Pulmonary embolism: echocardiographic particularities in acute phase and distance monitoring.
The early use of echocardiography predicts short-term adverse outcomes in acute pulmonary embolism
DOI:
https://doi.org/10.52692/1857-0011.2022.1-72.10Keywords:
heart failure, fragility, Edmonton scoreAbstract
Pulmonary thromboembolism (PE) remains a fatal disease underdiagnosed in the emergency department that suggests the need for alternative noninvasive approaches to rapid diagnosis. The role of echocardiography (ETT) in acute pulmonary embolism (PE) remains incompletely defined. Of the 80 patients included in the study with the preventive diagnosis of PET 68 (85%) underwent ETT examination in the first 24-48 hours of hospitalization. ETT analysis established signs of pulmonary hipertension: severe (PSAP ≥55mmHg) at 39 pts (57.3%), moderate (PSAP ≥35<55mmHg) at 25 pts (36.7%); low (PSAP <35mmHg) at 4 pts (5.9%). RV dilatation>35mm, RA area> 18.0cm2, RV free wall hypokinesis, reduction of TAPSE index <16.0mm, increase of tricuspid regurgitation jet speed> 2.8 m/sec, decrease of RV S’m tissue index <9, 5cm/sec, TAPSE / PASP ratio <0.4 and combinations thereof demonstrated superiority in predicting adverse outcome in high and intermediate risk in acute PE. This article is part of the results of the study within the state project with the figure 20.80009.8007.28.
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