The relationship between pesi score and pulmonary venous flow parameters in patients with acute pulmonary embolism

Aydınyılmaz F., Özbeyaz N. B., Algül E., Aksakal A., Guliyev İ., Şahan H. F., ...More

Echocardiography, vol.39, no.12, pp.1532-1539, 2022 (SCI-Expanded) identifier identifier

  • Publication Type: Article / Article
  • Volume: 39 Issue: 12
  • Publication Date: 2022
  • Doi Number: 10.1111/echo.15483
  • Journal Name: Echocardiography
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Academic Search Premier, Biotechnology Research Abstracts, CINAHL, EMBASE, MEDLINE
  • Page Numbers: pp.1532-1539
  • Keywords: acute pulmonary embolism, pulmonary D wave, pulmonary S wave
  • Ankara Yıldırım Beyazıt University Affiliated: No

Abstract

© 2022 Wiley Periodicals LLC.Background: Acute pulmonary embolism (APE) is an important cause of cardiovascular morbidity and mortality. PESI scoring is used in risk classification. This study was designed to determine the relationship between echocardiographic pulmonary vein measurements and PESI score, which is an important tool in diagnosis and treatment. Methods: A total of 210 patients were evaluated. Pulmonary vein measurements and PESI scores of the patients at the time of diagnosis were calculated. Correlation analysis was performed to determine the relationship between the two parameters. Results: Total PESI scores were 112.9 ± 33.9. The pulmonary vein S wave.39 ±.14, the D wave.48 ±.18, and the S/D ratio was found to be.86 ±.35. It was determined that there was a significant correlation between pulmonary S/D ratio and PESI score. (Pearson correlation coefficient = −.693, R2 Linear:.484; p <.001) The AUC of S/D for mortality prediction was.729 (95% CI =.653–.804; p <.001), the cutoff value was.63, the sensitivity and specificity were 55.6% and 55.7%, respectively. Conclusion: Pulmonary vein measurements were found to be correlated with the PESI score and were found to be a parameter that could predict mortality.