Cargando…
Assessments of the associations of thrombus localization with accompanying disorders, risk factors, D-dimer levels, and the red cell distribution width in pulmonary embolism
OBJECTIVE: Pulmonary embolisms occur as a wide spectrum ranging from clinically asymptomatic thrombi to massive thrombi that lead to cardiogenic shock. The purpose of this study was to determine the associations of thrombus localization with risk factors, accompanying disorders, D-dimer levels and t...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo
2015
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4462567/ https://www.ncbi.nlm.nih.gov/pubmed/26106964 http://dx.doi.org/10.6061/clinics/2015(06)10 |
_version_ | 1782375681220411392 |
---|---|
author | Sunnetcioglu, Aysel Sertogullarindan, Bunyamin Ozbay, Bulent Asker, Selvi Ekin, Salemi |
author_facet | Sunnetcioglu, Aysel Sertogullarindan, Bunyamin Ozbay, Bulent Asker, Selvi Ekin, Salemi |
author_sort | Sunnetcioglu, Aysel |
collection | PubMed |
description | OBJECTIVE: Pulmonary embolisms occur as a wide spectrum ranging from clinically asymptomatic thrombi to massive thrombi that lead to cardiogenic shock. The purpose of this study was to determine the associations of thrombus localization with risk factors, accompanying disorders, D-dimer levels and the red blood cell distribution width in patients with pulmonary embolism. MATERIAL AND METHODS: In 148 patients diagnosed with pulmonary embolism, the presence and anatomical localization of the thrombus were assessed via computed tomographic pulmonary angiography. The accompanying disorders, risk factors, serum D-dimer levels, and red blood cell distribution width of the patients were retrospectively evaluated. ClinicalTrials.gov: NCT02388841. RESULTS: The mean age of the patients was 54±16.0 years, and 48 patients were ≥65 years of age. The most frequent accompanying disorders were chronic obstructive pulmonary disease (22%) and malignancy (10.1%), and the most frequent risk factors were recent operation (14.1%) and immobilization (18.2%). Thrombi were most frequently observed in the right pulmonary artery (37.8%). In 31% of the patients, the thrombus was localized to the main pulmonary arteries. Immobile patients exhibited a higher proportion of thrombi in the main pulmonary arteries than mobile patients. The mean D-dimer level and the mean red blood cell distribution width in the patients with thrombi in the main pulmonary arteries were higher than those in the patients with thrombi in more distal pulmonary arterial branches. CONCLUSION: Significant associations of proximally localized thrombi with immobilization, the D-dimer levels, and the red blood cell distribution width were observed. |
format | Online Article Text |
id | pubmed-4462567 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo |
record_format | MEDLINE/PubMed |
spelling | pubmed-44625672015-06-26 Assessments of the associations of thrombus localization with accompanying disorders, risk factors, D-dimer levels, and the red cell distribution width in pulmonary embolism Sunnetcioglu, Aysel Sertogullarindan, Bunyamin Ozbay, Bulent Asker, Selvi Ekin, Salemi Clinics (Sao Paulo) Clinical Science OBJECTIVE: Pulmonary embolisms occur as a wide spectrum ranging from clinically asymptomatic thrombi to massive thrombi that lead to cardiogenic shock. The purpose of this study was to determine the associations of thrombus localization with risk factors, accompanying disorders, D-dimer levels and the red blood cell distribution width in patients with pulmonary embolism. MATERIAL AND METHODS: In 148 patients diagnosed with pulmonary embolism, the presence and anatomical localization of the thrombus were assessed via computed tomographic pulmonary angiography. The accompanying disorders, risk factors, serum D-dimer levels, and red blood cell distribution width of the patients were retrospectively evaluated. ClinicalTrials.gov: NCT02388841. RESULTS: The mean age of the patients was 54±16.0 years, and 48 patients were ≥65 years of age. The most frequent accompanying disorders were chronic obstructive pulmonary disease (22%) and malignancy (10.1%), and the most frequent risk factors were recent operation (14.1%) and immobilization (18.2%). Thrombi were most frequently observed in the right pulmonary artery (37.8%). In 31% of the patients, the thrombus was localized to the main pulmonary arteries. Immobile patients exhibited a higher proportion of thrombi in the main pulmonary arteries than mobile patients. The mean D-dimer level and the mean red blood cell distribution width in the patients with thrombi in the main pulmonary arteries were higher than those in the patients with thrombi in more distal pulmonary arterial branches. CONCLUSION: Significant associations of proximally localized thrombi with immobilization, the D-dimer levels, and the red blood cell distribution width were observed. Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo 2015-06 2015-06 /pmc/articles/PMC4462567/ /pubmed/26106964 http://dx.doi.org/10.6061/clinics/2015(06)10 Text en Copyright © 2015 Clinics http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Clinical Science Sunnetcioglu, Aysel Sertogullarindan, Bunyamin Ozbay, Bulent Asker, Selvi Ekin, Salemi Assessments of the associations of thrombus localization with accompanying disorders, risk factors, D-dimer levels, and the red cell distribution width in pulmonary embolism |
title | Assessments of the associations of thrombus localization with accompanying disorders, risk factors, D-dimer levels, and the red cell distribution width in pulmonary embolism |
title_full | Assessments of the associations of thrombus localization with accompanying disorders, risk factors, D-dimer levels, and the red cell distribution width in pulmonary embolism |
title_fullStr | Assessments of the associations of thrombus localization with accompanying disorders, risk factors, D-dimer levels, and the red cell distribution width in pulmonary embolism |
title_full_unstemmed | Assessments of the associations of thrombus localization with accompanying disorders, risk factors, D-dimer levels, and the red cell distribution width in pulmonary embolism |
title_short | Assessments of the associations of thrombus localization with accompanying disorders, risk factors, D-dimer levels, and the red cell distribution width in pulmonary embolism |
title_sort | assessments of the associations of thrombus localization with accompanying disorders, risk factors, d-dimer levels, and the red cell distribution width in pulmonary embolism |
topic | Clinical Science |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4462567/ https://www.ncbi.nlm.nih.gov/pubmed/26106964 http://dx.doi.org/10.6061/clinics/2015(06)10 |
work_keys_str_mv | AT sunnetciogluaysel assessmentsoftheassociationsofthrombuslocalizationwithaccompanyingdisordersriskfactorsddimerlevelsandtheredcelldistributionwidthinpulmonaryembolism AT sertogullarindanbunyamin assessmentsoftheassociationsofthrombuslocalizationwithaccompanyingdisordersriskfactorsddimerlevelsandtheredcelldistributionwidthinpulmonaryembolism AT ozbaybulent assessmentsoftheassociationsofthrombuslocalizationwithaccompanyingdisordersriskfactorsddimerlevelsandtheredcelldistributionwidthinpulmonaryembolism AT askerselvi assessmentsoftheassociationsofthrombuslocalizationwithaccompanyingdisordersriskfactorsddimerlevelsandtheredcelldistributionwidthinpulmonaryembolism AT ekinsalemi assessmentsoftheassociationsofthrombuslocalizationwithaccompanyingdisordersriskfactorsddimerlevelsandtheredcelldistributionwidthinpulmonaryembolism |