{"id":39024,"date":"2025-11-03T13:24:32","date_gmt":"2025-11-03T16:24:32","guid":{"rendered":"https:\/\/www.grupomedcof.com.br\/blog\/?p=39024"},"modified":"2025-11-03T13:24:34","modified_gmt":"2025-11-03T16:24:34","slug":"tromboembolia-pulmonar","status":"publish","type":"post","link":"https:\/\/www.grupomedcof.com.br\/blog\/tromboembolia-pulmonar\/","title":{"rendered":"Tromboembolismo Pulmonar (TEP): o que \u00e9, fatores de risco, fisiopatologia e mais!"},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_74 counter-hierarchy ez-toc-counter ez-toc-transparent ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Sum\u00e1rio<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Alternar tabela de conte\u00fado\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/tromboembolia-pulmonar\/#Epidemiologia\" >Epidemiologia<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/tromboembolia-pulmonar\/#Fatores_de_Risco_Triade_de_Virchow\" >Fatores de Risco (Tr\u00edade de Virchow)<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/tromboembolia-pulmonar\/#_Fisiopatologia_A_%E2%80%9CEspiral_da_Morte%E2%80%9D\" >\u00a0Fisiopatologia: A &#8220;Espiral da Morte&#8221;<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/tromboembolia-pulmonar\/#Diagnostico_do_Tromboembolismo_Pulmonar\" >Diagn\u00f3stico do Tromboembolismo Pulmonar<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/tromboembolia-pulmonar\/#Quadro_Clinico\" >Quadro Cl\u00ednico<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/tromboembolia-pulmonar\/#Estratificacao_de_Risco_Pre-Teste\" >Estratifica\u00e7\u00e3o de Risco Pr\u00e9-Teste<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/tromboembolia-pulmonar\/#Metodos_Diagnosticos\" >M\u00e9todos Diagn\u00f3sticos<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/tromboembolia-pulmonar\/#Eletrocardiograma_ECG\" >Eletrocardiograma (ECG)<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/tromboembolia-pulmonar\/#Estratificacao_de_Risco_Pos-Diagnostico_Mortalidade_Precoce\" >Estratifica\u00e7\u00e3o de Risco P\u00f3s-Diagn\u00f3stico (Mortalidade Precoce)<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/tromboembolia-pulmonar\/#Classificacao_de_Risco_s-PESI\" >Classifica\u00e7\u00e3o de Risco (s-PESI):<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-11\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/tromboembolia-pulmonar\/#Tratamento\" >Tratamento<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-12\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/tromboembolia-pulmonar\/#Suporte_Ventilatorio_e_Circulatorio\" >Suporte Ventilat\u00f3rio e Circulat\u00f3rio<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-13\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/tromboembolia-pulmonar\/#Anticoagulacao_Plena\" >Anticoagula\u00e7\u00e3o Plena<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-14\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/tromboembolia-pulmonar\/#Terapia_de_Reperfusao\" >Terapia de Reperfus\u00e3o<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-15\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/tromboembolia-pulmonar\/#Complicacoes_e_Seguimento\" >Complica\u00e7\u00f5es e Seguimento<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-16\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/tromboembolia-pulmonar\/#Sintomas_Persistentes\" >Sintomas Persistentes<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-17\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/tromboembolia-pulmonar\/#Hipertensao_Pulmonar_Tromboembolica_Cronica_HPTEC\" >Hipertens\u00e3o Pulmonar Tromboemb\u00f3lica Cr\u00f4nica (HPTEC)<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-18\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/tromboembolia-pulmonar\/#Conquiste_a_aprovacao_e_acompanhe_mais_noticias\" >Conquiste a aprova\u00e7\u00e3o e acompanhe mais not\u00edcias!<\/a><\/li><\/ul><\/nav><\/div>\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"576\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/Blog-MedCof-2025-11-03T132231.897-1024x576.jpg\" alt=\"\" class=\"wp-image-39037\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/Blog-MedCof-2025-11-03T132231.897-1024x576.jpg 1024w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/Blog-MedCof-2025-11-03T132231.897-300x169.jpg 300w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/Blog-MedCof-2025-11-03T132231.897-768x432.jpg 768w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/Blog-MedCof-2025-11-03T132231.897-1536x864.jpg 1536w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/Blog-MedCof-2025-11-03T132231.897-747x420.jpg 747w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/Blog-MedCof-2025-11-03T132231.897-150x84.jpg 150w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/Blog-MedCof-2025-11-03T132231.897-696x392.jpg 696w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/Blog-MedCof-2025-11-03T132231.897-1068x601.jpg 1068w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/Blog-MedCof-2025-11-03T132231.897.jpg 1920w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<p>O <strong>Tromboembolismo Pulmonar (TEP)<\/strong> \u00e9 definido pela impacta\u00e7\u00e3o de um trombo (co\u00e1gulo) na art\u00e9ria pulmonar. Essa condi\u00e7\u00e3o pode se apresentar tanto de forma aguda quanto cr\u00f4nica.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-epidemiologia\"><span class=\"ez-toc-section\" id=\"Epidemiologia\"><\/span><strong>Epidemiologia<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>O TEP \u00e9 uma das <strong>principais emerg\u00eancias cardiovasculares.<\/strong> O Tromboembolismo Venoso (TEV), que engloba o TEP e <a href=\"http:\/\/www.grupomedcof.com.br\/blog\/como-suspeitar-de-um-caso-de-tvp\/\">Trombose Venosa Profunda<\/a> (TVP), \u00e9 a <strong>terceira causa de morte cardiovascular<\/strong> mais comum na pr\u00e1tica cl\u00ednica, superado apenas pelo infarto do mioc\u00e1rdio (1\u00ba) e pelos AVEs (2\u00ba).<\/p>\n\n\n\n<p><strong>Principais dados epidemiol\u00f3gicos:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Incid\u00eancia (anual):<\/strong>\n<ul class=\"wp-block-list\">\n<li>TEP: 39-115 por 100.000 habitantes.<\/li>\n\n\n\n<li>TVP: 53-162 por 100.000 habitantes.<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>Mortalidade (EUA):<\/strong> Aproximadamente 300.000 por ano.<\/li>\n\n\n\n<li><strong>Fator Idade:<\/strong> O risco \u00e9 8 vezes maior em indiv\u00edduos com mais de 80 anos.<\/li>\n\n\n\n<li><strong>Impacto Econ\u00f4mico:<\/strong> Varia em cerca de 8,5 bilh\u00f5es de euros por ano na Uni\u00e3o Europeia.<\/li>\n<\/ul>\n\n\n\n<p>Vamos conferir alguns dados de mortalidade no Brasil, retirados do <strong>DATASUS:<\/strong><\/p>\n\n\n\n<p>Per\u00edodo: <strong>jan\/2017 &#8211; abr\/2018<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><tbody><tr><td><strong>REGI\u00c3O<\/strong><\/td><td><strong>TAXA DE MORTALIDADE<\/strong><\/td><\/tr><tr><td>Regi\u00e3o Norte<\/td><td>20,75<\/td><\/tr><tr><td>Regi\u00e3o Nordeste<\/td><td>26,25<\/td><\/tr><tr><td>Regi\u00e3o Sudeste<\/td><td>18,15<\/td><\/tr><tr><td>Regi\u00e3o Sul<\/td><td>14,46<\/td><\/tr><tr><td>Regi\u00e3o Centro-Oeste<\/td><td>17,77<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p>Per\u00edodo: <strong>jan\/2019 &#8211; abr\/2022<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><tbody><tr><td><strong>REGI\u00c3O<\/strong><\/td><td><strong>TAXA DE MORTALIDADE<\/strong><\/td><\/tr><tr><td>Regi\u00e3o Norte<\/td><td>23,57<\/td><\/tr><tr><td>Regi\u00e3o Nordeste<\/td><td>22,94<\/td><\/tr><tr><td>Regi\u00e3o Sudeste<\/td><td>17,88<\/td><\/tr><tr><td>Regi\u00e3o Sul<\/td><td>15,73<\/td><\/tr><tr><td>Regi\u00e3o Centro-Oeste<\/td><td>15,08<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-fatores-de-risco-triade-de-virchow\"><span class=\"ez-toc-section\" id=\"Fatores_de_Risco_Triade_de_Virchow\"><\/span><strong>Fatores de Risco (Tr\u00edade de Virchow)<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>A suspeita de TEP come\u00e7a pela identifica\u00e7\u00e3o dos fatores de risco. Eles s\u00e3o classificados com base no<strong> <\/strong><strong><em>Odds-ratio<\/em><\/strong><strong> (OR):<\/strong><\/p>\n\n\n\n<p><strong>Risco Alto (OR &gt; 10)<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Fratura de membro inferior.<\/li>\n\n\n\n<li>Hospitaliza\u00e7\u00e3o por Insufici\u00eancia Card\u00edaca ou Fibrila\u00e7\u00e3o\/Flutter Atrial (nos \u00faltimos 3 meses).<\/li>\n\n\n\n<li>Pr\u00f3tese de joelho ou quadril.<\/li>\n\n\n\n<li>Politrauma.<\/li>\n\n\n\n<li>Infarto do mioc\u00e1rdio (nos \u00faltimos 3 meses).<\/li>\n\n\n\n<li>Epis\u00f3dio pr\u00e9vio de TEV.<\/li>\n\n\n\n<li>Les\u00e3o de medula espinhal.<\/li>\n<\/ul>\n\n\n\n<p><strong>Risco Moderado (OR 2-9)<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Cirurgia de joelho (artroscopia).<\/li>\n\n\n\n<li>Doen\u00e7as autoimunes.<\/li>\n\n\n\n<li>Transfus\u00e3o de hemocomponentes.<\/li>\n\n\n\n<li>Acesso venoso central.<\/li>\n\n\n\n<li>Quimioterapia.<\/li>\n\n\n\n<li>Insufici\u00eancia card\u00edaca congestiva ou respirat\u00f3ria.<\/li>\n\n\n\n<li>Agentes estimulantes da eritropoiese.<\/li>\n\n\n\n<li>Neoplasias (especialmente doen\u00e7as metast\u00e1ticas).<\/li>\n\n\n\n<li>Terapia de reposi\u00e7\u00e3o hormonal.<\/li>\n\n\n\n<li>Terapia contraceptiva oral.<\/li>\n\n\n\n<li>P\u00f3s-parto.<\/li>\n\n\n\n<li>Quadros infecciosos (ex: PNM, ITU, HIV).<\/li>\n\n\n\n<li>Trombofilia.<\/li>\n<\/ul>\n\n\n\n<p><strong>Risco Baixo (OR &lt; 2)<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Repouso no leito por mais de 3 dias.<\/li>\n\n\n\n<li>Diabetes mellitus e Hipertens\u00e3o arterial sist\u00eamica.<\/li>\n\n\n\n<li>Imobilidade (viagens prolongadas).<\/li>\n\n\n\n<li>Envelhecimento.<\/li>\n\n\n\n<li>Cirurgias videolaparosc\u00f3picas (ex: colecistectomia).<\/li>\n\n\n\n<li>Obesidade.<\/li>\n\n\n\n<li>Gravidez.<\/li>\n\n\n\n<li>Veias varicosas.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-fisiopatologia-a-espiral-da-morte\"><span class=\"ez-toc-section\" id=\"_Fisiopatologia_A_%E2%80%9CEspiral_da_Morte%E2%80%9D\"><\/span><strong>\u00a0Fisiopatologia: A &#8220;Espiral da Morte&#8221;<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>A impacta\u00e7\u00e3o do trombo na art\u00e9ria pulmonar desencadeia uma cascata hemodin\u00e2mica grave, conhecida como a &#8220;espiral da morte&#8221; do TEP:<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>Obstru\u00e7\u00e3o Vascular:<\/strong> O trombo causa um aumento abrupto da p\u00f3s-carga do Ventr\u00edculo Direito (VD).<\/li>\n\n\n\n<li><strong>Sobrecarga do VD:<\/strong> Ocorre um aumento da pr\u00e9-carga do VD, levando \u00e0 dilata\u00e7\u00e3o do VD e insufici\u00eancia da v\u00e1lvula tric\u00faspide.<\/li>\n\n\n\n<li><strong>Disfun\u00e7\u00e3o do VD:<\/strong> A tens\u00e3o na parede do VD aumenta, elevando a demanda de oxig\u00eanio do mioc\u00e1rdio e causando isquemia de VD. Isso reduz a contratilidade e o d\u00e9bito do VD.<\/li>\n\n\n\n<li><strong>Colapso do VE:<\/strong> Com a redu\u00e7\u00e3o do d\u00e9bito do VD, h\u00e1 uma redu\u00e7\u00e3o da pr\u00e9-carga do Ventr\u00edculo Esquerdo (VE).<\/li>\n\n\n\n<li><strong>Choque e Morte:<\/strong> A redu\u00e7\u00e3o da pr\u00e9-carga do VE leva \u00e0 diminui\u00e7\u00e3o do d\u00e9bito card\u00edaco total, resultando em hipotens\u00e3o sist\u00eamica, choque obstrutivo e, finalmente, morte.<\/li>\n<\/ol>\n\n\n\n<figure class=\"wp-block-image size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"447\" height=\"351\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/image.png\" alt=\"\" class=\"wp-image-39027\" style=\"width:509px;height:auto\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/image.png 447w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/image-300x236.png 300w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/image-150x118.png 150w\" sizes=\"auto, (max-width: 447px) 100vw, 447px\" \/><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-diagnostico-do-tromboembolismo-pulmonar\"><span class=\"ez-toc-section\" id=\"Diagnostico_do_Tromboembolismo_Pulmonar\"><\/span><strong>Diagn\u00f3stico do Tromboembolismo Pulmonar<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>O diagn\u00f3stico do TEP \u00e9 um processo que combina suspeita cl\u00ednica, estratifica\u00e7\u00e3o de probabilidade e exames de imagem.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-quadro-clinico\"><span class=\"ez-toc-section\" id=\"Quadro_Clinico\"><\/span><strong>Quadro Cl\u00ednico<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>Os sinais e sintomas s\u00e3o frequentemente <strong>inespec\u00edficos<\/strong>.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Comuns:<\/strong> Dispneia, dor tor\u00e1cica, pr\u00e9-s\u00edncope, s\u00edncope e hemoptise.<\/li>\n\n\n\n<li><strong>Raros:<\/strong> Instabilidade hemodin\u00e2mica, geralmente associada \u00e0 s\u00edncope e disfun\u00e7\u00e3o de VD.<\/li>\n\n\n\n<li><strong>Assintom\u00e1ticos:<\/strong> O diagn\u00f3stico pode ser incidental em exames de rotina.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-estratificacao-de-risco-pre-teste\"><span class=\"ez-toc-section\" id=\"Estratificacao_de_Risco_Pre-Teste\"><\/span><strong>Estratifica\u00e7\u00e3o de Risco Pr\u00e9-Teste<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>Antes de partir para exames invasivos ou com radia\u00e7\u00e3o, usamos escores para definir a probabilidade cl\u00ednica de TEP. Os mais usados s\u00e3o os escores de Wells e Geneva.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\" id=\"h-escore-de-geneva\"><strong>Escore de Geneva<\/strong><\/h4>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"565\" height=\"428\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/image-1.png\" alt=\"\" class=\"wp-image-39028\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/image-1.png 565w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/image-1-300x227.png 300w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/image-1-554x420.png 554w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/image-1-80x60.png 80w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/image-1-150x114.png 150w\" sizes=\"auto, (max-width: 565px) 100vw, 565px\" \/><\/figure>\n\n\n\n<p><em>Probabilidade (Simplificada):<\/em><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>TEP Improv\u00e1vel:<\/strong> 0-2 pontos<\/li>\n\n\n\n<li><strong>TEP Prov\u00e1vel:<\/strong> > 3 pontos<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\" id=\"h-escore-de-wells\"><strong>Escore de Wells<\/strong><\/h4>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"982\" height=\"483\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/image-2.png\" alt=\"\" class=\"wp-image-39029\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/image-2.png 982w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/image-2-300x148.png 300w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/image-2-768x378.png 768w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/image-2-854x420.png 854w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/image-2-150x74.png 150w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/image-2-696x342.png 696w\" sizes=\"auto, (max-width: 982px) 100vw, 982px\" \/><\/figure>\n\n\n\n<p><em>Probabilidade (Simplificada):<\/em><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>TEP Improv\u00e1vel:<\/strong> 0-1 pontos<\/li>\n\n\n\n<li><strong>TEP Prov\u00e1vel:<\/strong> >2 pontos<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-metodos-diagnosticos\"><span class=\"ez-toc-section\" id=\"Metodos_Diagnosticos\"><\/span><strong>M\u00e9todos Diagn\u00f3sticos<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<h4 class=\"wp-block-heading\" id=\"h-dimero-d\"><strong>D\u00edmero-D<\/strong><\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u00c9 um produto da degrada\u00e7\u00e3o da fibrina.<\/li>\n\n\n\n<li>Seu principal valor est\u00e1 no <strong>alto valor preditivo negativo (VPN)<\/strong>, ou seja, se negativo, \u00e9 \u00f3timo para <em>excluir<\/em> TEP em pacientes de baixa probabilidade.<\/li>\n\n\n\n<li>Possui baixo valor preditivo positivo (VPP), pois se eleva em muitas outras condi\u00e7\u00f5es (neoplasias, infec\u00e7\u00f5es, inflama\u00e7\u00f5es, interna\u00e7\u00e3o).<\/li>\n\n\n\n<li><strong>Ajuste para Idade:<\/strong> Para pacientes acima de 50 anos, o valor de corte deve ser ajustado:\u00a0 idade x 10 \u00b5g\/L.<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\" id=\"h-angiotomografia-de-torax-angio-tc\"><strong>Angiotomografia de T\u00f3rax (Angio-TC)<\/strong><\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u00c9 o <strong>m\u00e9todo de escolha<\/strong> para o diagn\u00f3stico.<\/li>\n\n\n\n<li>Apresenta alta sensibilidade (83%) e especificidade (96%).<\/li>\n\n\n\n<li>Possui alto VPN em pacientes com risco baixo ou intermedi\u00e1rio.<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"467\" height=\"469\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/image-3.png\" alt=\"\" class=\"wp-image-39030\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/image-3.png 467w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/image-3-300x301.png 300w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/image-3-150x151.png 150w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/image-3-418x420.png 418w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/image-3-96x96.png 96w\" sizes=\"auto, (max-width: 467px) 100vw, 467px\" \/><figcaption class=\"wp-element-caption\">Fonte: Acervo de aulas do Grupo MedCof<\/figcaption><\/figure>\n\n\n\n<h4 class=\"wp-block-heading\" id=\"h-cintilografia-ventilacao-perfusao-v-q\"><strong>Cintilografia Ventila\u00e7\u00e3o\/Perfus\u00e3o (V\/Q)<\/strong><\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u00c9 um m\u00e9todo alternativo, que combina a an\u00e1lise da perfus\u00e3o com a ventila\u00e7\u00e3o para aumentar a especificidade.<\/li>\n\n\n\n<li><strong>Indica\u00e7\u00f5es:<\/strong> Pacientes jovens, gestantes, al\u00e9rgicos ao contraste iodado ou com insufici\u00eancia renal.<\/li>\n\n\n\n<li><strong>Limita\u00e7\u00e3o:<\/strong> Dificuldade para avaliar trombos perif\u00e9ricos.<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"484\" height=\"425\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/image-4.png\" alt=\"\" class=\"wp-image-39031\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/image-4.png 484w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/image-4-300x263.png 300w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/image-4-478x420.png 478w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/image-4-150x132.png 150w\" sizes=\"auto, (max-width: 484px) 100vw, 484px\" \/><figcaption class=\"wp-element-caption\">Avalia\u00e7\u00e3o com combina\u00e7\u00e3o de perfus\u00e3o com ventila\u00e7\u00e3o. Fonte: Acervo de aulas do Grupo MedCof.<\/figcaption><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-eletrocardiograma-ecg\"><span class=\"ez-toc-section\" id=\"Eletrocardiograma_ECG\"><\/span><strong>Eletrocardiograma (ECG)<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Casos leves:<\/strong> Taquicardia sinusal \u00e9 o achado mais comum (at\u00e9 40% dos casos).<\/li>\n\n\n\n<li><strong>Casos graves (Sinais de sobrecarga de VD):<\/strong>\n<ul class=\"wp-block-list\">\n<li>Invers\u00e3o de onda T nas deriva\u00e7\u00f5es V1-V4.<\/li>\n\n\n\n<li>Padr\u00e3o QR em V1.<\/li>\n\n\n\n<li>Bloqueio de ramo direito (completo ou incompleto).<\/li>\n\n\n\n<li>O cl\u00e1ssico padr\u00e3o <strong>S1Q3T3<\/strong>.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"472\" height=\"467\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/image-5.png\" alt=\"\" class=\"wp-image-39032\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/image-5.png 472w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/image-5-300x297.png 300w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/image-5-424x420.png 424w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/image-5-150x148.png 150w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/image-5-96x96.png 96w\" sizes=\"auto, (max-width: 472px) 100vw, 472px\" \/><figcaption class=\"wp-element-caption\">Achados S1Q3T3. Fonte: Acervo de aulas do Grupo MedCof<\/figcaption><\/figure>\n\n\n\n<h4 class=\"wp-block-heading\" id=\"h-radiografia-de-torax\"><strong>Radiografia de T\u00f3rax<\/strong><\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Geralmente \u00e9 inespec\u00edfica, mas serve para excluir outras causas de dor tor\u00e1cica e dispneia.<\/li>\n\n\n\n<li><strong>Achados cl\u00e1ssicos (pouco comuns):<\/strong>\n<ul class=\"wp-block-list\">\n<li><strong>Corcova de Hampton:<\/strong> \u00c1rea em cunha sugestiva de infarto pulmonar.<\/li>\n\n\n\n<li><strong>Sinal de Westermark:<\/strong> Oligoemia (diminui\u00e7\u00e3o da trama vascular) em uma \u00e1rea do pulm\u00e3o.<\/li>\n\n\n\n<li><strong>Sinal de Fleischner:<\/strong> Dilata\u00e7\u00e3o do tronco da art\u00e9ria pulmonar.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"554\" height=\"466\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/image-6.png\" alt=\"\" class=\"wp-image-39033\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/image-6.png 554w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/image-6-300x252.png 300w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/image-6-499x420.png 499w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/image-6-150x126.png 150w\" sizes=\"auto, (max-width: 554px) 100vw, 554px\" \/><figcaption class=\"wp-element-caption\">Fonte: Acervo de aulas do grupo MedCof.\u00a0<\/figcaption><\/figure>\n\n\n\n<h4 class=\"wp-block-heading\" id=\"h-ecocardiograma-transtoracico-eco-tt\"><strong>Ecocardiograma Transtor\u00e1cico (ECO-TT)<\/strong><\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u00c9 \u00fatil principalmente para a <strong>estratifica\u00e7\u00e3o de risco<\/strong> em pacientes j\u00e1 diagnosticados.<\/li>\n\n\n\n<li>Pode mostrar dilata\u00e7\u00e3o das c\u00e2maras direitas, que ocorre em mais de 25% dos pacientes com TEP.<\/li>\n\n\n\n<li>Avalia par\u00e2metros como o di\u00e2metro do VD, distens\u00e3o da veia cava inferior e o TAPSE (contratura do VD).<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\" id=\"h-arteriografia-pulmonar\"><strong>Arteriografia Pulmonar<\/strong><\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Antigamente considerada o padr\u00e3o-ouro.<\/li>\n\n\n\n<li>Hoje \u00e9 raramente usada devido ao risco de mortalidade (0,5%) e complica\u00e7\u00f5es (1-5%).<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"734\" height=\"374\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/image-7.png\" alt=\"\" class=\"wp-image-39034\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/image-7.png 734w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/image-7-300x153.png 300w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/image-7-150x76.png 150w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/image-7-696x355.png 696w\" sizes=\"auto, (max-width: 734px) 100vw, 734px\" \/><figcaption class=\"wp-element-caption\">Fonte: Acervo de aulas do Grupo MedCof.<\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-estratificacao-de-risco-pos-diagnostico-mortalidade-precoce\"><span class=\"ez-toc-section\" id=\"Estratificacao_de_Risco_Pos-Diagnostico_Mortalidade_Precoce\"><\/span><strong>Estratifica\u00e7\u00e3o de Risco P\u00f3s-Diagn\u00f3stico (Mortalidade Precoce)<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>Ap\u00f3s a confirma\u00e7\u00e3o do TEP, o pr\u00f3ximo passo \u00e9 avaliar o risco de mortalidade precoce (em 30 dias). Isso \u00e9 feito com o escore <strong>PESI<\/strong> (Pulmonary Embolism Severity Index) ou sua vers\u00e3o simplificada, o <strong>s-PESI<\/strong>.<\/p>\n\n\n\n<p>Par\u00e2metros do Escore PESI e s-PESI<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"698\" height=\"498\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/image-8.png\" alt=\"\" class=\"wp-image-39035\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/image-8.png 698w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/image-8-300x214.png 300w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/image-8-589x420.png 589w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/image-8-150x107.png 150w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/image-8-696x497.png 696w\" sizes=\"auto, (max-width: 698px) 100vw, 698px\" \/><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-classificacao-de-risco-s-pesi\"><span class=\"ez-toc-section\" id=\"Classificacao_de_Risco_s-PESI\"><\/span><strong>Classifica\u00e7\u00e3o de Risco (s-PESI):<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>0 pontos:<\/strong> Baixo risco (Mortalidade em 30 dias de 1,0%).<\/li>\n\n\n\n<li><strong>>1 ponto:<\/strong> Alto risco (Mortalidade em 30 dias de 10,9%).<\/li>\n<\/ul>\n\n\n\n<p>Com base no PESI, exames de imagem (ECO\/Angio-TC) e biomarcadores (Troponina\/BNP), classificamos o TEP em n\u00edveis de risco para guiar o tratamento:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Alto Risco:<\/strong> Paciente com instabilidade hemodin\u00e2mica (PAS &lt; 100 mmHg).<\/li>\n\n\n\n<li><strong>Risco Intermedi\u00e1rio-Alto:<\/strong> Est\u00e1vel hemodinamicamente, mas com disfun\u00e7\u00e3o de VD (na imagem) E les\u00e3o mioc\u00e1rdica (Troponina\/BNP elevados).<\/li>\n\n\n\n<li><strong>Risco Intermedi\u00e1rio-Baixo:<\/strong> Est\u00e1vel hemodinamicamente, com disfun\u00e7\u00e3o de VD OU les\u00e3o mioc\u00e1rdica, mas n\u00e3o ambos.<\/li>\n\n\n\n<li><strong>Baixo Risco:<\/strong> Est\u00e1vel hemodinamicamente, s-PESI 0, sem disfun\u00e7\u00e3o de VD ou biomarcadores alterados.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-tratamento\"><span class=\"ez-toc-section\" id=\"Tratamento\"><\/span><strong>Tratamento<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>O tratamento do TEP \u00e9 baseado na estratifica\u00e7\u00e3o de risco e inclui medidas de suporte, anticoagula\u00e7\u00e3o e, em casos graves, terapia de reperfus\u00e3o.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-suporte-ventilatorio-e-circulatorio\"><span class=\"ez-toc-section\" id=\"Suporte_Ventilatorio_e_Circulatorio\"><\/span><strong>Suporte Ventilat\u00f3rio e Circulat\u00f3rio<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Suporte ventilat\u00f3rio:<\/strong> Suplementa\u00e7\u00e3o de $O_2$ e ventila\u00e7\u00e3o mec\u00e2nica, se necess\u00e1rio.<\/li>\n\n\n\n<li><strong>Suporte circulat\u00f3rio:<\/strong> Reposi\u00e7\u00e3o vol\u00eamica (com cautela), vasopressores (Noradrenalina), inotr\u00f3picos (Dobutamina) e, em casos refrat\u00e1rios, ECMO.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-anticoagulacao-plena\"><span class=\"ez-toc-section\" id=\"Anticoagulacao_Plena\"><\/span><strong>Anticoagula\u00e7\u00e3o Plena<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>\u00c9 a base do tratamento para a maioria dos pacientes e deve ser mantida por 3-6 meses.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>In\u00edcio:<\/strong> Deve ser iniciado imediatamente em pacientes com probabilidade pr\u00e9-teste intermedi\u00e1ria ou alta, mesmo antes da confirma\u00e7\u00e3o diagn\u00f3stica.<\/li>\n\n\n\n<li><strong>Op\u00e7\u00f5es parenterais (iniciais):<\/strong> Heparina N\u00e3o Fracionada (HNF), Heparina de Baixo Peso Molecular (HBPM, ex: Enoxaparina) ou Fondaparinux.<\/li>\n\n\n\n<li><strong>Antagonistas da Vitamina K (AVK &#8211; Cumar\u00ednicos):<\/strong>\n<ul class=\"wp-block-list\">\n<li>Devem ser iniciados junto com a anticoagula\u00e7\u00e3o parenteral.<\/li>\n\n\n\n<li>A terapia parenteral s\u00f3 deve ser suspensa ap\u00f3s 5 dias E quando o INR estiver na faixa terap\u00eautica por 48h, para evitar risco de eventos trombog\u00eanicos.<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>Novos Anticoagulantes Orais (NOACs\/DOACs):<\/strong>\n<ul class=\"wp-block-list\">\n<li>Atuam por inibi\u00e7\u00e3o direta do Fator Xa (Apixabana, Rivaroxabana, Edoxabana) ou do Fator IIa\/Trombina (Dabigatrana).<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<p>Caracter\u00edsticas dos NOACs:<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"698\" height=\"498\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/image-9.png\" alt=\"\" class=\"wp-image-39036\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/image-9.png 698w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/image-9-300x214.png 300w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/image-9-589x420.png 589w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/image-9-150x107.png 150w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/image-9-696x497.png 696w\" sizes=\"auto, (max-width: 698px) 100vw, 698px\" \/><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-terapia-de-reperfusao\"><span class=\"ez-toc-section\" id=\"Terapia_de_Reperfusao\"><\/span><strong>Terapia de Reperfus\u00e3o<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>Indicada para pacientes de <strong>Alto Risco<\/strong> (com instabilidade hemodin\u00e2mica).<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Janela de tratamento:<\/strong> Os melhores resultados ocorrem em at\u00e9 48 horas do evento, mas a terapia pode ser \u00fatil em at\u00e9 14 dias.<\/li>\n\n\n\n<li><strong>Drogas (Tromb\u00f3lise):<\/strong> Alteplase e Estreptoquinase. (Tenecteplase n\u00e3o \u00e9 aprovada para TEP).<\/li>\n\n\n\n<li><strong>Risco:<\/strong> N\u00e3o \u00e9 recomendada para pacientes de risco intermedi\u00e1rio-alto <em>sem<\/em> instabilidade, devido ao alto risco de sangramento do SNC.<\/li>\n\n\n\n<li><strong>Outras op\u00e7\u00f5es:<\/strong> Tratamento percut\u00e2neo (cateter) ou embolectomia cir\u00fargica.<\/li>\n<\/ul>\n\n\n\n<p><strong>Principais Contraindica\u00e7\u00f5es Absolutas \u00e0 Tromb\u00f3lise<\/strong>:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Sangramento ativo (n\u00e3o menstrual).<\/li>\n\n\n\n<li>Hemorragia intracraniana pr\u00e9via.<\/li>\n\n\n\n<li>Neoplasia maligna ou les\u00e3o vascular estrutural do SNC.<\/li>\n\n\n\n<li>AVE isqu\u00eamico ou TCE h\u00e1 menos de 3 meses.<\/li>\n\n\n\n<li>Suspeita de dissec\u00e7\u00e3o aguda de aorta.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-complicacoes-e-seguimento\"><span class=\"ez-toc-section\" id=\"Complicacoes_e_Seguimento\"><\/span><strong>Complica\u00e7\u00f5es e Seguimento<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-sintomas-persistentes\"><span class=\"ez-toc-section\" id=\"Sintomas_Persistentes\"><\/span><strong>Sintomas Persistentes<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>A dispneia pode persistir por um per\u00edodo de 6 meses a 3 anos ap\u00f3s o evento agudo. Fatores complicadores incluem idade avan\u00e7ada, comorbidades card\u00edacas\/pulmonares, obesidade, tabagismo e sinais de disfun\u00e7\u00e3o de VD no diagn\u00f3stico.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-hipertensao-pulmonar-tromboembolica-cronica-hptec\"><span class=\"ez-toc-section\" id=\"Hipertensao_Pulmonar_Tromboembolica_Cronica_HPTEC\"><\/span><strong>Hipertens\u00e3o Pulmonar Tromboemb\u00f3lica Cr\u00f4nica (HPTEC)<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>\u00c9 a complica\u00e7\u00e3o tardia mais temida.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Incid\u00eancia:<\/strong> Ocorre em 0,1% a 9,1% dos pacientes nos 2 anos ap\u00f3s o epis\u00f3dio agudo.<\/li>\n\n\n\n<li><strong>Diagn\u00f3stico:<\/strong> \u00c9 feito pela <strong>presen\u00e7a de trombo ap\u00f3s 6 meses de anticoagula\u00e7\u00e3o plena<\/strong> (tempo m\u00ednimo obrigat\u00f3rio), avaliado por ECO-TT, Angio-TC, Cintilografia V\/Q ou Arteriografia.<\/li>\n\n\n\n<li><strong>Fatores de Risco para HPTEC:<\/strong>\n<ul class=\"wp-block-list\">\n<li>Relacionados ao TEP agudo: Epis\u00f3dios pr\u00e9vios de TEP\/TVP, trombo extenso na Angio-TC, disfun\u00e7\u00e3o de VD ou sinais de HP no ECO-TT inicial.<\/li>\n\n\n\n<li>Doen\u00e7as cr\u00f4nicas: Shunts ventr\u00edculo-atriais, cateteres infectados, SAAF, hipotireoidismo, neoplasias e doen\u00e7a inflamat\u00f3ria intestinal.<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>Tratamento da HPTEC:<\/strong>\n<ul class=\"wp-block-list\">\n<li><strong>Cir\u00fargico (Preferencial):<\/strong> Tromboendarterectomia.<\/li>\n\n\n\n<li><strong>Percut\u00e2neo:<\/strong> Angioplastia pulmonar.<\/li>\n\n\n\n<li><strong>Farmacol\u00f3gico:<\/strong> Indicado para pacientes n\u00e3o cir\u00fargicos. Inclui anticoagulantes, diur\u00e9ticos, Riociguate (estimulador da guanilato ciclase\u00a0<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-conquiste-a-aprovacao-e-acompanhe-mais-noticias\"><span class=\"ez-toc-section\" id=\"Conquiste_a_aprovacao_e_acompanhe_mais_noticias\"><\/span><strong>Conquiste a aprova\u00e7\u00e3o e acompanhe mais not\u00edcias!<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>Gostou do conte\u00fado? Continue acompanhando nosso blog para ficar por dentro das principais\u00a0<strong>not\u00edcias sobre resid\u00eancia m\u00e9dica, editais e <a href=\"https:\/\/www.youtube.com\/@GrupoMedcof\" target=\"_blank\" rel=\"noreferrer noopener\">oportunidades<\/a> que podem transformar sua carreira!<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<div class=\"youtube-embed\" data-video_id=\"iAw6w1i7jmM\"><iframe loading=\"lazy\" title=\"Anticoagula\u00e7\u00e3o - Parte I. Com Dra. Carolina Perrone\" width=\"696\" height=\"392\" src=\"https:\/\/www.youtube.com\/embed\/iAw6w1i7jmM?start=4&#038;feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe><\/div>\n<\/div><\/figure>\n","protected":false},"excerpt":{"rendered":"<p>Saiba como diagnosticar e tratar o Tromboembolismo Pulmonar (TEP). Entenda tamb\u00e9m a sua fisiopatologia e epidemiologia!<\/p>\n","protected":false},"author":21,"featured_media":39037,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[115],"tags":[3296,3295,1425],"ppma_author":[3617],"class_list":{"0":"post-39024","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-clinica-medica","8":"tag-a-espiral-da-morte","9":"tag-riade-de-virchow","10":"tag-tep"},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v24.3 (Yoast SEO v27.3) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Tromboembolismo Pulmonar (TEP): o que \u00e9, fatores de risco, fisiopatologia e mais! - Blog de Medcof: conte\u00fados, editais, revalida e mais!<\/title>\n<meta name=\"description\" content=\"Saiba como diagnosticar e tratar o Tromboembolismo Pulmonar (TEP). Entenda tamb\u00e9m a sua fisiopatologia e epidemiologia!\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/tromboembolia-pulmonar\/\" \/>\n<meta property=\"og:locale\" content=\"pt_BR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Tromboembolismo Pulmonar (TEP): o que \u00e9, fatores de risco, fisiopatologia e mais!\" \/>\n<meta property=\"og:description\" content=\"Saiba como diagnosticar e tratar o Tromboembolismo Pulmonar (TEP). Entenda tamb\u00e9m a sua fisiopatologia e epidemiologia!\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.grupomedcof.com.br\/blog\/tromboembolia-pulmonar\/\" \/>\n<meta property=\"og:site_name\" content=\"Blog de Medcof: conte\u00fados, editais, revalida e mais!\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/MedCofQbank\/\" \/>\n<meta property=\"article:published_time\" content=\"2025-11-03T16:24:32+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2025-11-03T16:24:34+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/Blog-MedCof-2025-11-03T132231.897.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1920\" \/>\n\t<meta property=\"og:image:height\" content=\"1080\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Kiara Adelino\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Escrito por\" \/>\n\t<meta name=\"twitter:data1\" content=\"Kiara Adelino\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. tempo de leitura\" \/>\n\t<meta name=\"twitter:data2\" content=\"11 minutos\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/tromboembolia-pulmonar\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/tromboembolia-pulmonar\\\/\"},\"author\":{\"name\":\"Kiara Adelino\",\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/#\\\/schema\\\/person\\\/db19a651f86c5fc202d6eee744fd3292\"},\"headline\":\"Tromboembolismo Pulmonar (TEP): o que \u00e9, fatores de risco, fisiopatologia e mais!\",\"datePublished\":\"2025-11-03T16:24:32+00:00\",\"dateModified\":\"2025-11-03T16:24:34+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/tromboembolia-pulmonar\\\/\"},\"wordCount\":1759,\"publisher\":{\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/tromboembolia-pulmonar\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/wp-content\\\/uploads\\\/2025\\\/11\\\/Blog-MedCof-2025-11-03T132231.897.jpg\",\"keywords\":[\"A \\\"Espiral da Morte\\\"\",\"r\u00edade de Virchow\",\"TEP\"],\"articleSection\":[\"Cl\u00ednica M\u00e9dica\"],\"inLanguage\":\"pt-BR\"},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/tromboembolia-pulmonar\\\/\",\"url\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/tromboembolia-pulmonar\\\/\",\"name\":\"Tromboembolismo Pulmonar (TEP): o que \u00e9, fatores de risco, fisiopatologia e mais! - Blog de Medcof: conte\u00fados, editais, revalida e mais!\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/tromboembolia-pulmonar\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/tromboembolia-pulmonar\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/wp-content\\\/uploads\\\/2025\\\/11\\\/Blog-MedCof-2025-11-03T132231.897.jpg\",\"datePublished\":\"2025-11-03T16:24:32+00:00\",\"dateModified\":\"2025-11-03T16:24:34+00:00\",\"description\":\"Saiba como diagnosticar e tratar o Tromboembolismo Pulmonar (TEP). Entenda tamb\u00e9m a sua fisiopatologia e epidemiologia!\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/tromboembolia-pulmonar\\\/#breadcrumb\"},\"inLanguage\":\"pt-BR\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/tromboembolia-pulmonar\\\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"pt-BR\",\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/tromboembolia-pulmonar\\\/#primaryimage\",\"url\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/wp-content\\\/uploads\\\/2025\\\/11\\\/Blog-MedCof-2025-11-03T132231.897.jpg\",\"contentUrl\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/wp-content\\\/uploads\\\/2025\\\/11\\\/Blog-MedCof-2025-11-03T132231.897.jpg\",\"width\":1920,\"height\":1080},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/tromboembolia-pulmonar\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"In\u00edcio\",\"item\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Tromboembolismo Pulmonar (TEP): o que \u00e9, fatores de risco, fisiopatologia e mais!\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/#website\",\"url\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/\",\"name\":\"Blog de Medcof: conte\u00fados, editais, revalida e mais!\",\"description\":\"Acesso o blog de MedCof! Seu portal de conte\u00fados sobre resid\u00eancia m\u00e9dica, an\u00e1lise e editais e muito mais. Clique e confira!\",\"publisher\":{\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/#organization\"},\"alternateName\":\"Blog de Medcof: conte\u00fados, editais, revalida e mais!\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"pt-BR\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/#organization\",\"name\":\"Grupo MedCof\",\"url\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"pt-BR\",\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/wp-content\\\/uploads\\\/2022\\\/01\\\/logo-medcof.png\",\"contentUrl\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/wp-content\\\/uploads\\\/2022\\\/01\\\/logo-medcof.png\",\"width\":768,\"height\":269,\"caption\":\"Grupo MedCof\"},\"image\":{\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/#\\\/schema\\\/logo\\\/image\\\/\"},\"sameAs\":[\"https:\\\/\\\/www.facebook.com\\\/MedCofQbank\\\/\",\"https:\\\/\\\/www.instagram.com\\\/grupomedcof\\\/\",\"https:\\\/\\\/br.linkedin.com\\\/company\\\/medcof\",\"https:\\\/\\\/www.youtube.com\\\/channel\\\/UCdHMuOHKICxcHwecxN8P-AA\"]},{\"@type\":\"Person\",\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/#\\\/schema\\\/person\\\/db19a651f86c5fc202d6eee744fd3292\",\"name\":\"Kiara Adelino\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"pt-BR\",\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/wp-content\\\/uploads\\\/2024\\\/08\\\/cropped-Kiara-Adelino2-96x96.jpega85663bdda67261f8f06f86e555e1e49\",\"url\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/wp-content\\\/uploads\\\/2024\\\/08\\\/cropped-Kiara-Adelino2-96x96.jpeg\",\"contentUrl\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/wp-content\\\/uploads\\\/2024\\\/08\\\/cropped-Kiara-Adelino2-96x96.jpeg\",\"caption\":\"Kiara Adelino\"},\"description\":\"Estudante do 5\u00b0 semestre de Medicina. Gosto bastante de aprender coisas novas, principalmente na \u00e1rea de Neurologia e Anatomia humana.\",\"url\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/author\\\/kiara-adelino\\\/\"}]}<\/script>\n<!-- \/ Yoast SEO Premium plugin. -->","yoast_head_json":{"title":"Tromboembolismo Pulmonar (TEP): o que \u00e9, fatores de risco, fisiopatologia e mais! - Blog de Medcof: conte\u00fados, editais, revalida e mais!","description":"Saiba como diagnosticar e tratar o Tromboembolismo Pulmonar (TEP). Entenda tamb\u00e9m a sua fisiopatologia e epidemiologia!","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.grupomedcof.com.br\/blog\/tromboembolia-pulmonar\/","og_locale":"pt_BR","og_type":"article","og_title":"Tromboembolismo Pulmonar (TEP): o que \u00e9, fatores de risco, fisiopatologia e mais!","og_description":"Saiba como diagnosticar e tratar o Tromboembolismo Pulmonar (TEP). Entenda tamb\u00e9m a sua fisiopatologia e epidemiologia!","og_url":"https:\/\/www.grupomedcof.com.br\/blog\/tromboembolia-pulmonar\/","og_site_name":"Blog de Medcof: conte\u00fados, editais, revalida e mais!","article_publisher":"https:\/\/www.facebook.com\/MedCofQbank\/","article_published_time":"2025-11-03T16:24:32+00:00","article_modified_time":"2025-11-03T16:24:34+00:00","og_image":[{"width":1920,"height":1080,"url":"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/Blog-MedCof-2025-11-03T132231.897.jpg","type":"image\/jpeg"}],"author":"Kiara Adelino","twitter_card":"summary_large_image","twitter_misc":{"Escrito por":"Kiara Adelino","Est. tempo de leitura":"11 minutos"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/www.grupomedcof.com.br\/blog\/tromboembolia-pulmonar\/#article","isPartOf":{"@id":"https:\/\/www.grupomedcof.com.br\/blog\/tromboembolia-pulmonar\/"},"author":{"name":"Kiara Adelino","@id":"https:\/\/www.grupomedcof.com.br\/blog\/#\/schema\/person\/db19a651f86c5fc202d6eee744fd3292"},"headline":"Tromboembolismo Pulmonar (TEP): o que \u00e9, fatores de risco, fisiopatologia e mais!","datePublished":"2025-11-03T16:24:32+00:00","dateModified":"2025-11-03T16:24:34+00:00","mainEntityOfPage":{"@id":"https:\/\/www.grupomedcof.com.br\/blog\/tromboembolia-pulmonar\/"},"wordCount":1759,"publisher":{"@id":"https:\/\/www.grupomedcof.com.br\/blog\/#organization"},"image":{"@id":"https:\/\/www.grupomedcof.com.br\/blog\/tromboembolia-pulmonar\/#primaryimage"},"thumbnailUrl":"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/Blog-MedCof-2025-11-03T132231.897.jpg","keywords":["A \"Espiral da Morte\"","r\u00edade de Virchow","TEP"],"articleSection":["Cl\u00ednica M\u00e9dica"],"inLanguage":"pt-BR"},{"@type":"WebPage","@id":"https:\/\/www.grupomedcof.com.br\/blog\/tromboembolia-pulmonar\/","url":"https:\/\/www.grupomedcof.com.br\/blog\/tromboembolia-pulmonar\/","name":"Tromboembolismo Pulmonar (TEP): o que \u00e9, fatores de risco, fisiopatologia e mais! - Blog de Medcof: conte\u00fados, editais, revalida e mais!","isPartOf":{"@id":"https:\/\/www.grupomedcof.com.br\/blog\/#website"},"primaryImageOfPage":{"@id":"https:\/\/www.grupomedcof.com.br\/blog\/tromboembolia-pulmonar\/#primaryimage"},"image":{"@id":"https:\/\/www.grupomedcof.com.br\/blog\/tromboembolia-pulmonar\/#primaryimage"},"thumbnailUrl":"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/Blog-MedCof-2025-11-03T132231.897.jpg","datePublished":"2025-11-03T16:24:32+00:00","dateModified":"2025-11-03T16:24:34+00:00","description":"Saiba como diagnosticar e tratar o Tromboembolismo Pulmonar (TEP). Entenda tamb\u00e9m a sua fisiopatologia e epidemiologia!","breadcrumb":{"@id":"https:\/\/www.grupomedcof.com.br\/blog\/tromboembolia-pulmonar\/#breadcrumb"},"inLanguage":"pt-BR","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.grupomedcof.com.br\/blog\/tromboembolia-pulmonar\/"]}]},{"@type":"ImageObject","inLanguage":"pt-BR","@id":"https:\/\/www.grupomedcof.com.br\/blog\/tromboembolia-pulmonar\/#primaryimage","url":"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/Blog-MedCof-2025-11-03T132231.897.jpg","contentUrl":"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/Blog-MedCof-2025-11-03T132231.897.jpg","width":1920,"height":1080},{"@type":"BreadcrumbList","@id":"https:\/\/www.grupomedcof.com.br\/blog\/tromboembolia-pulmonar\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"In\u00edcio","item":"https:\/\/www.grupomedcof.com.br\/blog\/"},{"@type":"ListItem","position":2,"name":"Tromboembolismo Pulmonar (TEP): o que \u00e9, fatores de risco, fisiopatologia e mais!"}]},{"@type":"WebSite","@id":"https:\/\/www.grupomedcof.com.br\/blog\/#website","url":"https:\/\/www.grupomedcof.com.br\/blog\/","name":"Blog de Medcof: conte\u00fados, editais, revalida e mais!","description":"Acesso o blog de MedCof! Seu portal de conte\u00fados sobre resid\u00eancia m\u00e9dica, an\u00e1lise e editais e muito mais. Clique e confira!","publisher":{"@id":"https:\/\/www.grupomedcof.com.br\/blog\/#organization"},"alternateName":"Blog de Medcof: conte\u00fados, editais, revalida e mais!","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/www.grupomedcof.com.br\/blog\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"pt-BR"},{"@type":"Organization","@id":"https:\/\/www.grupomedcof.com.br\/blog\/#organization","name":"Grupo MedCof","url":"https:\/\/www.grupomedcof.com.br\/blog\/","logo":{"@type":"ImageObject","inLanguage":"pt-BR","@id":"https:\/\/www.grupomedcof.com.br\/blog\/#\/schema\/logo\/image\/","url":"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2022\/01\/logo-medcof.png","contentUrl":"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2022\/01\/logo-medcof.png","width":768,"height":269,"caption":"Grupo MedCof"},"image":{"@id":"https:\/\/www.grupomedcof.com.br\/blog\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.facebook.com\/MedCofQbank\/","https:\/\/www.instagram.com\/grupomedcof\/","https:\/\/br.linkedin.com\/company\/medcof","https:\/\/www.youtube.com\/channel\/UCdHMuOHKICxcHwecxN8P-AA"]},{"@type":"Person","@id":"https:\/\/www.grupomedcof.com.br\/blog\/#\/schema\/person\/db19a651f86c5fc202d6eee744fd3292","name":"Kiara Adelino","image":{"@type":"ImageObject","inLanguage":"pt-BR","@id":"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/08\/cropped-Kiara-Adelino2-96x96.jpega85663bdda67261f8f06f86e555e1e49","url":"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/08\/cropped-Kiara-Adelino2-96x96.jpeg","contentUrl":"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/08\/cropped-Kiara-Adelino2-96x96.jpeg","caption":"Kiara Adelino"},"description":"Estudante do 5\u00b0 semestre de Medicina. Gosto bastante de aprender coisas novas, principalmente na \u00e1rea de Neurologia e Anatomia humana.","url":"https:\/\/www.grupomedcof.com.br\/blog\/author\/kiara-adelino\/"}]}},"authors":[{"term_id":3617,"user_id":21,"is_guest":0,"slug":"kiara-adelino","display_name":"Kiara Adelino","avatar_url":"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/08\/cropped-Kiara-Adelino2-96x96.jpeg","0":null,"1":"","2":"","3":"","4":"","5":"","6":"","7":"","8":""}],"_links":{"self":[{"href":"https:\/\/www.grupomedcof.com.br\/blog\/wp-json\/wp\/v2\/posts\/39024","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.grupomedcof.com.br\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.grupomedcof.com.br\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.grupomedcof.com.br\/blog\/wp-json\/wp\/v2\/users\/21"}],"replies":[{"embeddable":true,"href":"https:\/\/www.grupomedcof.com.br\/blog\/wp-json\/wp\/v2\/comments?post=39024"}],"version-history":[{"count":1,"href":"https:\/\/www.grupomedcof.com.br\/blog\/wp-json\/wp\/v2\/posts\/39024\/revisions"}],"predecessor-version":[{"id":39038,"href":"https:\/\/www.grupomedcof.com.br\/blog\/wp-json\/wp\/v2\/posts\/39024\/revisions\/39038"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.grupomedcof.com.br\/blog\/wp-json\/wp\/v2\/media\/39037"}],"wp:attachment":[{"href":"https:\/\/www.grupomedcof.com.br\/blog\/wp-json\/wp\/v2\/media?parent=39024"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.grupomedcof.com.br\/blog\/wp-json\/wp\/v2\/categories?post=39024"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.grupomedcof.com.br\/blog\/wp-json\/wp\/v2\/tags?post=39024"},{"taxonomy":"author","embeddable":true,"href":"https:\/\/www.grupomedcof.com.br\/blog\/wp-json\/wp\/v2\/ppma_author?post=39024"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}