J 2018

Development of early reperfusion after the first episode of acute pulmonary embolism

VÁCLAVKOVÁ, Jana, Jan MRÓZEK, Vladimír JANOVSKÝ, Pavol BINDAS, Jana PETROVÁ et. al.

Základní údaje

Originální název

Development of early reperfusion after the first episode of acute pulmonary embolism

Autoři

VÁCLAVKOVÁ, Jana (203 Česká republika, garant), Jan MRÓZEK (203 Česká republika), Vladimír JANOVSKÝ (203 Česká republika), Pavol BINDAS (203 Česká republika), Jana PETROVÁ (203 Česká republika), Luboš KRAUS (203 Česká republika), Michal SVOBODA (203 Česká republika, domácí) a Pavel JANSA (203 Česká republika)

Vydání

cor et Vasa, AMSTERDAM, ELSEVIER SCIENCE BV, 2018, 0010-8650

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30201 Cardiac and Cardiovascular systems

Stát vydavatele

Nizozemské království

Utajení

není předmětem státního či obchodního tajemství

Kód RIV

RIV/00216224:14110/18:00105796

Organizační jednotka

Lékařská fakulta

UT WoS

000451063200007

Klíčová slova anglicky

Pulmonary embolism; Reperfusion; Chronic thromboembolic disease; Chronic thromboembolic pulmonary hypertension

Štítky

Příznaky

Mezinárodní význam, Recenzováno
Změněno: 9. 2. 2019 22:01, Soňa Böhmová

Anotace

V originále

Introduction: Factors influencing the early reperfusion after pulmonary embolism (PE), with possible impact on development of chronic thromboembolic disease and chronic thromboembolic pulmonary hypertension (CTEPH), have not been completely identified yet. Study population and methods: The total of 85 patients hospitalized with the first episode of acute PE underwent a ventilation-perfusion lung scan before hospital discharge. The reperfusion was evaluated based on clinical, echocardiographic and laboratory parameters. Results: The study population consisted of 37 men and 48 women, mean age 60 years. A high-risk PE was present in 9.4% of patients, medium-risk PE in 49.4% and low-risk PE in 41.2% of patients. 26 (30.5%) of patients were diagnosed with provoked pulmonary embolism. Prior to discharge, the residual perfusion defects were detectable in 66 patients, in 18 patients the perfusion was normal. The two groups did not significantly differ in clinical, echocardiographic or laboratory parameters. Conclusion: The analysis did not identify risk factors significantly associated with the absence of early reperfusion of the PE. This points toward the need of further follow-up of patients after a PE with the aim of identifying the patients with the high risk of developing the chronic thromboembolic disease and CTEPH. (C) 2018 The Czech Society of Cardiology. Published by Elsevier Sp. z o.o. All rights reserved.