Clinical Symptoms and Echocardiographic Markers Regarding the Severity of Embolism in Patients with Acute Pulmonary Embolism.

Q3 Medicine
Tanaffos Pub Date : 2024-04-01
Shahabaddin Sorouri, Maryam Naseri, Sepideh Hejazi
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引用次数: 0

Abstract

Background: Echocardiography can be used for risk stratification in patients with acute pulmonary embolism (PE). While the severity of PE has been assessed through laboratory criteria in most studies, the Pulmonary Embolism Severity Index (PESI) scoring system was used in this study to evaluate the severity of echocardiographic criteria in acute PE patients.

Materials and methods: All PE patients admitted to Ghaem Hospital in Mashhad between 2021-2022 were included in the study. Clinical symptoms and echocardiographic markers were checked and recorded when the patients entered the study. Data were analyzed in SPSS version 24 at a significance level of 0.05 using the Chi-square test and t-test.

Results: Of 40 patients, 80% were at a high risk of PESI. The most common clinical symptoms were dyspnea (97.5%) and pleuritic chest pain (75%). Right ventricle (RV) size enlargement and its dysfunction were recorded in 57.5% of patients. The average age of patients in the high-risk group was significantly (pvalue: 0.001) higher than the low-risk group. There was a significant correlation between MID-right ventricle and pulmonary artery pressure with the severity of embolism, so that mid-right ventricle and pulmonary artery pressure in the high-risk group were significantly higher (p-value: 0.000) than in the low-risk group. Also, the severity of PE was significantly related to RV size (P = 0.026) and function (P = 0.038).

Conclusion: RV size, function, and dilatation, and pulmonary artery pressure variated significantly in different severities of PE.

急性肺栓塞患者栓塞严重程度的临床症状和超声心动图指标
背景:超声心动图可用于急性肺栓塞(PE)患者的危险分层。虽然在大多数研究中,PE的严重程度是通过实验室标准来评估的,但本研究使用肺栓塞严重程度指数(PESI)评分系统来评估急性PE患者超声心动图标准的严重程度。材料和方法:研究纳入了2021-2022年间在马什哈德Ghaem医院住院的所有PE患者。当患者进入研究时,检查并记录临床症状和超声心动图指标。数据采用SPSS version 24进行分析,采用卡方检验和t检验,显著性水平为0.05。结果:40例患者中,80%为PESI高危人群。最常见的临床症状是呼吸困难(97.5%)和胸膜炎性胸痛(75%)。57.5%的患者出现右心室增大和功能障碍。高危组患者的平均年龄显著高于低危组(p值:0.001)。右心室中部和肺动脉压与栓塞严重程度有显著相关性,高危组右心室中部和肺动脉压明显高于低危组(p值:0.000)。此外,PE的严重程度与RV大小(P = 0.026)和功能(P = 0.038)显著相关。结论:不同PE严重程度的右心室大小、功能、扩张及肺动脉压存在显著差异。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Tanaffos
Tanaffos Medicine-Critical Care and Intensive Care Medicine
CiteScore
1.10
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