Clinical importance of the distribution of pulmonary artery embolism in acute pulmonary embolism
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 diseas...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2021-04-01
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| Series: | Journal of International Medical Research |
| Online Access: | https://doi.org/10.1177/03000605211004769 |
| _version_ | 1818986348383567872 |
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| author | Yunqiang Nie Li Sun Wei Long Xin LV Cuiyun Li Hui Wang Xing Li Ping Han Miao Guo |
| author_facet | Yunqiang Nie Li Sun Wei Long Xin LV Cuiyun Li Hui Wang Xing Li Ping Han Miao Guo |
| author_sort | Yunqiang Nie |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-20T18:49:22Z |
| format | Article |
| id | doaj.art-0e5fd14f593a4f3ba7f517b8eb4e9ea3 |
| institution | Directory Open Access Journal |
| issn | 1473-2300 |
| language | English |
| last_indexed | 2024-12-20T18:49:22Z |
| publishDate | 2021-04-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of International Medical Research |
| spelling | doaj.art-0e5fd14f593a4f3ba7f517b8eb4e9ea32022-12-21T19:29:38ZengSAGE PublishingJournal of International Medical Research1473-23002021-04-014910.1177/03000605211004769Clinical importance of the distribution of pulmonary artery embolism in acute pulmonary embolismYunqiang NieLi SunWei LongXin LVCuiyun LiHui WangXing LiPing HanMiao GuoObjective 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.https://doi.org/10.1177/03000605211004769 |
| spellingShingle | Yunqiang Nie Li Sun Wei Long Xin LV Cuiyun Li Hui Wang Xing Li Ping Han Miao Guo Clinical importance of the distribution of pulmonary artery embolism in acute pulmonary embolism Journal of International Medical Research |
| title | Clinical importance of the distribution of pulmonary artery embolism in acute pulmonary embolism |
| title_full | Clinical importance of the distribution of pulmonary artery embolism in acute pulmonary embolism |
| title_fullStr | Clinical importance of the distribution of pulmonary artery embolism in acute pulmonary embolism |
| title_full_unstemmed | Clinical importance of the distribution of pulmonary artery embolism in acute pulmonary embolism |
| title_short | Clinical importance of the distribution of pulmonary artery embolism in acute pulmonary embolism |
| title_sort | clinical importance of the distribution of pulmonary artery embolism in acute pulmonary embolism |
| url | https://doi.org/10.1177/03000605211004769 |
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