Comprehensive Echocardiographic Evaluation In Acute Pulmonary Embolism

ZEYNETTİN KAYA, ABDULLAH TUNCEZ, MEHMET TEKİNALP, MUSTAFA KARANFİL, MEHMET KAYRAK, KURTULUŞ ÖZDEMİR

  • Year : 2013
  • Vol : 29
  • Issue : 4
  •  Page : 172-176
The main aim of the study was to evaluate differences in conventional and tissue doppler echocardiographic parameters in patient with acute pulmonary embolism (PE). Our descriptive and cross-sectional study population included 29 healthy voluntary controls and 54 patients with diagnosis of acute PE who were admitted to Selcuk University, Meram School of Medicine Hospital between January 2010 to July 2010. Two-dimensional and doppler echocardiaographic parameters, tissue doppler parameters were recorded and these parameters were compared between patient and control groups. There was not statistically significant difference between two groups with regard to demographic features and comorbidities. Right ventricular (RV) ejection fraction (EF) was detected to be significantly lower (46.2 vs. 60.5; P<0.001), whereas systolic pulmonary artery pressure was found to be significantly higher (45 mmHg vs. 24.7 mmHg; P<0.001) and inferior vena cava (IVC) collaps index was also found to be significantly lower (0.36 vs. 0.62; P<0.001) in patient group. RV myocardial performance index (MPI) values were evaluated by pulsed wave tissue doppler technique and significantly increased in acute PE group compared to control group (0.53 vs. 0.43; P<0.001). Furthermore, RV E/Em was found significantly higher (6.5 versus 5,0; P=0.04) and RV isovolumetric relaxation time (IVRT) was significantly prolonged in acute PE group compared to control group (67 msec vs.57 msec; P<0.001). Especially RV EF, IVC collaps index, Sm, MPI, E/Em can be used as different echocardiograhic parameters for the diagnosis of acute PE.
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Description : None of the authors, any product mentioned in this article, does not have a material interest in the device or drug. Research, not supported by any external organization. grant full access to the primary data and, if requested by the magazine they agree to allow the examination of data.
Comprehensive Echocardiographic Evaluation In Acute Pulmonary Embolism
, Vol. 29 (4)
Received : 01.04.2013, Accepted : 01.04.2013, Published Online : 13.08.2018
Selçuk Tıp Dergisi
ISSN:1017-6616;
E-ISSN:2149-8059;