology, which makes its diagnosis difficult. Despite the fact that there are reliable methods for verifying pulmonary embolism, their use is not always possible, which requires extensive knowledge and developed clinical thinking from doctors of various specialties. Rehabilitation is carried out as part of outpatient follow-up treatment and, as a rule, takes about 6 months, while patients are prescribed oral anticoagulant therapy under the supervision of a physician. In individual cases, the rehabilitation period is extended indefinitely. Currently, there is an increase in pulmonary embolism among people who have had a new coronavirus infection (COVID-19).