Prognostic value of echocardiographic indices in risk stratification of intermediate-risk pulmonary embolism

Background Regarding risk stratification of intermediate-risk pulmonary embolism, data are still not sufficient. Transthoracic echocardiography parameters may be useful in risk evaluation in those patients. Some novel echocardiographic indices mainly tricuspid regurgitation peak gradient (TRPG), pul...

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Published in:The Egyptian Journal of Bronchology 2023-12, Vol.17 (1), p.6-7, Article 6
Main Authors: El-Morshedy, Reham M., El-kholy, Maha M., Hamad, Dina A., El-Sokkary, Rofaida R., Mohamed, Marwan N.
Format: Article
Language:English
Subjects:
Anticoagulants
Cardiac arrhythmia
Chronic obstructive pulmonary disease
Dyspnea
Echocardiography
Ejection fraction
Medical imaging
Medicine
Medicine & Public Health
Pulmonary arteries
Pulmonary embolism
Pulmonary embolisms
Risk factors
Risk stratifications
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Summary:Background Regarding risk stratification of intermediate-risk pulmonary embolism, data are still not sufficient. Transthoracic echocardiography parameters may be useful in risk evaluation in those patients. Some novel echocardiographic indices mainly tricuspid regurgitation peak gradient (TRPG), pulmonary artery acceleration time, and tricuspid annulus plane systolic excursion (TAPSE) were evaluated showing that they may be used for risk stratification of normotensive cases with acute pulmonary embolism (APE). Results The studied cases were subdivided into two classes: Class I with intermediate-low-risk pulmonary embolism included 32 patients (53.3%) and class II with intermediate high-risk pulmonary embolism involved 28 cases (46.7%). Dyspnea, tachypnea, troponin level, RVD, RVD/LVD, TR velocity, and TRPG/TAPSE were statistically higher in cases of class II than that of class I ( p < 0.001). On the other hand, TAPSE and PA acceleration time were markedly lower in the case of class II than that of class I ( p < 0.001). Ten cases (35.7%) of group II required thrombolytic agents with a significant difference ( p
ISSN:2314-8551
1687-8426
2314-8551
DOI:10.1186/s43168-023-00181-x