Syncope in acute pulmonary embolism

Calvo-Romero, José Marı́a; Pérez-Miranda, Manuel; Bureo-Dacal, Pedro

doi:10.1097/01.mej.0000136696.49343.8f

Cited by 38 publications

(36 citation statements)

References 6 publications

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“…10 -33 Three studies were excluded 30 -32 because they appeared to report on the same patients included in other analyzed studies. 16 -23 In 6 studies, 16,18,23,24,29,33 the numbers of patients who had died or had experienced an adverse outcome event were not reported. For 5 of these studies, the numbers of patients who had died or had experienced an adverse outcome event were obtained by contacting the authors.…”

Section: Resultsmentioning

confidence: 99%

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Prognostic Value of Troponins in Acute Pulmonary Embolism

2007

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Background-Whether elevated serum troponin levels identify patients with acute pulmonary embolism at high risk of short-term mortality or adverse outcome is undefined. Methods and Results-We performed a meta-analysis of studies in patients with acute pulmonary embolism to assess the prognostic value of elevated troponin levels for short-term death and adverse outcome events (composite of death and any of the following: shock, need for thrombolysis, endotracheal intubation, catecholamine infusion, cardiopulmonary resuscitation, or recurrent pulmonary embolism). Unrestricted searches of MEDLINE and EMBASE bibliographic databases from January 1998 to November 2006 were performed using the terms "troponin" and "pulmonary embolism." Additionally, review articles and bibliographies were manually searched. Cohort studies were included if they had used cardiac-specific troponin assays and had reported on short-term death or adverse outcome events. A random-effects model was used to pool study results; funnel-plot inspection was done to evaluate publication bias; and I 2 testing was used to test for heterogeneity.

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Section: Resultsmentioning

confidence: 99%

“…16,18,23,24,29 One of these studies was excluded after the authors were contacted because data were confirmed to be unavailable. 33 …”

Section: Resultsmentioning

confidence: 99%

Prognostic Value of Troponins in Acute Pulmonary Embolism

2007

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“…Senkop; bizim vakalarda da olduğu gibi yapılan bir çalışmada da pulmoner embolisi olan bir vakanın acile tek ve ilk başvuru semptomu olabilir [9]. Senkop PE'nin gözardı edilebilecek bir belirtisi olduğu için acil servise senkop ile başvuran hastaların ayırıcı tanısında PE mutlaka düşünülmelidir [10,11]. Demircan ve ark.…”

Section: Discussionunclassified

Pulmoner embolide gözden kaçan semptomlar: Vertigo ve senkop

Çalışkan¹,

Eren²,

Taner³

et al. 2014

Cumhuriyet Med J

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ÖzetPulmoner emboli (PE) acil servis'lerde sık karşılaşılan, zor tanı konulan ve mortalitesi oldukça yüksek pulmoner acillerden biridir. Pulmoner emboli vakaları acil servislere çok farklı klinik bulgularla gelebilir. En sık karşılaşılan semptomları ani başlayan dispne, plöretik göğüs ağrısı, öksürük, hemoptizi, taşipne ve taşikardidir. Senkop, pulmoner emboli olgularında nadir görülen ilk başvuru sebebi olmasına rağmen özellikle masif pulmoner emboli vakalarında daha sık gözlenmektedir ve acilen tanı konulup tedavi edilmediği takdirde mortalitesi çok yüksektir. Bu nedenle acil servise senkop ile başvuran hastaların ayırıcı tanısında pulmoner emboli mutlaka akılda bulundurulmalıdır. Bu çalışmada senkop ve vertigo şikayetleri ile acil servise başvuran, ya da hastane içerisinde ani hipotansiyon ve senkop geçiren beş masif pulmoner emboli olgusu sunuldu. Anahtar sözcükler: Pulmoner emboli, vertigo, senkop AbstractPulmonary embolism (PE) is one of the pulmonary emergent disease which hardly diagnosed, high mortality rates, and frequently seen in emergency department. PE cases are seen many different clinical symptoms. Most common symptoms are sudden started dyspnea, pleuritic chest pain, coughing, hemoptysis, tachypnea, and tachycardia. Syncope is rarely first referring symptom of the PE cases, however, in massif PE cases syncope is more frequently seem and unless urgent diagnosis and treatment, mortality rates is quite high. Therefore, in differential diagnosis of the syncope patients PE must keep in mind. In this study, five massive PE cases were presented who admitted to emergency service with syncope and vertigo symptoms.

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“…La prevalencia de síncope como manifestación inicial de la TEP fue de un 22% en nuestra experiencia, superior a la de otras series de la bibliografía 18 pero similar a la de Toda et al 19 . Muy probablemente, existe en nuestro medio un grado de sospecha alto de diagnóstico de TEP en todo paciente que presenta un episodio sincopal sin causa cardiológica obvia; por el contrario, es probable que en las series clásicas la TEP sólo se sospechara en los casos que mantenían inestabilidad hemodinámica a su llegada al centro hospitalario.…”

Section: Discussionunclassified