Is it possible to use standard electrocardiography for risk assessment of patients with pulmonary embolism?

Kardiologia Polska

Volumn 67, Issue 7, 2009, Pages 744-750

  Kostrubiec, Maciej ^a   Hrynkiewicz, Anna ^a   Pedowska Włoszek, Justyna ^a   Pacho, Szymon ^a   Ciurzyński, Michał ^a   Jankowski, Krzysztof ^a   Koczaj Bremer, Magdalena ^a   Wojciechowski, Artur ^a   Pruszczyk, Piotr ^a  

^a MEDICAL UNIVERSITY OF WARSAW   (Poland)

Author keywords

Electrocardiogram; Pulmonary embolism; Risk stratification

Indexed keywords

FIBRINOLYTIC AGENT; HYPERTENSIVE AGENT;

ADULT; AGED; AREA UNDER THE CURVE; ARTICLE; BLOOD CLOT LYSIS; CARDIOGENIC SHOCK; CLINICAL EVALUATION; CONTROLLED STUDY; DIAGNOSTIC ACCURACY; DIAGNOSTIC VALUE; DISEASE COURSE; ELECTROCARDIOGRAM; ELECTROCARDIOGRAPHY; EMBOLECTOMY; FEMALE; HEART BEAT; HEART DEATH; HEART DISEASE; HEART RATE VARIABILITY; HEART RIGHT BUNDLE BRANCH BLOCK; HEART VENTRICLE CONTRACTILITY; HOSPITALIZATION; HUMAN; HYPOKINESIA; LUNG EMBOLISM; MAJOR CLINICAL STUDY; MALE; MORTALITY; OUTCOME ASSESSMENT; Q WAVE; QT INTERVAL; QT PROLONGATION; RESUSCITATION; RIGHT VENTRICULAR CONTRACTILITY DYSFUNCTION; RISK ASSESSMENT; S WAVE; SCORING SYSTEM; SENSITIVITY AND SPECIFICITY; SPIRAL COMPUTER ASSISTED TOMOGRAPHY; SYSTOLIC BLOOD PRESSURE; T WAVE; TACHYCARDIA;

AGED; AGED, 80 AND OVER; ELECTROCARDIOGRAPHY; FEMALE; HUMANS; INPATIENTS; MALE; MIDDLE AGED; POLAND; PREDICTIVE VALUE OF TESTS; PULMONARY EMBOLISM; RISK ASSESSMENT; SENSITIVITY AND SPECIFICITY; TOMOGRAPHY, SPIRAL COMPUTED; VENTRICULAR DYSFUNCTION, RIGHT;

EID: 68149100443     PISSN: 00229032     EISSN: 00229032     Source Type: Journal    
DOI: None     Document Type: Article

References (26)

1. Torbicki A, Perrier A, Konstantinides S, et al. Guidelines on the diagnosis and management of acute pulmonary embolism. Eur Heart J 2008; 29: 2276-2315
2. Pruszczyk P, Torbicki A. Pulmonary embolism. In: Neskovic AN, Flachskampf FA, Picard MH (eds.). Emergency echocardiography. Taylor & Francis, London 2005.
3. Torbicki A, Tramarin R, Morpurugo M. Role of echo/Doppler in the diagnosis of pulmonary embolism. Clin Cardiol 1992; 15: 805.
4. Binder L, Pieske B, Olschewski M, et al. N-terminal pro-brain natriuretic peptide or troponin testing followed by echocardiography for risk stratification of acute pulmonary embolism. Circulation 2005; 112: 1573-1579 (Pubitemid 41324518)
5. Puls M, Dellas C, Lankeit M, et al. Heart-type fatty acid-binding protein permits early risk stratification of pulmonary embolism. Eur Heart J 2007; 28: 224-229 (Pubitemid 46269875)
6. Toosi MS, Merlino JD, Leeper KV. Electrocardiographic score and short-term outcomes of acute pulmonary embolism. Am J Cardiol 2007; 100: 1172-1176
7. Ullman E, Brady WJ, Perron AD, et al. Electrocardiographic manifestations of pulmonary embolism. Am J Emerg Med 2001; 19: 514-519
8. Stein PD, Dalen JE, McIntyre KM, et al. The electrocardiogram in acute pulmonary embolism. Prog Cardiovasc Dis 1975; 17: 247-257
9. Kosuge M, Kimura K, Ishikawa T, et al. Electrocardiographic differentiation between acute pulmonary embolism and acute coronary syndromes on the basis of negative T waves. Am J Cardiol 2007; 99: 817-821 (Pubitemid 46365603)
10. Ferrari E, Imbert A, Chevalier T, et al. The ECG in pulmonary embolism. Predictive value of negative T waves in precordial leads - 80 case reports. Chest 1997; 111: 537-543 (Pubitemid 27132922)
11. Luboiński G, Ludwik B, Lewczuk J, et al. Prawidłowy wynik koronarografii u pacjenta z rozpoznaniem ostrego zespołu wieńcowego z uniesieniem ST zakwalifikowanego do przezskórnej interwencji wieńcowej. Czy można było wcześniej rozpoznać ostra̧ zatorowość płucna̧? Kardiol Pol 2006; 64: 68-71.
12. Kaczyńska A, Bochowicz A, Kostrubiec M, et al. Electrocardiography and prediction of myocardial damage in patients with acute pulmonary embolism. Pol Arch Med Wewn 2004; 112: 1039-1046 (Pubitemid 39482249)
13. Daniel KR, Courtney DM, Kline JA. Assessment of cardiac stress from massive pulmonary embolism with 12-lead ECG. Chest 2001; 120: 474-481 (Pubitemid 32881264)
14. Rady MY, Smithline HA, Blake H, et al. A comparison of the shock index and conventional vital signs to identify acute critical illness in the emergency department. Ann Emerg Med 1994; 24: 685-690 (Pubitemid 24302836)
15. Janata K, Holzer M, Laggner AN, et al. Cardiac troponin T in the severity assessment of patients with pulmonary embolism: cohort study. BMJ 2003; 326: 312-313 (Pubitemid 36205164)
16. Konstantinides S, Geibel A, Heusel G, et al. Heparin plus alteplase compared with heparin alone in patients with submassive pulmonary embolism. N Engl J Med 2002; 347: 1143-1150
17. Ribeiro A, Lindmarker P, Juhlin-Dannfelt A, et al. Echocardiography Doppler in pulmonary embolism: right ventricular dysfunction as a predictor of mortality rate. Am Heart J 1997; 134: 479-487 (Pubitemid 27431254)
18. Goldhaber SZ, Visani L, De Rosa M. Acute pulmonary embolism: clinical outcomes in the International Cooperative Pulmonary Embolism Registry (ICOPER). Lancet 1999; 353: 1386-1389 (Pubitemid 29192409)
19. Pruszczyk P, Bochowicz A, Torbicki A, et al. Cardiac troponin T monitoring identifies high-risk group of normotensive patients with acute pulmonary embolism. Chest 2003; 123: 1947-1952 (Pubitemid 36706716)
20. Kostrubiec M, Pruszczyk P, Bochowicz A, et al. Biomarker-based risk assessment model in acute pulmonary embolism. Eur Heart J 2005; 26: 2166-2172 (Pubitemid 41408001)
21. Ribeiro A, Lindmarker P, Juhlin-Dannfelt A, et al. Echocardiography Doppler in pulmonary embolism: right ventricular dysfunction as a predictor of mortality rate. Am Heart J 1997; 134: 479-487 (Pubitemid 27431254)
22. Grifoni S, Olivotto I, Cecchini P, et al. Short-term clinical outcome of patients with acute pulmonary embolism, normal blood pressure, and echocardiographic right ventricular dysfunction. Circulation 2000; 101: 2817-2822 (Pubitemid 30396012)
23. Kucher N, Goldhaber SZ. Cardiac biomarkers for risk stratification of patients with acute pulmonary embolism. Circulation 2003; 108: 2191-2194 (Pubitemid 37363033)
24. Iles S, Le Heron CJ, Davies G, et al. ECG score predicts those with the greatest percentage of perfusion defects due to acute pulmonary thromboembolic disease. Chest 2004; 125: 1651-1656 (Pubitemid 38648393)
25. Toosi MS, Merlino JD, Leeper KV. Prognostic value of the shock index along with transthoracic echocardiography in risk stratification of patients with acute pulmonary embolism. Am J Cardiol 2008; 101: 700-705
26. Escobar C, Jimenez D, Marti D, et al. Prognostic value of electrocardiographic findings in hemodynamically stable patients with acute symptomatic pulmonary embolism. Rev Esp Cardiol 2008; 61: 244-248 (Pubitemid 351928297)