Literature DB >> 18492912

Pulmonary embolism outcome: a prospective evaluation of CT pulmonary angiographic clot burden score and ECG score.

Rathan M Subramaniam1, Jay Mandrekar, Catherine Chang, Damon Blair, Kevin Gilbert, Patrick J Peller, Jamie Sleigh, Noel Karalus.   

Abstract

OBJECTIVE: The purpose of this study was to establish whether a correlation exists between the CT pulmonary angiographic clot burden score, the ECG score at diagnosis, and the 12-month mortality rate among patients diagnosed with pulmonary embolism. SUBJECTS AND METHODS: A total of 523 consecutive patients who underwent CT pulmonary angiography for a suspected moderate to high pretest probability of pulmonary embolism were recruited from March 2003 to October 2004. There were 105 patients with positive CT pulmonary angiography examinations. Two consultant respiratory physicians and two consultant radiologists independently and prospectively calculated an ECG score and a quantified pulmonary artery clot burden, respectively. Twelve-month follow-up was completed in all patients.
RESULTS: The mean ECG score was 2.36 (SD, 2.84) and the mean clot burden score percentage was 23.74% (16.8%). Poor correlation (r = 0.09) was seen between the average ECG score and the average clot burden score percentage (p = 0.39) at diagnosis. Thirteen patients had died at the 12-month follow-up. The mean ECG score for those patients who were alive was 2.4 (2.91) and for those who had died was 2.03 (2.34) at 12 months (p = 0.65). The mean clot burden score percentage for those patients who were alive was 24% (17%) and for those who had died was 22.1% (15.7%) at 12 months (p < 0.73).
CONCLUSION: No statistically significant association was seen between ECG score and CT pulmonary angiographic clot burden at diagnosis and the 12-month all-cause mortality rate of patients diagnosed with pulmonary embolism.

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Year:  2008        PMID: 18492912     DOI: 10.2214/AJR.07.2858

Source DB:  PubMed          Journal:  AJR Am J Roentgenol        ISSN: 0361-803X            Impact factor:   3.959


  9 in total

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Authors:  William Bremer; Charles E Ray; Ketan Y Shah
Journal:  Semin Intervent Radiol       Date:  2020-03-04       Impact factor: 1.513

Review 2.  The value of electrocardiographic abnormalities in the prognosis of pulmonary embolism: a consensus paper.

Authors:  Geneviève C Digby; Piotr Kukla; Zhong-Qun Zhan; Carlos A Pastore; Ryszard Piotrowicz; Edgardo Schapachnik; Wojciech Zareba; Antonio Bayés de Luna; Piotr Pruszczyk; Adrian M Baranchuk
Journal:  Ann Noninvasive Electrocardiol       Date:  2015-05       Impact factor: 1.468

Review 3.  The value of electrocardiography in prognosticating clinical deterioration and mortality in acute pulmonary embolism: A systematic review and meta-analysis.

Authors:  Amro Qaddoura; Geneviève C Digby; Conrad Kabali; Piotr Kukla; Zhong-Qun Zhan; Adrian M Baranchuk
Journal:  Clin Cardiol       Date:  2017-06-19       Impact factor: 2.882

4.  Treatment of Submassive Pulmonary Embolism: Knowing When to be Aggressive and When to be Conservative.

Authors:  David L Ain; Michael R Jaff
Journal:  Curr Treat Options Cardiovasc Med       Date:  2015-06

Review 5.  Management of Acute Pulmonary Embolism.

Authors:  Connor Tice; Matthew Seigerman; Paul Fiorilli; Steven C Pugliese; Sameer Khandhar; Jay Giri; Taisei Kobayashi
Journal:  Curr Cardiovasc Risk Rep       Date:  2020-10-06

6.  Quantitative volumetric computed tomography embolic analysis, the Qanadli score, biomarkers, and clinical prognosis in patients with acute pulmonary embolism.

Authors:  Wei-Ming Huang; Wen-Jui Wu; Sheng-Hsiung Yang; Kuo-Tzu Sung; Ta-Chuan Hung; Chung-Lieh Hung; Chun-Ho Yun
Journal:  Sci Rep       Date:  2022-05-10       Impact factor: 4.996

7.  Diagnostic implications of computed tomography pulmonary angiography in patients with pulmonary embolism.

Authors:  Ayman El-Menyar; Syed Nabir; Nadeem Ahmed; Mohammad Asim; Gaby Jabbour; Hassan Al-Thani
Journal:  Ann Thorac Med       Date:  2016 Oct-Dec       Impact factor: 2.219

8.  Investigation of Suspected Pulmonary Embolism at Hutt Valley Hospital with CT Pulmonary Angiography: Current Practice and Opportunities for Improvement.

Authors:  Nick Kennedy; Sisira Jayathissa; Paul Healy
Journal:  Adv Med       Date:  2015-03-01

9.  Outcome of pulmonary embolism and clinico-radiological predictors of mortality: Experience from a university hospital in Saudi Arabia.

Authors:  Hadil A K Al Otair; Ahmad A Al-Boukai; Gehan F Ibrahim; Mashael K Al Shaikh; Ahmed Y Mayet; Mohamed S Al-Hajjaj
Journal:  Ann Thorac Med       Date:  2014-01       Impact factor: 2.219

  9 in total

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