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2019 ESC Guidelines for the diagnosis and management of acute pulmonary embolism developed in collaboration with the European Respiratory Society (ERS)

Authors/Task Force Members:, Stavros V. Konstantinides, Guy Meyer, Cecilia Becattini, Héctor Bueno, Geert-Jan Geersing, Veli-Pekka Harjola, Menno V. Huisman, Marc Humbert, Catriona Sian Jennings, David Jiménez, Nils Kucher, Irene Marthe Lang, Mareike Lankeit, Roberto Lorusso, Lucia Mazzolai, Nicolas Meneveau, Fionnuala Ní Áinle, Paolo Prandoni, Piotr Pruszczyk, Marc Righini, Adam Torbicki, Eric Van Belle, José Luis Zamorano, Document Reviewers: Nazzareno Galié (CPG Review Coordinator) (Italy), J. Simon R. Gibbs (CPG Review Coordinator) (United Kingdom), Victor Aboyans (France), Walter Ageno (Italy), Stefan Agewall (Norway), Ana G. Almeida (Portugal), Felicita Andreotti (Italy), Emanuele Barbato (Italy), Johann Bauersachs (Germany), Andreas Baumbach (United Kingdom), Farzin Beygui (France), Jørn Carlsen (Denmark), Marco De Carlo (Italy), Marion Delcroix (Belgium), Victoria Delgado (Netherlands), Pilar Escribano Subias (Spain), Donna Fitzsimons (United Kingdom), Sean Gaine (Ireland), Samuel Z. Goldhaber (United States of America), Deepa Gopalan (United Kingdom), Gilbert Habib (France), Sigrun Halvorsen (Norway), David Jenkins (United Kingdom), Hugo A. Katus (Germany), Barbro Kjellström (Sweden), Mitja Lainscak (Slovenia), Patrizio Lancellotti (Belgium), Geraldine Lee (United Kingdom), Grégoire Le Gal (Canada), Emmanuel Messas (France), Joao Morais (Portugal), Steffen E. Petersen (United Kingdom), Anna Sonia Petronio (Italy), Massimo Francesco Piepoli (Italy), Susanna Price (United Kingdom), Marco Roffi (Switzerland), Aldo Salvi (Italy), Olivier Sanchez (France), Evgeny Shlyakhto (Russian Federation), Iain A. Simpson (United Kingdom), Stefan Stortecky (Switzerland), Matthias Thielmann (Germany), Anton Vonk Noordegraaf (Netherlands).
European Respiratory Journal 2019; DOI: 10.1183/13993003.01647-2019
Stavros V. Konstantinides
Roles: (Chairperson) (Germany/Greece)
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  • For correspondence: stavros.konstantinides@unimedizin-mainz.de skonst@med.duth.gr
Guy Meyer
Roles: (Co-Chairperson) (France)
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  • For correspondence: guy.meyer@aphp.fr
Cecilia Becattini
Roles: (Italy)
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Héctor Bueno
Roles: (Spain)
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Geert-Jan Geersing
Roles: (Netherlands)
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Veli-Pekka Harjola
Roles: (Finland)
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Menno V. Huisman
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Marc Humbert
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Catriona Sian Jennings
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David Jiménez
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Nils Kucher
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Irene Marthe Lang
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Mareike Lankeit
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Roberto Lorusso
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Lucia Mazzolai
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Nicolas Meneveau
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Fionnuala Ní Áinle
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Paolo Prandoni
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Piotr Pruszczyk
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Marc Righini
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Adam Torbicki
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Eric Van Belle
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José Luis Zamorano
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Article Information

DOI 
https://doi.org/10.1183/13993003.01647-2019
PubMed 
31473594

Published By 
European Respiratory Society
Print ISSN 
0903-1936
Online ISSN 
1399-3003
History 
  • Published online August 31, 2019.

Article Versions

  • You are currently viewing a previous version of this article (August 31, 2019 - 01:00).
  • View the most recent version of this article
Copyright & Usage 
This publication in the European Respiratory Journal comprises a reprint of the official full text version of the article originally published in English in the European Heart Journal by Oxford University Press under licence from the European Society of Cardiology: Konstantinides SV, Meyer G, Becattini C, et al. 2019 ESC Guidelines for the diagnosis and management of acute pulmonary embolism developed in collaboration with the European Respiratory Society (ERS), Eur Heart J doi/10.1093/eurheartj/ehz405. Reproduced by permission of Oxford University Press on behalf of the European Society of Cardiology. © European Society of Cardiology 2019 - All Rights Reserved. Please visit: https://www.escardio.org/Guidelines/Clinical-Practice-Guidelines/Acute-Pulmonary-Embolism-Diagnosis-and-Management-of; https://academic.oup.com/eurheartj

Author Information

  1. Authors/Task Force Members:,
  2. Stavros V. Konstantinides, (Chairperson) (Germany/Greece)⇑,
  3. Guy Meyer, (Co-Chairperson) (France)⇑,
  4. Cecilia Becattini, (Italy),
  5. Héctor Bueno, (Spain),
  6. Geert-Jan Geersing, (Netherlands),
  7. Veli-Pekka Harjola, (Finland),
  8. Menno V. Huisman, (Netherlands),
  9. Marc Humbert, (France),
  10. Catriona Sian Jennings, (United Kingdom),
  11. David Jiménez, (Spain),
  12. Nils Kucher, (Switzerland),
  13. Irene Marthe Lang, (Austria),
  14. Mareike Lankeit, (Germany),
  15. Roberto Lorusso, (Netherlands),
  16. Lucia Mazzolai, (Switzerland),
  17. Nicolas Meneveau, (France),
  18. Fionnuala Ní Áinle, (Ireland),
  19. Paolo Prandoni, (Italy),
  20. Piotr Pruszczyk, (Poland),
  21. Marc Righini, (Switzerland),
  22. Adam Torbicki, (Poland),
  23. Eric Van Belle, (France) and
  24. José Luis Zamorano, (Spain)
  1. Stavros V. Konstantinides, Center for Thrombosis and Hemostasis, Johannes Gutenberg University Mainz, Building 403, Langenbeckstr. 1, 55131 Mainz, Germany. E-mail: stavros.konstantinides{at}unimedizin-mainz.de; and Department of Cardiology, Democritus University of Thrace, 68100 Alexandroupolis, Greece. E-mail: skonst{at}med.duth.gr.
  2. Guy Meyer, Respiratory Medicine Department, Hôpital Européen Georges Pompidou, 20 Rue Leblanc, 75015 Paris, France. E-mail: guy.meyer{at}aphp.fr; and Université Paris Descartes, 15 rue de l'école de médecine 75006 Paris, France.
  1. Document Reviewers: Nazzareno Galié (CPG Review Coordinator) (Italy), J. Simon R. Gibbs (CPG Review Coordinator) (United Kingdom), Victor Aboyans (France), Walter Ageno (Italy), Stefan Agewall (Norway), Ana G. Almeida (Portugal), Felicita Andreotti (Italy), Emanuele Barbato (Italy), Johann Bauersachs (Germany), Andreas Baumbach (United Kingdom), Farzin Beygui (France), Jørn Carlsen (Denmark), Marco De Carlo (Italy), Marion Delcroix (Belgium), Victoria Delgado (Netherlands), Pilar Escribano Subias (Spain), Donna Fitzsimons (United Kingdom), Sean Gaine (Ireland), Samuel Z. Goldhaber (United States of America), Deepa Gopalan (United Kingdom), Gilbert Habib (France), Sigrun Halvorsen (Norway), David Jenkins (United Kingdom), Hugo A. Katus (Germany), Barbro Kjellström (Sweden), Mitja Lainscak (Slovenia), Patrizio Lancellotti (Belgium), Geraldine Lee (United Kingdom), Grégoire Le Gal (Canada), Emmanuel Messas (France), Joao Morais (Portugal), Steffen E. Petersen (United Kingdom), Anna Sonia Petronio (Italy), Massimo Francesco Piepoli (Italy), Susanna Price (United Kingdom), Marco Roffi (Switzerland), Aldo Salvi (Italy), Olivier Sanchez (France), Evgeny Shlyakhto (Russian Federation), Iain A. Simpson (United Kingdom), Stefan Stortecky (Switzerland), Matthias Thielmann (Germany), Anton Vonk Noordegraaf (Netherlands).
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    2019 ESC Guidelines for the diagnosis and management of acute pulmonary embolism developed in collaboration with the European Respiratory Society (ERS)
    Authors/Task Force Members:, Stavros V. Konstantinides, Guy Meyer, Cecilia Becattini, Héctor Bueno, Geert-Jan Geersing, Veli-Pekka Harjola, Menno V. Huisman, Marc Humbert, Catriona Sian Jennings, David Jiménez, Nils Kucher, Irene Marthe Lang, Mareike Lankeit, Roberto Lorusso, Lucia Mazzolai, Nicolas Meneveau, Fionnuala Ní Áinle, Paolo Prandoni, Piotr Pruszczyk, Marc Righini, Adam Torbicki, Eric Van Belle, José Luis Zamorano, Document Reviewers: Nazzareno Galié (CPG Review Coordinator) (Italy), J. Simon R. Gibbs (CPG Review Coordinator) (United Kingdom), Victor Aboyans (France), Walter Ageno (Italy), Stefan Agewall (Norway), Ana G. Almeida (Portugal), Felicita Andreotti (Italy), Emanuele Barbato (Italy), Johann Bauersachs (Germany), Andreas Baumbach (United Kingdom), Farzin Beygui (France), Jørn Carlsen (Denmark), Marco De Carlo (Italy), Marion Delcroix (Belgium), Victoria Delgado (Netherlands), Pilar Escribano Subias (Spain), Donna Fitzsimons (United Kingdom), Sean Gaine (Ireland), Samuel Z. Goldhaber (United States of America), Deepa Gopalan (United Kingdom), Gilbert Habib (France), Sigrun Halvorsen (Norway), David Jenkins (United Kingdom), Hugo A. Katus (Germany), Barbro Kjellström (Sweden), Mitja Lainscak (Slovenia), Patrizio Lancellotti (Belgium), Geraldine Lee (United Kingdom), Grégoire Le Gal (Canada), Emmanuel Messas (France), Joao Morais (Portugal), Steffen E. Petersen (United Kingdom), Anna Sonia Petronio (Italy), Massimo Francesco Piepoli (Italy), Susanna Price (United Kingdom), Marco Roffi (Switzerland), Aldo Salvi (Italy), Olivier Sanchez (France), Evgeny Shlyakhto (Russian Federation), Iain A. Simpson (United Kingdom), Stefan Stortecky (Switzerland), Matthias Thielmann (Germany), Anton Vonk Noordegraaf (Netherlands).
    European Respiratory Journal Jan 2019, 1901647; DOI: 10.1183/13993003.01647-2019

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    2019 ESC Guidelines for the diagnosis and management of acute pulmonary embolism developed in collaboration with the European Respiratory Society (ERS)
    Authors/Task Force Members:, Stavros V. Konstantinides, Guy Meyer, Cecilia Becattini, Héctor Bueno, Geert-Jan Geersing, Veli-Pekka Harjola, Menno V. Huisman, Marc Humbert, Catriona Sian Jennings, David Jiménez, Nils Kucher, Irene Marthe Lang, Mareike Lankeit, Roberto Lorusso, Lucia Mazzolai, Nicolas Meneveau, Fionnuala Ní Áinle, Paolo Prandoni, Piotr Pruszczyk, Marc Righini, Adam Torbicki, Eric Van Belle, José Luis Zamorano, Document Reviewers: Nazzareno Galié (CPG Review Coordinator) (Italy), J. Simon R. Gibbs (CPG Review Coordinator) (United Kingdom), Victor Aboyans (France), Walter Ageno (Italy), Stefan Agewall (Norway), Ana G. Almeida (Portugal), Felicita Andreotti (Italy), Emanuele Barbato (Italy), Johann Bauersachs (Germany), Andreas Baumbach (United Kingdom), Farzin Beygui (France), Jørn Carlsen (Denmark), Marco De Carlo (Italy), Marion Delcroix (Belgium), Victoria Delgado (Netherlands), Pilar Escribano Subias (Spain), Donna Fitzsimons (United Kingdom), Sean Gaine (Ireland), Samuel Z. Goldhaber (United States of America), Deepa Gopalan (United Kingdom), Gilbert Habib (France), Sigrun Halvorsen (Norway), David Jenkins (United Kingdom), Hugo A. Katus (Germany), Barbro Kjellström (Sweden), Mitja Lainscak (Slovenia), Patrizio Lancellotti (Belgium), Geraldine Lee (United Kingdom), Grégoire Le Gal (Canada), Emmanuel Messas (France), Joao Morais (Portugal), Steffen E. Petersen (United Kingdom), Anna Sonia Petronio (Italy), Massimo Francesco Piepoli (Italy), Susanna Price (United Kingdom), Marco Roffi (Switzerland), Aldo Salvi (Italy), Olivier Sanchez (France), Evgeny Shlyakhto (Russian Federation), Iain A. Simpson (United Kingdom), Stefan Stortecky (Switzerland), Matthias Thielmann (Germany), Anton Vonk Noordegraaf (Netherlands).
    European Respiratory Journal Jan 2019, 1901647; DOI: 10.1183/13993003.01647-2019
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    • Article
      • Abstract
      • 1. Preamble
      • 2. Introduction
      • 3. General considerations
      • 4. Diagnosis
      • 5. Assessment of pulmonary embolism severity and the risk of early death
      • 6. Treatment in the acute phase
      • 7. Integrated risk-adapted diagnosis and management
      • 8. Chronic treatment and prevention of recurrence
      • 9. Pulmonary embolism and pregnancy
      • 10. Long-term sequelae of pulmonary embolism
      • 11. Non-thrombotic pulmonary embolism
      • 12. Key messages
      • 13. Gaps in the evidence
      • 14. “What to do” and “what not to do” messages from the Guidelines
      • Appendix
      • Footnotes
      • References
    • Figures & Data
    • Info & Metrics
    • PDF

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    • Pulmonary vascular disease
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