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Editorials |

Thromboembolism Management in Europe vs North America : Are the Differences Clinically Significant?

Samuel Z. Goldhaber, MD, FCCP
Author and Funding Information

Affiliations: Boston, MA
 ,  Dr. Goldhaber is a Staff Cardiologist and Director of the Venous Thromboembolism Research Group, Cardiovascular Division, Brigham and Women’s Hospital, Harvard Medical School.

Correspondence to: Samuel Z. Goldhaber, MD, FCCP, Brigham and Women’s Hospital, 75 Francis St, Boston, MA 02115; e-mail: sgoldhaber@partners.org



Chest. 2000;117(6):1536-1537. doi:10.1378/chest.117.6.1536
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The most ambitious and probably most widely cited set of medical guidelines in use among contemporary clinicians covers the expansive topics of management and prevention of thromboembolism. So far, five editions have been published in CHEST as a consensus statement by the American College of Chest Physicians (ACCP). Rapidly approaching their 2-decade anniversary, these guidelines are remarkable because of their extensive implementation throughout the medical community. Although the scope of the consensus statement initially focused on prevention of venous thromboembolism, it has now widened to include all aspects of arterial and venous thromboembolism management and prevention. As the subject matter broadened, the font of the text diminished, and the weight and page length of the CHEST supplement increased. Initially published at a 3-year interval, the rapid pace of developments in the field has led to a planned revision in 2 years from the most recent fifth edition (November 1998).1

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