PULMONARY ARTERY THROMBOEMBOLISM: FACTORS OF PREHOSPITAL OVERDIAGNOSIS
Aim. Detection and analysis of factors of pulmonary artery thromboembolism (PATE) overdiagnosis in a prehospital setting. Material and methods. A total of 102 patients with prehospital diagnosis of PATE entered the study. Prehospital clinical and ECG picture was compared in groups of verified PATE (...
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| Format: | Article |
| Language: | Russian |
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"Consilium Medicum" Publishing house
2012-04-01
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| Series: | Терапевтический архив |
| Subjects: | |
| Online Access: | https://ter-arkhiv.ru/0040-3660/article/view/31004 |
| _version_ | 1818341906182045696 |
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| author | A A Ermolaev N F Plavunov E A Spiridonova V L Baratashvili L L Stazhadze |
| author_facet | A A Ermolaev N F Plavunov E A Spiridonova V L Baratashvili L L Stazhadze |
| author_sort | A A Ermolaev |
| collection | DOAJ |
| description | Aim. Detection and analysis of factors of pulmonary artery thromboembolism (PATE) overdiagnosis in a prehospital setting. Material and methods. A total of 102 patients with prehospital diagnosis of PATE entered the study. Prehospital clinical and ECG picture was compared in groups of verified PATE (n=61) and rejected PATE (n=41). Clinical probability of PATE was assessed retrospectively according to Revised Geneva Score (RGS) scale. In 47 cases the analysis was made in dynamics (in 92±42.1 min, on the average). Results. In the group of patients with false-positive PATE diagnosis we significantly more frequently observed angina-like chest pain and satisfactory condition at examination, ECG evidence for right heart overloading (the most significant marker S I—Q III; p=0.009) occurred less often, mean heart rate was significantly lower than in patients with verified PATE (85 ± 23,8 and 100±23,0 b/min, respectively; р = 0,007). Low probability of PATE by the RGS scale was stated in 37% patients from the group with false-positive diagnosis and only in 8% patients with a verified diagnosis of PATE (р = 0.0005). Conclusion. Prehospital PATE overdiagnosis can be explained by non-specificity of clinical and ECG picture of the disease in acute period. Application of the RGS scale is effective for objective assessment of the condition and accurate diagnosis. |
| first_indexed | 2024-12-13T16:06:14Z |
| format | Article |
| id | doaj.art-e604f5c88ff84ef2a87533a9095a0945 |
| institution | Directory Open Access Journal |
| issn | 0040-3660 2309-5342 |
| language | Russian |
| last_indexed | 2024-12-13T16:06:14Z |
| publishDate | 2012-04-01 |
| publisher | "Consilium Medicum" Publishing house |
| record_format | Article |
| series | Терапевтический архив |
| spelling | doaj.art-e604f5c88ff84ef2a87533a9095a09452022-12-21T23:39:02Zrus"Consilium Medicum" Publishing houseТерапевтический архив0040-36602309-53422012-04-01844172228020PULMONARY ARTERY THROMBOEMBOLISM: FACTORS OF PREHOSPITAL OVERDIAGNOSISA A Ermolaev0N F Plavunov1E A Spiridonova2V L Baratashvili3L L Stazhadze4Research and Educational Medical Center of the RF President AdministrationResearch and Educational Medical Center of the RF President AdministrationResearch and Educational Medical Center of the RF President AdministrationResearch and Educational Medical Center of the RF President AdministrationResearch and Educational Medical Center of the RF President AdministrationAim. Detection and analysis of factors of pulmonary artery thromboembolism (PATE) overdiagnosis in a prehospital setting. Material and methods. A total of 102 patients with prehospital diagnosis of PATE entered the study. Prehospital clinical and ECG picture was compared in groups of verified PATE (n=61) and rejected PATE (n=41). Clinical probability of PATE was assessed retrospectively according to Revised Geneva Score (RGS) scale. In 47 cases the analysis was made in dynamics (in 92±42.1 min, on the average). Results. In the group of patients with false-positive PATE diagnosis we significantly more frequently observed angina-like chest pain and satisfactory condition at examination, ECG evidence for right heart overloading (the most significant marker S I—Q III; p=0.009) occurred less often, mean heart rate was significantly lower than in patients with verified PATE (85 ± 23,8 and 100±23,0 b/min, respectively; р = 0,007). Low probability of PATE by the RGS scale was stated in 37% patients from the group with false-positive diagnosis and only in 8% patients with a verified diagnosis of PATE (р = 0.0005). Conclusion. Prehospital PATE overdiagnosis can be explained by non-specificity of clinical and ECG picture of the disease in acute period. Application of the RGS scale is effective for objective assessment of the condition and accurate diagnosis.https://ter-arkhiv.ru/0040-3660/article/view/31004pulmonary artery thromboembolismprehospital settingoverdiagnosis |
| spellingShingle | A A Ermolaev N F Plavunov E A Spiridonova V L Baratashvili L L Stazhadze PULMONARY ARTERY THROMBOEMBOLISM: FACTORS OF PREHOSPITAL OVERDIAGNOSIS Терапевтический архив pulmonary artery thromboembolism prehospital setting overdiagnosis |
| title | PULMONARY ARTERY THROMBOEMBOLISM: FACTORS OF PREHOSPITAL OVERDIAGNOSIS |
| title_full | PULMONARY ARTERY THROMBOEMBOLISM: FACTORS OF PREHOSPITAL OVERDIAGNOSIS |
| title_fullStr | PULMONARY ARTERY THROMBOEMBOLISM: FACTORS OF PREHOSPITAL OVERDIAGNOSIS |
| title_full_unstemmed | PULMONARY ARTERY THROMBOEMBOLISM: FACTORS OF PREHOSPITAL OVERDIAGNOSIS |
| title_short | PULMONARY ARTERY THROMBOEMBOLISM: FACTORS OF PREHOSPITAL OVERDIAGNOSIS |
| title_sort | pulmonary artery thromboembolism factors of prehospital overdiagnosis |
| topic | pulmonary artery thromboembolism prehospital setting overdiagnosis |
| url | https://ter-arkhiv.ru/0040-3660/article/view/31004 |
| work_keys_str_mv | AT aaermolaev pulmonaryarterythromboembolismfactorsofprehospitaloverdiagnosis AT nfplavunov pulmonaryarterythromboembolismfactorsofprehospitaloverdiagnosis AT easpiridonova pulmonaryarterythromboembolismfactorsofprehospitaloverdiagnosis AT vlbaratashvili pulmonaryarterythromboembolismfactorsofprehospitaloverdiagnosis AT llstazhadze pulmonaryarterythromboembolismfactorsofprehospitaloverdiagnosis |