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Echocardiographic findings in patients with acute pulmonary embolism at Sohag University Hospitals

BACKGROUND: Acute pulmonary thromboembolism (PTE) is one of the serious medical issues with higher prevalence and mortality rates. As mentioned in several medical reports, most of the chest pain patients, visiting the emergency departments, are usually diagnosed with either acute PTE, acute coronary...

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Autores principales: Eid, Mohamed, Boghdady, Ahmed Mohamed, Ahmed, Mustafa Mohamed, Dahab, Lotfy Hamed Abu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8857893/
https://www.ncbi.nlm.nih.gov/pubmed/35221662
http://dx.doi.org/10.1186/s43162-022-00114-y
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author Eid, Mohamed
Boghdady, Ahmed Mohamed
Ahmed, Mustafa Mohamed
Dahab, Lotfy Hamed Abu
author_facet Eid, Mohamed
Boghdady, Ahmed Mohamed
Ahmed, Mustafa Mohamed
Dahab, Lotfy Hamed Abu
author_sort Eid, Mohamed
collection PubMed
description BACKGROUND: Acute pulmonary thromboembolism (PTE) is one of the serious medical issues with higher prevalence and mortality rates. As mentioned in several medical reports, most of the chest pain patients, visiting the emergency departments, are usually diagnosed with either acute PTE, acute coronary syndromes, or acute aortic syndromes. The current study aimed to study the risk factors and explore the echocardiographic findings in patients with PTE. RESULTS: Forty patients with acute pulmonary embolism were enrolled in the study. Echocardiography and computed tomography pulmonary angiography (CTPA) were evaluated for all participants. The echocardiography showed that 29 patients (72.5%) had echocardiographic findings suggestive of acute PTE. Twenty-four patients (60%) had tricuspid regurge. Twenty-one patients (52.5%) had dilated right ventricle (RV). Also, 13 patients (32.5%) had an echocardiographic finding of pulmonary hypertension. Furthermore, ten patients (25%) had McConnell’s sign, and 21 patients (52.5%) had RV systolic dysfunction where only two (5%) showed RV thrombosis. Echocardiographic data of the eight high-risk patients showed that 6 patients (75%) had TR, 8 patients (100%) had dilated RV, 5 patients (62.5%) had pulmonary hypertension, 8 patients (100%) had McConnell’s sign, one patient (12.5%) had RV thrombus, and 8 patients (100%) had RV systolic dysfunction. CONCLUSION: The results revealed that thrombus in the main pulmonary trunk was a high-risk factor for patients with acute pulmonary embolism. The current study suggested that echocardiography is an important bedside imaging tool for the diagnosis of PTE. Echocardiography could detect the tricuspid regurge, pulmonary hypertension, McConnell’s sign, RV dilatation, thrombosis, and dysfunction. Furthermore, echocardiography was considered a non-invasive test for rapid diagnosis of PTE and determining the degree of the risk category (high- or low-risk patients) specially with the presence of McConnell’s sign, dilated RV, and RV systolic dysfunction.
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spelling pubmed-88578932022-02-22 Echocardiographic findings in patients with acute pulmonary embolism at Sohag University Hospitals Eid, Mohamed Boghdady, Ahmed Mohamed Ahmed, Mustafa Mohamed Dahab, Lotfy Hamed Abu Egypt J Intern Med Research BACKGROUND: Acute pulmonary thromboembolism (PTE) is one of the serious medical issues with higher prevalence and mortality rates. As mentioned in several medical reports, most of the chest pain patients, visiting the emergency departments, are usually diagnosed with either acute PTE, acute coronary syndromes, or acute aortic syndromes. The current study aimed to study the risk factors and explore the echocardiographic findings in patients with PTE. RESULTS: Forty patients with acute pulmonary embolism were enrolled in the study. Echocardiography and computed tomography pulmonary angiography (CTPA) were evaluated for all participants. The echocardiography showed that 29 patients (72.5%) had echocardiographic findings suggestive of acute PTE. Twenty-four patients (60%) had tricuspid regurge. Twenty-one patients (52.5%) had dilated right ventricle (RV). Also, 13 patients (32.5%) had an echocardiographic finding of pulmonary hypertension. Furthermore, ten patients (25%) had McConnell’s sign, and 21 patients (52.5%) had RV systolic dysfunction where only two (5%) showed RV thrombosis. Echocardiographic data of the eight high-risk patients showed that 6 patients (75%) had TR, 8 patients (100%) had dilated RV, 5 patients (62.5%) had pulmonary hypertension, 8 patients (100%) had McConnell’s sign, one patient (12.5%) had RV thrombus, and 8 patients (100%) had RV systolic dysfunction. CONCLUSION: The results revealed that thrombus in the main pulmonary trunk was a high-risk factor for patients with acute pulmonary embolism. The current study suggested that echocardiography is an important bedside imaging tool for the diagnosis of PTE. Echocardiography could detect the tricuspid regurge, pulmonary hypertension, McConnell’s sign, RV dilatation, thrombosis, and dysfunction. Furthermore, echocardiography was considered a non-invasive test for rapid diagnosis of PTE and determining the degree of the risk category (high- or low-risk patients) specially with the presence of McConnell’s sign, dilated RV, and RV systolic dysfunction. Springer Berlin Heidelberg 2022-02-19 2022 /pmc/articles/PMC8857893/ /pubmed/35221662 http://dx.doi.org/10.1186/s43162-022-00114-y Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Research
Eid, Mohamed
Boghdady, Ahmed Mohamed
Ahmed, Mustafa Mohamed
Dahab, Lotfy Hamed Abu
Echocardiographic findings in patients with acute pulmonary embolism at Sohag University Hospitals
title Echocardiographic findings in patients with acute pulmonary embolism at Sohag University Hospitals
title_full Echocardiographic findings in patients with acute pulmonary embolism at Sohag University Hospitals
title_fullStr Echocardiographic findings in patients with acute pulmonary embolism at Sohag University Hospitals
title_full_unstemmed Echocardiographic findings in patients with acute pulmonary embolism at Sohag University Hospitals
title_short Echocardiographic findings in patients with acute pulmonary embolism at Sohag University Hospitals
title_sort echocardiographic findings in patients with acute pulmonary embolism at sohag university hospitals
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8857893/
https://www.ncbi.nlm.nih.gov/pubmed/35221662
http://dx.doi.org/10.1186/s43162-022-00114-y
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