Role of Echocardiography in Assessment of Right Ventricular Function in Patients with Non-massive Pulmonary Embolism | ||||
| Benha Journal of Applied Sciences | ||||
| Article 38, Volume 5, Issue 8 part (1) - (2), December 2020, Page 237-241 PDF (719.91 K) | ||||
| Document Type: Original Research Papers | ||||
| DOI: 10.21608/bjas.2020.187217 | ||||
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| Authors | ||||
| A.M. Aziz; H.A. Mansour; A.I. Atia; M.M. Ali | ||||
| Cardiology Dept., Faculty of Medicine, Benha Univ., Benha, Egypt | ||||
| Abstract | ||||
| A prognostic value of right ventricular (RV) systolic function assessed by echocardiography in patients with acute non-massive pulmonary embolism (PE) remains controversial. We planned to assess right ventricular capacity in patients with non-enormous aspiratory embolism utilizing tissue Doppler and dot following echocardiography. 50 continuous patients analyzed as intense non-enormous pneumonic embolism were tentatively enlisted and echocardiographic assessments were performed inside multi week of conclusion to gauge different boundaries of RV systolic capacity. The essential endpoint was in-emergency clinic occasions, the composite of in-medical clinic PE-related demise, need of added substance therapies, for example, thrombolysis and need of inotropics because of unsteady fundamental sign. Result: PESI score was essentially higher in those with in emergency clinic occasion (120) contrasted with those with no occasion (72). P esteem was =0.002. As respect PESI grade ≥ 3, It was altogether higher in those with in-emergency clinic occasion (80%) contrasted with those with no occasion (39%). P esteem was 0.004. Mean RV worldwide divider strain was fundamentally lower in those with in-clinic occasion (- 11%) contrasted with those with no occasion (- 19%). P esteem was 0.002. Mean FAC was essentially lower in those with in-medical clinic occasion (34%) contrasted with those with no occasion (43%). P esteem was 0.004. Mean TAPSE was altogether lower in those with in-medical clinic occasion (1.4 cm) contrasted with those with no occasion (1.8 cm). P esteem was 0.005. Mean S speed was altogether lower in those with in-emergency clinic occasion (11 cm/s) contrasted with those with no occasion (14 cm/s). P esteem was 0.006. . RV strain surveyed with dot following echocardiography is a free prognostic marker for in-clinic occasions in patients with intense non-enormous PE. Our outcomes may help recognize high–middle of the road hazard patients who need a closer observing. | ||||
| Keywords | ||||
| Echocardiography; Right ventricular function; Pulmonary embolism | ||||
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