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346641

The Promising Role of Thoracic Ultrasonography in Diagnosis of Pulmonary Embolism

Article

Last updated: 24 Dec 2024

Subjects

-

Tags

Respiratory Medicine.

Abstract

Pulmonary embolism (PE) is considered one of the serious cardiovascular emergencies that will increase the mortality if complicated with unstable hemodynamics. Because of its nonspecific clinical symptoms, it's a great challenge to make a PE diagnosis. The gold standard in its diagnosis is computed tomography pulmonary angiography (CTPA). Thoracic Ultrasound (TUS) may serve as a simple, non-invasive, and an accurate imaging modality that can be rapidly performed for immobile and critically ill patients as a bedside test for early detection of PE

Aim: Highlight the role of Thoracic Ultrasonography in diagnosis of Pulmonary Embolism

Results: This study included 58 patients suspected to have pulmonary embolism clinically. 40 out of 58 patients finally diagnosed as PE by CTPA. In comparison to the CTPA, TUS was found true positive in 30 patients, false positive in 8 patients, true negative in 10 patients, and false negative in 10 patients, the sensitivity was 75%, the specificity was 55%. Positive and negative predictive value was 78.9% and 50% respectively with the accuracy was 69%

Conclusion: TUS has a promising role in the evaluation of PE. It is a safe, non-invasive imaging modality that is readily available for use at the bedside in critically ill patient.

DOI

10.21608/smj.2024.259587.1439

Keywords

pulmonary embolism, Ultrasonography, CTPA

Authors

First Name

Enas

Last Name

Abuzied

MiddleName

Khalifa

Affiliation

department of Chest diseases and Tuberculosis,Faculty of medicine,Sohag University Hospital,Sohag

Email

enaskhalifa4@gmail.com

City

Sohag

Orcid

-

First Name

Hamdy

Last Name

Mohammadien

MiddleName

Ali

Affiliation

Departments of Chest, Faculty of Medicine, Sohag University

Email

h_mohammadien@yahoo.com

City

Sohag

Orcid

-

First Name

Ashraf

Last Name

El Abidien

MiddleName

Zein

Affiliation

chest department, faculty of medicine,Assuit university

Email

dr.enaskhalifa@gmail.com

City

assuit

Orcid

-

First Name

Khaled

Last Name

Alkhayat

MiddleName

Fawzy

Affiliation

chest department, faculty of medicine, sohag university

Email

kfalkhayat@yahoo.com

City

sohag

Orcid

-

Volume

28

Article Issue

2

Related Issue

45737

Issue Date

2024-05-01

Receive Date

2024-01-20

Publish Date

2024-05-01

Page Start

109

Page End

115

Print ISSN

1687-8353

Online ISSN

2682-4159

Link

https://smj.journals.ekb.eg/article_346641.html

Detail API

https://smj.journals.ekb.eg/service?article_code=346641

Order

346,641

Type

Original Article

Type Code

785

Publication Type

Journal

Publication Title

Sohag Medical Journal

Publication Link

https://smj.journals.ekb.eg/

MainTitle

The Promising Role of Thoracic Ultrasonography in Diagnosis of Pulmonary Embolism

Details

Type

Article

Created At

24 Dec 2024