Prognostic Value of the Shock Index Along With Transthoracic Echocardiography in Risk Stratification of Patients With Acute Pulmonary Embolism
作者： Mehrdad Seilanian Toosi , John D. Merlino , Kenneth V. Leeper
DOI: 10.1016/J.AMJCARD.2007.10.038
关键词:
摘要: The initial clinical presentation and echocardiography have key roles in risk stratification of patients with acute pulmonary embolism (PE). To assess the value shock index echocardiographic abnormalities as predictors in-hospital complications mortality, features 159 diagnosed PE were reviewed. A ≥1, independent findings, was associated increased mortality. Regardless index, moderate to severe right ventricular (RV) hypokinesis a ratio RV left (LV) end-diastolic diameter >1 significantly mortality demonstrated best predictive values for short-term outcomes. sensitivity negative diastolic LV impairment (E/A wave 1, >3 cm 100%. Systolic artery pressure (PAP) higher who died before discharge. cut-off point >50 mm Hg systolic PAP death. In conclusion, among conventional attributed dysfunction cm, interventricular septal flattening), RV/LV better outcomes PE. addition, ≥1 could also be helpful triage these patients.
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