187217

Role of Echocardiography in Assessment of Right Ventricular Function in Patients with Non-massive Pulmonary Embolism

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Last updated: 05 Jan 2025

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Abstract

A prognostic value of right ventricular (RV) systolic function assessed by echocardiography in patients with acute non-massive pulmonary embolism (PE) remains controversial. We planned to assess right ventricular capacity in patients with non-enormous aspiratory embolism utilizing tissue Doppler and dot following echocardiography. 50 continuous patients analyzed as intense non-enormous pneumonic embolism were tentatively enlisted and echocardiographic assessments were performed inside multi week of conclusion to gauge different boundaries of RV systolic capacity. The essential endpoint was in-emergency clinic occasions, the composite of in-medical clinic PE-related demise, need of added substance therapies, for example, thrombolysis and need of inotropics because of unsteady fundamental sign. Result: PESI score was essentially higher in those with in emergency clinic occasion (120) contrasted with those with no occasion (72). P esteem was =0.002. As respect PESI grade ≥ 3, It was altogether higher in those with in-emergency clinic occasion (80%) contrasted with those with no occasion (39%). P esteem was 0.004. Mean RV worldwide divider strain was fundamentally lower in those with in-clinic occasion (- 11%) contrasted with those with no occasion (- 19%). P esteem was 0.002. Mean FAC was essentially lower in those with in-medical clinic occasion (34%) contrasted with those with no occasion (43%). P esteem was 0.004. Mean TAPSE was altogether lower in those with in-medical clinic occasion (1.4 cm) contrasted with those with no occasion (1.8 cm). P esteem was 0.005. Mean S speed was altogether lower in those with in-emergency clinic occasion (11 cm/s) contrasted with those with no occasion (14 cm/s). P esteem was 0.006. . RV strain surveyed with dot following echocardiography is a free prognostic marker for in-clinic occasions in patients with intense non-enormous PE. Our outcomes may help recognize high–middle of the road hazard patients who need a closer observing.

DOI

10.21608/bjas.2020.187217

Keywords

Echocardiography, right ventricular function, pulmonary embolism

Authors

First Name

A.M.

Last Name

Aziz

MiddleName

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Affiliation

Cardiology Dept., Faculty of Medicine, Benha Univ., Benha, Egypt

Email

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Orcid

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First Name

H.A.

Last Name

Mansour

MiddleName

-

Affiliation

Cardiology Dept., Faculty of Medicine, Benha Univ., Benha, Egypt

Email

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City

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Orcid

-

First Name

A.I.

Last Name

Atia

MiddleName

-

Affiliation

Cardiology Dept., Faculty of Medicine, Benha Univ., Benha, Egypt

Email

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City

-

Orcid

-

First Name

M.M.

Last Name

Ali

MiddleName

-

Affiliation

Cardiology Dept., Faculty of Medicine, Benha Univ., Benha, Egypt

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-

Orcid

-

Volume

5

Article Issue

Issue 8 part (1) - (2)

Related Issue

20375

Issue Date

2020-12-01

Receive Date

2021-08-03

Publish Date

2020-12-01

Page Start

237

Page End

241

Print ISSN

2356-9751

Online ISSN

2356-976X

Link

https://bjas.journals.ekb.eg/article_187217.html

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https://bjas.journals.ekb.eg/service?article_code=187217

Order

38

Type

Original Research Papers

Type Code

1,647

Publication Type

Journal

Publication Title

Benha Journal of Applied Sciences

Publication Link

https://bjas.journals.ekb.eg/

MainTitle

Role of Echocardiography in Assessment of Right Ventricular Function in Patients with Non-massive Pulmonary Embolism

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Article

Created At

23 Jan 2023