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Year: 2020


Type: Proceeding article



Title: P1351 Right ventricular diameter added to D-dimer independently influence on prognosis of patients with pulmonary embolism and intermediate risk


Author: Bosevski, M
Author: Krstevski, G
Author: Gjorgievski, A
Author: Mitevska, I
Author: Jovanova, S
Author: Srbinovska Kostovska, E



Abstract: Purpose: The paper was aimed to determine predictors for of patients with pulmonary embolism (PE) and intermediate risk. Methods: 84 patients with PE from National registry on VTE (age 60.3 + 12.5 years) were selected in a prospective study. Bedside echocardiography was done in all of them. Pulmonary embolism was confirmed by CT angiography. They were stratified as intermediate risk pts due to simplified PESI score > 1. Study population was followed up for 6.7 months. Multivariate regression analysis was done when right ventricular diameter (RV, mean 37.5 mm), systolic pulmonary artery pressure (68 + 23 mmHg), measured by echocardiography, D-dimer level at baseline 2654.5 + 420,3ng/ml, number of comorbidities (2.4 + 0,7) and occurred symptoms (3.1 + 0,9) entered the model. A model was adjusted for age. Results: D-dimer revealed as a predictor for length of hospitalization (β 0,25, p 0,05), and RV diameter as a factor for duration of anticoagulation (β 0,29, p 0,05). Conclusion: Our results imply that baseline measurement of right ventricular diameter when added to D-dimer independently influence on short and long term prognosis of patients with pulmonary embolism and intermediate risk.


Publisher: Oxford University Press (OUP)


Relation: European Heart Journal - Cardiovascular Imaging



Identifier: oai:repository.ukim.mk:20.500.12188/8122
Identifier: http://hdl.handle.net/20.500.12188/8122
Identifier: 10.1093/ehjci/jez319.787
Identifier: http://academic.oup.com/ehjcimaging/article-pdf/21/Supplement_1/jez319.787/31864609/jez319.787.pdf
Identifier: http://academic.oup.com/ehjcimaging/article-pdf/21/Supplement_1/jez319.787/31864609/jez319.787.pdf
Identifier: 21
Identifier: Supplement_1



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P1351 Right ventricular diameter added to D-dimer independently influence on prognosis of patients with pulmonary embolism and intermediate risk202026