VÁCLAVKOVÁ, Jana, Jan MRÓZEK, Vladimír JANOVSKÝ, Pavol BINDAS, Jana PETROVÁ, Luboš KRAUS, Michal SVOBODA and Pavel JANSA. Development of early reperfusion after the first episode of acute pulmonary embolism. cor et Vasa. AMSTERDAM: ELSEVIER SCIENCE BV, 2018, vol. 60, No 6, p. "E603"-"E606", 4 pp. ISSN 0010-8650. Available from: https://dx.doi.org/10.1016/j.crvasa.2017.12.014.
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Basic information
Original name Development of early reperfusion after the first episode of acute pulmonary embolism
Authors VÁCLAVKOVÁ, Jana (203 Czech Republic, guarantor), Jan MRÓZEK (203 Czech Republic), Vladimír JANOVSKÝ (203 Czech Republic), Pavol BINDAS (203 Czech Republic), Jana PETROVÁ (203 Czech Republic), Luboš KRAUS (203 Czech Republic), Michal SVOBODA (203 Czech Republic, belonging to the institution) and Pavel JANSA (203 Czech Republic).
Edition cor et Vasa, AMSTERDAM, ELSEVIER SCIENCE BV, 2018, 0010-8650.
Other information
Original language English
Type of outcome Article in a journal
Field of Study 30201 Cardiac and Cardiovascular systems
Country of publisher Netherlands
Confidentiality degree is not subject to a state or trade secret
RIV identification code RIV/00216224:14110/18:00105796
Organization unit Faculty of Medicine
Doi http://dx.doi.org/10.1016/j.crvasa.2017.12.014
UT WoS 000451063200007
Keywords in English Pulmonary embolism; Reperfusion; Chronic thromboembolic disease; Chronic thromboembolic pulmonary hypertension
Tags 14119612, rivok
Tags International impact, Reviewed
Changed by Changed by: Soňa Böhmová, učo 232884. Changed: 9/2/2019 22:01.
Abstract
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.
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