Responses

Download PDFPDF

British Thoracic Society guidelines for the management of suspected acute pulmonary embolism
Compose Response

Plain text

  • No HTML tags allowed.
  • Web page addresses and e-mail addresses turn into links automatically.
  • Lines and paragraphs break automatically.
Author Information
First or given name, e.g. 'Peter'.
Your last, or family, name, e.g. 'MacMoody'.
Your email address, e.g. higgs-boson@gmail.com
Your role and/or occupation, e.g. 'Orthopedic Surgeon'.
Your organization or institution (if applicable), e.g. 'Royal Free Hospital'.
Statement of Competing Interests

PLEASE NOTE:

  • Responses are moderated before posting and publication is at the absolute discretion of BMJ, however they are not peer-reviewed
  • Once published, you will not have the right to remove or edit your response. Removal or editing of responses is at BMJ's absolute discretion
  • If patients could recognise themselves, or anyone else could recognise a patient from your description, please obtain the patient's written consent to publication and send them to the editorial office before submitting your response [Patient consent forms]
  • By submitting this response you are agreeing to our full [Response terms and requirements]

Vertical Tabs

Other responses

Jump to comment:

  • Published on:
    Evidence-Based Thrombolysis with Alteplase in Massive Pulmonary Embolism
    • Michael T Henry, Consultant Respiratory Physician
    • Other Contributors:
      • Toby Capstick, Pharmacy Department, Leeds General Infirmary, Leeds LS1 3EX

    Dear Editor

    We read with interest the guidelines for the management of suspected acute pulmonary embolism by the British Thoracic Society.[1] However, we were somewhat concerned about the recommendation of administering a 50mg intravenous bolus of alteplase for the treatment of patients with massive PE [grade C recommendation]. We believe that this recommendation is misleading as this advice is based on a case ser...

    Show More
    Conflict of Interest:
    None declared.
  • Published on:
    Reply: Clinical validity of negative CTPA

    Dear Editor

    Dr Latour-Perez's concerns[1] are anticipated on page 474 of our article, which summarises the results of three good quality studies using CTPA (not multi-slice) as the only imaging modality (references 187-189). Just after going to press we became aware of a recent excellent large multicentre study [2] with similar results. Combining these four of similar design (well conducted, CTPA only, no anticoagul...

    Show More
    Conflict of Interest:
    None declared.
  • Published on:
    Anticoagulation in suspected pulmonary embolism and negative Computed Computed tomographic pulmonary

    Dear Editor

    I would like to express my concern about the recent British Thoracic Society guidelines for the management of suspected acute pulmonary embolism,[1] which suggest that “Patients with a good quality negative CTPA do not require further investigation or treatment for PE.” [grade A recommendation]:

    1. According to a recent well designed study,[2] the negative likelihood ratio of CTPA f...

    Show More
    Conflict of Interest:
    None declared.
  • Published on:
    Validation of the BTS pre-test probability score

    Dear Editor

    British Thoracic Society guidelines for the management of suspected acute pulmonary embolism

    It is indeed unsatisfactory to make such recommendations in the absence of prospective studies; three have now been published.[1-3] Although differing in the way clinical probability was evaluated and in the D-dimer assays used, all found that in combination many patients with suspected pulmonary embo...

    Show More
    Conflict of Interest:
    None declared.
  • Published on:
    Re: Surgical Pulmonary Embolectomy

    Dear Editor

    The letter from Dr Eltzschig [1] refers to their paper showing that surgical embolectomy remains an option in severe pulmonary embolism. Firstly, this required "a multidisciplinary evaluation team with a widespread reputation for 24-hour availability, 7 days per week" (and over half of their patients had surgery during the weekend); there must be very few centres in the world who can offer such a service,...

    Show More
    Conflict of Interest:
    None declared.
  • Published on:
    Validation of the BTS pre-test probability score

    Dear Editor

    I would be grateful if the PE Guidelines Development Committee could clarify the validity of the pre-test probability (PTP) score which was quoted in the 1997 guidelines for PE and which reappears in the latest PE guidelines.

    In the 1997 guidelines it clearly states that the suggested PTP score had not been validated, but was derived from the works of others in particular Wells in Canada. Howe...

    Show More
    Conflict of Interest:
    None declared.
  • Published on:
    Surgical Pulmonary Embolectomy

    Dear Editor

    With great interest, we read the guidelines for the management of suspected acute pulmonary embolism (PE) by the British Thoracic Society (June issue 2003).[1] In the discussion of treatment options, the guidelines state that surgical embolectomy should only be considered in cases with absolute contraindications to thrombolysis, which is rarely an important consideration in a life-threatening situat...

    Show More
    Conflict of Interest:
    None declared.