Right ventricular (RV) echocardiographic parameters in patients with pulmonary thromboembolism (PTE)
محل انتشار: مجله آریا آترواسکلروز، دوره: 14، شماره: 2
سال انتشار: 1397
نوع سند: مقاله ژورنالی
زبان: انگلیسی
مشاهده: 167
فایل این مقاله در 7 صفحه با فرمت PDF قابل دریافت می باشد
- صدور گواهی نمایه سازی
- من نویسنده این مقاله هستم
استخراج به نرم افزارهای پژوهشی:
شناسه ملی سند علمی:
JR_RYA-14-2_005
تاریخ نمایه سازی: 2 شهریور 1401
چکیده مقاله:
BACKGROUND: Acute pulmonary thromboembolism (PTE) is a common disease with a high mortality rate, and a variable and nonspecific clinical presentation. To detect the nonspecific signs and symptoms associated with this condition, several right ventricular (RV) echocardiographic parameters have been proposed as practical marker.METHODS: This cross-sectional study was performed on ۹۳ patients with PTE diagnosed by computed tomography (CT) angiography, and ۵۷ patients with negative PTE based on CT angiography. During the experiment, all patients underwent both transthoracic echocardiography (TTE) and multi-slice CT pulmonary angiography. Transthoracic echocardiography measurements were obtained as patients went through both experimental procedures. These measurements were later compared between the patients with and without PTE.RESULTS: Tricuspid annulus plain systolic excursion (TAPSE) (۱.۶۵ ± ۰.۰۹ vs. ۲.۰۰ ± ۰.۰۸ cm, P < ۰.۰۰۱) and left ventricular (LV) end-diastolic diameter (۴.۵۴ ± ۰.۲۶ vs. ۵.۴۰ ± ۰.۲۴ cm, P < ۰.۰۰۱) were significantly lower in patients with PTE as compared to patients without it. Whereas, RV end-diastolic and end-systolic diameters at the papillary muscle levels (۳.۴۱ ± ۰.۰۹ vs. ۳.۰۲ ± ۰.۱۲ cm, and ۲.۴۸ ± ۰.۰۸ vs. ۲.۱۶ ± ۰.۰۶ cm, respectively, P < ۰.۰۰۱ for both), and tricuspid valve (TV) annulus tissue Doppler imaging (TDI) measurements (۶.۰۲ ± ۰.۱۰ vs. ۵.۷۸ ± ۰.۱۴, P < ۰.۰۰۱) were significantly greater in patients with PTE. On the other hand, no significant difference was found between the two groups of patients regarding pulmonary artery pressure (PAP) (P = ۰.۴۱۶), and RV fractional shortening (P = ۰.۱۵۷). Moreover, our results indicated that RV/LV (cut-off point: ۰.۶۸۹۸) had high sensitivity (۹۳.۵%), specificity (۱۰۰%), positive predicting value (PPV) (۱۰۰%), and negative predicting value (NPV) (۹۰.۴%) in diagnosing PTE.CONCLUSION: TTE may be valuable as a substitute diagnostic method for patients with PTE. This technique may also assist in detecting the severity of the illness, by evaluating RV/LV in cut-off point of ۰.۶۸۹۸.
کلیدواژه ها:
نویسندگان
Javad Shahabi
Heart Failure Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran
Reihaneh Zavar
Isfahan Cardiovascular Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran
Afshin Amirpour
Cardiac Rehabilitation Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran
Mohammad Bidmeshki
Hypertension Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran
Melinaz Barati-Chermahini
Honours of Biology, York University, Toronto, Canada
مراجع و منابع این مقاله:
لیست زیر مراجع و منابع استفاده شده در این مقاله را نمایش می دهد. این مراجع به صورت کاملا ماشینی و بر اساس هوش مصنوعی استخراج شده اند و لذا ممکن است دارای اشکالاتی باشند که به مرور زمان دقت استخراج این محتوا افزایش می یابد. مراجعی که مقالات مربوط به آنها در سیویلیکا نمایه شده و پیدا شده اند، به خود مقاله لینک شده اند :