cardiology respiratory
Composite Pulmonary Embolism Shock (CPES) Score
Identifies high-risk pulmonary embolism patients at risk for haemodynamic deterioration and cardiogenic shock requiring reperfusion (thrombolysis or embolectomy). Complements PESI and sPESI in intermediate-risk PE.
References
- Konstantinides SV et al. 2019 ESC Guidelines for the diagnosis and management of acute pulmonary embolism. Eur Heart J. 2020;41(4):543-603.
- NICE NG158. Venous thromboembolic diseases: diagnosis, management and thrombophilia testing. NICE. 2020 (updated 2023).
Related
Curated clinical cross-links plus same-class fallbacks.
Calculators
- Pulmonary Embolism Severity Index (PESI) · Pulmonary Embolism
- YEARS Algorithm for Pulmonary Embolism · Pulmonary Embolism
- Wells' Criteria for Pulmonary Embolism · Pulmonary Embolism
- Revised Geneva Score for Pulmonary Embolism · Pulmonary Embolism
- Bova Score for Pulmonary Embolism Complications · Pulmonary Embolism
- Pulmonary Embolism Severity Index (PESI) -- Full Version · Pulmonary Embolism
Drugs
- Sildenafil · PDE5 Inhibitor — Pulmonary Arterial Hypertension
- Hydrocortisone (ICU — Stress Dosing) · Corticosteroid (ICU/Septic Shock)
- Nitric Oxide (Inhaled — iNO) · Selective Pulmonary Vasodilator
- Alteplase (STEMI Thrombolysis) · Thrombolytic / STEMI
- Streptokinase (STEMI Thrombolysis) · Thrombolytic / STEMI
- Noradrenaline (Cardiogenic Shock / Vasopressor) · Vasopressor / Cardiogenic Shock
Pathways
- Acute Heart Failure · ESC 2021 Heart Failure Guidelines; NICE NG106
- NSTEMI / Unstable Angina · ESC 2020 NSTEMI Guidelines; NICE NG185
- New-Onset Atrial Fibrillation · ESC 2020 AF Guidelines; NICE NG196
- Hypertensive Emergency · ESC/ESH 2018 Hypertension Guidelines; NICE NG136
- Bradycardia Management · Resuscitation Council UK ABCDE; ESC 2021 Pacing Guidelines
- Ventricular Tachycardia / Fibrillation · Resuscitation Council UK ACLS; ESC 2022 Ventricular Arrhythmia Guidelines
Decision support only — verify against MDCalc, NICE, or your local guideline before clinical use.