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@article{1335201,
author = {Kincl, Vladimír and Feitova, Vera and Panovský, Roman and Stepanova, Radka},
article_location = {Olomouc},
article_number = {2},
doi = {http://dx.doi.org/10.5507/bp.2013.082},
keywords = {pulmonary embolism; risk assessment; CT angiography; clinical signs},
language = {eng},
issn = {1213-8118},
journal = {Biomedical Papers of the Faculty of Medicine of Palacký University},
title = {Assessment of the severity of acute pulmonary embolism using CT pulmonary angiography parameters},
volume = {159},
year = {2015}
}
TY - JOUR
ID - 1335201
AU - Kincl, Vladimír - Feitova, Vera - Panovský, Roman - Stepanova, Radka
PY - 2015
TI - Assessment of the severity of acute pulmonary embolism using CT pulmonary angiography parameters
JF - Biomedical Papers of the Faculty of Medicine of Palacký University
VL - 159
IS - 2
SP - 259-265
EP - 259-265
PB - Palacký University
SN - 12138118
KW - pulmonary embolism
KW - risk assessment
KW - CT angiography
KW - clinical signs
N2 - Aim. To evaluate the association between computed tomography parameters and clinical signs in patients with acute pulmonary embolism. Methods. 109 patients retrospectivelly selected from hospital database with acute pulmonary embolism verified by CT pulmonary angiography. The following parameters were assessed: pulmonary artery diameter to aorta diameter ratio (PA/Ao), normalized pulmonary artery diameter (nPA), right ventricular to left ventricular diameter ratio from CT (RV CT/LV CT), normalized end-diastolic right ventricular diameter (nRVD echo) and right to left ventricular end diastolic diameter ratio (RV echo/LV echo) from echocardiography. Results. Multivariate regression analysis showed a significant association between PA/Ao and thrombolysed (0.99) to non-thrombolysed (0.90) patients, OR=1.56 P=0.012, and also RV CT/LV CT and thrombolysed 1.5 to non-thrombolysed (0.94) patients OR=1.24 P=0.002. The significant difference was also found in intensive care unit hospitalization necessity (ICU-Y/N) and RV CT/LV CT ratio (ICU-Y 1.42, ICU-N 0.91) OR=1.26 P=0.003, and RV echo/LV echo (ICU-Y 0.82, ICU-N 0.65) OR=1.83 P=0.033. Conclusion. From the CT pulmonary angiography parameters, the RV CT/LV CT showed a significant association with both thrombolysis administration and ICU hospitalization. The PA/Ao had relation only to thrombolytic therapy as well as RV echo/LV echo only to ICU hospitalization.
ER -
KINCL, Vladimír, Vera FEITOVA, Roman PANOVSKÝ a Radka STEPANOVA. Assessment of the severity of acute pulmonary embolism using CT pulmonary angiography parameters. \textit{Biomedical Papers of the Faculty of Medicine of Palacký University}. Olomouc: Palacký University, 2015, roč.~159, č.~2, s.~259-265. ISSN~1213-8118. Dostupné z: https://dx.doi.org/10.5507/bp.2013.082.
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