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Tytuł:
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Clinical importance of the distribution of pulmonary artery embolism in acute pulmonary embolism.
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Autorzy:
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Nie Y; Department of Respiratory and Critical Care Medicine, Linyi People's Hospital, Linyi, China.
Sun L; Department of Respiratory Medicine, Zaozhuang Municipal Hospital, Zaozhuang, China.
Long W; Department of Radiology, Linyi People's Hospital, Linyi, China.
Lv X; Department of Respiratory and Critical Care Medicine, Linyi People's Hospital, Linyi, China.
Li C; Department of Respiratory and Critical Care Medicine, Linyi People's Hospital, Linyi, China.
Wang H; Department of Respiratory and Critical Care Medicine, Linyi People's Hospital, Linyi, China.
Li X; Department of Respiratory and Critical Care Medicine, Linyi People's Hospital, Linyi, China.
Han P; Department of Respiratory and Critical Care Medicine, Linyi People's Hospital, Linyi, China.
Guo M; Department of Geriatrics, Linyi People's Hospital, Linyi, China.
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Źródło:
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The Journal of international medical research [J Int Med Res] 2021 Apr; Vol. 49 (4), pp. 3000605211004769.
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Typ publikacji:
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Journal Article
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Język:
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English
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Imprint Name(s):
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Publication: Nov. 2012- : London : Sage Publications
Original Publication: Northampton, Eng., Cambridge Medical Publications ltd.
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MeSH Terms:
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Hypertension, Pulmonary*/complications
Hypertension, Pulmonary*/diagnostic imaging
Pulmonary Embolism*/complications
Pulmonary Embolism*/diagnostic imaging
Acute Disease ; Angiography ; Female ; Humans ; Male ; Pulmonary Artery/diagnostic imaging
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Contributed Indexing:
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Keywords: Mastora score; Pulmonary artery; pulmonary embolism; pulmonary hypertension; ventricular diameter; ventricular systolic pressure
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Entry Date(s):
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Date Created: 20210407 Date Completed: 20210430 Latest Revision: 20210430
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Update Code:
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20240104
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PubMed Central ID:
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PMC8033481
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DOI:
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10.1177/03000605211004769
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PMID:
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33823631
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Objective: To explore the clinical importance of the distribution of pulmonary artery embolism in acute pulmonary embolism (APE).
Methods: Sixty-four patients with APE were classified into mixed-type and distal-type pulmonary embolism groups. Their right ventricular systolic pressure (RVSP) and disease duration were recorded, and the diameter of their right ventricles was measured by ultrasound. The computed tomography angiographic clot load was determined as a Mastora score.
Results: Patients with distal-type pulmonary embolisms had significantly lower RVSPs (44.92 ± 17.04 vs 55.69 ± 17.66 mmHg), and significantly smaller right ventricular diameters (21.08 ± 3.06 vs 23.37 ± 3.48 mm) than those with mixed-type pulmonary embolisms. Additionally, disease duration was significantly longer in patients with distal-type pulmonary embolisms (14.33 ± 11.57 vs 8.10 ± 7.10 days), and they had significantly lower Mastora scores (20.91% ± 18.92% vs 43.96% ± 18.30%) than patients with mixed-type pulmonary embolisms. After treatment, RVSPs decreased significantly in patients with both distal-type and mixed-type pulmonary embolisms. Right ventricle diameters also decreased significantly in patients with mixed-type pulmonary embolisms after treatment.
Conclusion: Patients with mixed-type pulmonary embolisms are significantly more susceptible to pulmonary hypertension, enlarged right ventricular diameters, and shorter durations of disease than those with distal-type pulmonary embolisms. The distribution of pulmonary artery embolism in APE can provide a clinical reference.