Role of echocardiography in managing acute pulmonary embolism

被引：44

作者：

Dabbouseh, Noura M. ^{[1
]}

Patel, Jayshil J. ^{[1
]}

Bergl, Paul Anthony ^{[1
]}

机构：

[1] Med Coll Wisconsin, Dept Med, Milwaukee, WI 53226 USA

来源：

HEART | 2019年 / 105卷 / 23期

关键词：

echocardiography; pulmonary embolism; venous thromboembolism; right ventricular dysfunction; risk stratification; guidelines; RIGHT-VENTRICULAR FUNCTION; RIGHT HEART THROMBI; NORMOTENSIVE PATIENTS; PROGNOSTIC-SIGNIFICANCE; NONINVASIVE ASSESSMENT; TRENDS; IDENTIFICATION; THROMBOLYSIS; GUIDELINES; PARAMETERS;

D O I：

10.1136/heartjnl-2019-314776

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

The role of echocardiography in acute pulmonary embolism (PE) remains incompletely defined. Echocardiography cannot reliably diagnose acute PE, and it does not improve prognostication of patients with low-risk acute PE who lack other clinical features of right ventricular (RV) dysfunction. Echocardiography, however, may yield additional prognostic information in higher risk patients and can aid in distinguishing acute from chronic RV dysfunction. Specific echocardiographic markers of RV dysfunction have the potential to enhance prognostication beyond existing risk models. Until these markers are subjected to rigorous prospective studies, the therapeutic utility and economic value of echocardiography in acute PE are uncertain.

引用

页码：1785 / 1792

页数：8

共 50 条

[1] Noninvasive Assessment of Pulmonary Vascular Resistance by Doppler Echocardiography [J].

Abbas, Amr E. ;

Franey, Laura M. ;

Marwick, Thomas ;

Maeder, Micha T. ;

Kaye, David M. ;

Vlahos, Antonios P. ;

Serra, Walter ;

Al-Azizi, Karim ;

Schiller, Nelson B. ;

Lester, Steven J. .

JOURNAL OF THE AMERICAN SOCIETY OF ECHOCARDIOGRAPHY, 2013, 26 (10) :1170-1177

[2] Meta-Analysis of Prevalence and Short-Term Prognosis of Hemodynamically Unstable Patients With Symptomatic Acute Pulmonary Embolism [J].

Andres Quezada, Carlos ;

Bikdeli, Behnood ;

Barrios, Deisy ;

Barbero, Esther ;

Chiluiza, Diana ;

Muriel, Alfonso ;

Casazza, Franco ;

Monreal, Manuel ;

Yusen, Roger D. ;

Jimenez, David .

AMERICAN JOURNAL OF CARDIOLOGY, 2019, 123 (04) :684-689

[3] Assessment of right ventricular function in acute pulmonary embolism [J].

Barrios, Deisy ;

Morillo, Raquel ;

Luis Lobo, Jose ;

Nieto, Rosa ;

Jaureguizar, Ana ;

Portillo, Ana K. ;

Barbero, Esther ;

Fernandez-Golfin, Covadonga ;

Yusen, Roger D. ;

Jimenez, David .

AMERICAN HEART JOURNAL, 2017, 185 :123-129

[4] Prognostic Significance of Right Heart Thrombi in Patients With Acute Symptomatic Pulmonary Embolism [J].

Barrios, Deisy ;

Rosa-Salazar, Vladimir ;

Morillo, Raquel ;

Nieto, Rosa ;

Fernandez, Sara ;

Zamorano, Jose Luis ;

Monreal, Manuel ;

Torbicki, Adam ;

Yusen, Roger D. ;

Jimenez, David .

CHEST, 2017, 151 (02) :409-416

[5] Acute pulmonary embolism: mortality prediction by the 2014 European Society of Cardiology risk stratification model [J].

Becattini, Cecilia ;

Agnelli, Giancarlo ;

Lankeit, Mareike ;

Masotti, Luca ;

Pruszczyk, Piotr ;

Casazza, Franco ;

Vanni, Simone ;

Nitti, Cinzia ;

Kamphuisen, Pieter ;

Vedovati, Maria Cristina ;

De Natale, Maria Grazia ;

Konstantinides, Stavros .

EUROPEAN RESPIRATORY JOURNAL, 2016, 48 (03) :780-786

[6] Early Use of Echocardiography in Patients With Acute Pulmonary Embolism: Findings From the RIETE Registry [J].

Bikdeli, Behnood ;

Luis Lobo, Jose ;

Jimenez, David ;

Green, Philip ;

Fernandez-Capitan, Carmen ;

Bura-Riviere, Alessandra ;

Otero, Remedios ;

DiTullio, Marco R. ;

Galindo, Silvia ;

Ellis, Martin ;

Parikh, Sahil A. ;

Monreal, Manuel .

JOURNAL OF THE AMERICAN HEART ASSOCIATION, 2018, 7 (17)

[7] Prevalence of Echocardiography Use in Patients Hospitalized with Confirmed Acute Pulmonary Embolism: A Real-World Observational Multicenter Study [J].

Bing, Rong ;

Chow, Vincent ;

Lau, Jerrett K. ;

Thomas, Liza ;

Kritharides, Leonard ;

Ng, Austin Chin Chwan .

PLOS ONE, 2016, 11 (12)

[8] Identification of intermediate-risk patients with acute symptomatic pulmonary embolism [J].

Bova, Carlo ;

Sanchez, Olivier ;

Prandoni, Paolo ;

Lankeit, Mareike ;

Konstantinides, Stavros ;

Vanni, Simone ;

Jimenez, David .

EUROPEAN RESPIRATORY JOURNAL, 2014, 44 (03) :694-703

[9] Right ventricular dysfunction as an echocardiographic prognostic factor in hemodynamically stable patients with acute pulmonary embolism: a meta-analysis [J].

Cho, Jae Hyung ;

Sridharan, Gurusaravanan Kutti ;

Kim, Seon Ha ;

Kaw, Roop ;

Abburi, Triveni ;

Irfan, Affan ;

Kocheril, Abraham G. .

BMC CARDIOVASCULAR DISORDERS, 2014, 14

[10] Echocardiogram in the Evaluation of Hemodynamically Stable Acute Pulmonary Embolism: National Practices and Clinical Outcomes [J].

Cohen, David M. ;

Winter, Michael ;

Lindenauer, Peter K. ;

Walkey, Allan J. .

ANNALS OF THE AMERICAN THORACIC SOCIETY, 2018, 15 (05) :581-588

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