The relationship between pesi score and pulmonary venous flow parameters in patients with acute pulmonary embolism.

Aydınyılmaz F., Özbeyaz N. B., Algül E., Aksakal A., Guliyev İ., Şahan H. F., ...Daha Fazla

Echocardiography (Mount Kisco, N.Y.), cilt.39, ss.1532-1539, 2022 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 39
  • Basım Tarihi: 2022
  • Doi Numarası: 10.1111/echo.15483
  • Dergi Adı: Echocardiography (Mount Kisco, N.Y.)
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Academic Search Premier, Biotechnology Research Abstracts, CINAHL, EMBASE, MEDLINE
  • Sayfa Sayıları: ss.1532-1539
  • Anahtar Kelimeler: acute pulmonary embolism, pulmonary D wave, pulmonary S wave, HEART-FAILURE, DOPPLER-ECHOCARDIOGRAPHY, TASK-FORCE, MANAGEMENT, GUIDELINES, DIAGNOSIS, PRESSURE, SOCIETY, ESC
  • Atatürk Üniversitesi Adresli: Evet

Özet

Background Acute pulmonary embolism (APE) is an important cause of cardiovascular morbidity and mortality. PESI scoring is used in risk classification. This study was designed to determine the relationship between echocardiographic pulmonary vein measurements and PESI score, which is an important tool in diagnosis and treatment. Methods A total of 210 patients were evaluated. Pulmonary vein measurements and PESI scores of the patients at the time of diagnosis were calculated. Correlation analysis was performed to determine the relationship between the two parameters. Results Total PESI scores were 112.9 +/- 33.9. The pulmonary vein S wave .39 +/- .14, the D wave .48 +/- .18, and the S/D ratio was found to be .86 +/- .35. It was determined that there was a significant correlation between pulmonary S/D ratio and PESI score. (Pearson correlation coefficient = -.693, R2 Linear:.484; p < .001) The AUC of S/D for mortality prediction was .729 (95% CI = .653-.804; p < .001), the cutoff value was .63, the sensitivity and specificity were 55.6% and 55.7%, respectively. Conclusion Pulmonary vein measurements were found to be correlated with the PESI score and were found to be a parameter that could predict mortality.