Echocardiographic findings in patients with proved pulmonary embolism |
| |
| Authors: | W Kasper T Meinertz B Henkel D Eissner K Hahn T Hofmann A Zeiher H Just |
| |
| Affiliation: | 1. Department of Internal Medicine, Albert-Ludwigs-University Freiburg, Freiburg, West Germany;2. Department of Cardiology, Albert-Ludwigs-University Freiburg, Freiburg, West Germany;3. the Medical Clinic, Johannes Gutenberg-Universität Mainz, Mainz, West Germany;4. Department of Nuclear Medicine, Johannes Gutenberg-Universität Mainz, Mainz, West Germany;1. School of Primary, Aboriginal and Rural Health Care, University of Western Australia, Crawley, Western Australia, Australia;2. Clinical Biochemistry, PathWest Laboratory Medicine WA, Lipid Disorders Clinic, Royal Perth Hospital, University of Western Australia;3. Lipid Disorders Clinic, Cardiovascular Medicine, Royal Perth Hospital, School of Medicine and Pharmacology, University of Western Australia, Perth, WA, Australia;4. Cardiovascular Health Network, Royal Perth Hospital, Perth WA, Australia;5. The Rural Clinical School of Western Australia (Bunbury) The University of Western Australia, Bunbury WA, Australia;1. Department of Orthopedic Surgery, Kurume University Medical Center, Fukuoka, Japan;2. Department of Orthopedic Surgery, Kurume University, Fukuoka, Japan;3. Division of Microscopic and Developmental Anatomy, Department of Anatomy, School of Medicine, Kurume University, Fukuoka, Japan;1. Center of Cardiology, Cardiology I, University Medical Center Mainz (Johannes Gutenberg-University Mainz), Mainz, Germany;2. Center for Thrombosis and Hemostasis, University Medical Center Mainz (Johannes Gutenberg-University Mainz), Mainz, Germany;3. Department of Internal Medicine, St. Vincenz and Elisabeth Hospital Mainz (KKM), Mainz, Germany;4. Department of Radiology and Nuclear Medicine, Catholic Clinic Mainz (KKM), Mainz, Germany;5. Department of Diagnostic and Interventional Radiology, University Clinic, Johann Wolfgang Goethe-University Frankfurt/Main, Frankfurt (Main), Germany;1. Division of Cardiology, Department of Pediatrics, Children''s Hospital of Philadelphia and Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania;2. Healthcare Analytics Unit, The Children''s Hospital of Philadelphia, Philadelphia, Pennsylvania;1. Division of Cardiovascular Ultrasound, Department of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota;2. Division of Biomedical Statistics and Informatics, Mayo Clinic, Rochester, Minnesota;3. Division of Heart Rhythm Services, Mayo Clinic, Rochester, Minnesota |
| |
| Abstract: | ![]()
Echocardiographic studies were performed in 105 patients with acute and recurrent pulmonary emboli. Pulmonary embolism was confirmed by pulmonary angiography (n = 48), autopsy (n = 6), and lung perfusion scintigraphy (n = 51). Seventy of 93 patients (75%) displayed a dilated right ventricle, 38 of 91 patients (42%) had reduced left ventricular cavity dimension, 41 of 82 patients (50%) had a decreased EF slope of the mitral valve, and 78 of 101 patients (77%) showed dilatation of the right pulmonary artery. The motion of the interventricular septum was abnormal in 41 of 93 patients (44%). Right-sided thrombi were seen in 13 patients within the right pulmonary artery (n = 11) and in the right ventricle (n = 3); in one patient they were found in the superior vena cava, in the innominate vein, and the right atrium. Two patients suffered from right-sided endocarditis. Thus echocardiographic changes were frequently found in patients with proved pulmonary emboli. The echocardiographic findings of right-sided cardiac and pulmonary artery abnormalities indicate hemodynamically active pulmonary emboli. |
| |
| Keywords: | |
| 本文献已被 ScienceDirect 等数据库收录！ |
|
