<abstract xmlns="http://www.w3.org/1999/xhtml"><bold>Background:</bold> In this study, we aimed to compare echocardiography, electrocardiography (ECG) abnormalities, Doppler ultrasonography (USG), and computed tomography pulmonary angiography (CTPA) results in predicting 3-month mortality in patients with acute pulmonary embolism (PE).<bold>Methods:</bold> This retrospective cohort study included 124 patients (72 females, 52 males) with acute PE. Demographics, symptoms, clinical signs, comorbidities, history of surgery, arterial blood gas, liver-renal functions, complete blood count, echocardiography, ECG, Doppler USG, and CTPA results, as well as 3-month mortality were recorded.<bold>Results:</bold> pH (z = –2.623; p &lt;0.01), hemoglobin (z = –3.112; p &lt;0.01), and oxygen saturation (z = –2.165; p &lt;0. 01) were significantly higher in survivors. White blood cell (z = –2.703; p &lt;0.01), blood urea nitrogen (z = –3.840; p &lt;0.01), creatinine (z = –3.200; p &lt;0.01), respiratory rate (z = –2.759; p &lt;0.01), and heart rate (z = –2.313; p &lt;0.01) were significantly higher in non-survivors. Nonspecific ST changes (AUC 0.52, 95% CI 0.43–0.61), p pulmonale (AUC 0.52, 95% CI 0.43–0.61), normal axis (AUC 0.61), right axis deviation (AUC 0.56), right ventricle strain pattern (AUC 0.59), and right pulmonary artery embolism (AUC 0.54) on CTPA showed the highest mortality prediction.<bold>Conclusions:</bold> Nonspecific ST changes, p pulmonale, normal axis and right axis deviation in ECG, RV strain in echocardiography, and right pulmonary artery embolism on CTPA are associated with a higher mortality in patients with PE.</abstract>

Background: In this study, we aimed to compare echocardiography, electrocardiography (ECG) abnormalities, Doppler ultrasonography (USG), and computed tomography pulmonary angiography (CTPA) results in predicting 3-month mortality in patients with acute pulmonary embolism (PE).Methods: This retrospective cohort study included 124 patients (72 females, 52 males) with acute PE. Demographics, symptoms, clinical signs, comorbidities, history of surgery, arterial blood gas, liver-renal functions, complete blood count, echocardiography, ECG, Doppler USG, and CTPA results, as well as 3-month mortality were recorded.Results: pH (z = –2.623; p <0.01), hemoglobin (z = –3.112; p <0.01), and oxygen saturation (z = –2.165; p <0. 01) were significantly higher in survivors. White blood cell (z = –2.703; p <0.01), blood urea nitrogen (z = –3.840; p <0.01), creatinine (z = –3.200; p <0.01), respiratory rate (z = –2.759; p <0.01), and heart rate (z = –2.313; p <0.01) were significantly higher in non-survivors. Nonspecific ST changes (AUC 0.52, 95% CI 0.43–0.61), p pulmonale (AUC 0.52, 95% CI 0.43–0.61), normal axis (AUC 0.61), right axis deviation (AUC 0.56), right ventricle strain pattern (AUC 0.59), and right pulmonary artery embolism (AUC 0.54) on CTPA showed the highest mortality prediction.Conclusions: Nonspecific ST changes, p pulmonale, normal axis and right axis deviation in ECG, RV strain in echocardiography, and right pulmonary artery embolism on CTPA are associated with a higher mortality in patients with PE.

Prediction of Mortality Associated with Cardiac and Radiological Findings in Patients with Pulmonary Embolism

Journal of Cardiovascular Emergencies

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Background: In this study, we aimed to compare echocardiography, electrocardiography (ECG) abnormalities, Doppler ultrasonography (USG), and computed...

Prediction of Mortality Associated with Cardiac and Radiological Findings in Patients with Pulmonary Embolism

Published Online: Dec 31, 2020

Page range: 84 - 90

Received: Sep 08, 2020

Accepted: Oct 26, 2020

DOI: https://doi.org/10.2478/jce-2020-0020

Keywords
echocardiography, electrocardiography, mortality, pulmonary embolism, radiological finding

© 2020 Sema Avci et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Prediction of Mortality Associated with Cardiac and Radiological Findings in Patients with Pulmonary Embolism

Published Online: Dec 31, 2020

Page range: 84 - 90

Received: Sep 08, 2020

Accepted: Oct 26, 2020

DOI: https://doi.org/10.2478/jce-2020-0020

Keywordsechocardiography, electrocardiography, mortality, pulmonary embolism, radiological finding

© 2020 Sema Avci et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Keywords
echocardiography, electrocardiography, mortality, pulmonary embolism, radiological finding