Israel
Research Article
Right Atrial Size and 30-Day Mortality in Normotensive Patients with
Pulmonary Embolism
Author(s): José Luís Lobo, Vanessa Zorrilla, José A Nieto, Vicente Gomez, Ferrán García-Bragado, Teresa Bueso, Andrei Braester, Manuel Monreal and Riete investigatorsJosé Luís Lobo, Vanessa Zorrilla, José A Nieto, Vicente Gomez, Ferrán García-Bragado, Teresa Bueso, Andrei Braester, Manuel Monreal and Riete investigators
Background: The role of right atrial (RA) dilatation for predicting mortality in normotensive patients with pulmonary embolism (PE) has not been thoroughly studied.
Methods: We used the RIETE Registry data to evaluate the prognostic value of RA dilatation (visual estimate) on transthoracic echocardiography (ETT) in patients with acute PE presenting with systolic blood pressure levels ≥90 mm Hg.
Results: As of April 2013, 7,677 normotensive patients with acute PE underwent ETT within the first 48 hours. Of these, 2,268 (29.5%) had RA dilatation. At 30 days, 212 patients (2.76%) died, of whom 59 (0.77%) died of confirmed PE. Patients with RA dilatation had a 6-fold higher rate of fatal PE (1.85% vs. 0.31%; odds ratio [OR]: 5.98; 95% CI: 3.44-10.8) and a 2-fold higher all-cause mortality (4.32% vs. 2.11%; OR: 2.10; 95% CI: 1.59-2.7.. Read More»
DOI:
10.4172/2161-105X.1000218
Pulmonary & Respiratory Medicine received 1690 citations as per Google Scholar report