Short-Term Mortality in Patients with Massive and Submassive Pulmonary Embolism Receiving Thrombolytic Therapy

Cho, Yun-Ju; Koo, So-My; Bang, Duk Won; Kim, Ki-Up; Uh, Soo‐Taek; Kim, Yang Ki

doi:10.3904/kjm.2013.84.1.62

Cited by 2 publications

(2 citation statements)

References 29 publications

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“…The right ventricular failure occurred only in the massive group. These findings revealed the relationship between the severity, complications, and mortality, which is in line with similar studies (11,28,36,37).…”

Section: Discussionsupporting

confidence: 92%

“…Diagnosis of 59 patients was done by pulmonary artery CT angiography (CTPA) and 7 patients with lung perfusion-ventilation scans. Based on symptoms such as the presence or absence of syncope or obstructive shock, echocardiographic findings such as the presence or absence of dysfunction or increased right ventricle size and the positive or negative troponin I (TnI), patients with acute PTE were divided into three groups: small, submassive, and massive (11). In the small PTE group, there was no syncope or obstructive shock; in echocardiography, the size of the right ventricle was not increased and TnI was negative.…”

Section: Atrial Fibrillationmentioning

confidence: 99%

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Acute Pulmonary Embolism and 1-Year Outcome: An Epidemiological Study in East of Iran, 2011-2016

2019

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Background: Pulmonary thromboembolism (PTE) is a major health problem worldwide. The present study was conducted to investigate epidemiology of acute PTE and its outcomes in Birjand city, locating in South Khorasan, Iran. Methods:In this descriptive epidemiological study, 79 patients with PTE referred to Vali-Asr Hospital, Birjand, Iran were studied during 2011 -2016. In this study, demographic data, medical history, risk factors, symptoms, and information on diagnostic methods including echocardiography findings, electrocardiographic findings, treatment procedure, duration of hospitalization, and therapeutic outcomes were collected in information form for each patient. One year later, the patients were re-visited, and echocardiography was performed for all the subjects. Finally, data were analyzed by Chi-Square and Fisher's exact tests at a significant level of 0.05 using SPSS software.Results: Results showed that annual incidence of PTE was 5.7 per 100,000 people in Birjand in 2016. History of recent surgery (18.8%) followed by hospitalization, and complete bed rest for more than 3 days (15.7%) were the most common risk factors. More than 78% of patients with PTE had abnormal echocardiography, and pulmonary arterial hypertension was the most common finding. Results of statistical analysis showed that complications were not statistically significant according to age and gender of patients (P < 0.05), but complications were higher in patients with massive PTE compared to others (P = 0.01). Comparison of in-hospital complications showed a significant difference between different treatment modalities (P < 0.01). Conclusions:History of recent surgery and hospitalization were the most common predisposing factors for PTE. Therefore, necessary programs should be more vigorously pursued for prevention of PTE.

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Section: Discussionsupporting

confidence: 92%

Section: Atrial Fibrillationmentioning

confidence: 99%