The T wave inversion score is useful for evaluating the time-course of acute pulmonary embolism

Circulation Journal

Volumn 75, Issue 5, 2011, Pages 1222-1226

  Kunishima, Tomoyuki ^a,b   Akashi, Yoshihiro J ^b   Miyake, Fumihiko ^b   Aoyama, Naoyoshi ^c   Kohshoh, Hideyasu ^d   Yoshino, Hideaki ^d   Seki, Kenji ^e   Matsumoto, Kazuo ^e   Furukawa, Taiji ^a   Yoshioka, Koichiro ^f   Amano, Hirohisa ^g   Taguchi, Isao ^g   Sugimura, Hiroyuki ^g   Murakawa, Yuji ^a  

^a TEIKYO UNIVERSITY SCHOOL OF MEDICINE   (Japan)

^b ST MARIANNA UNIVERSITY SCHOOL OF MEDICINE   (Japan)

^c KITASATO UNIVERSITY SCHOOL OF MEDICINE   (Japan)

^d KYORIN UNIVERSITY SCHOOL OF MEDICINE   (Japan)

^e SAITAMA MEDICAL UNIVERSITY INTERNATIONAL MEDICAL CENTER   (Japan)

^f TOKAI UNIVERSITY HOSPITAL   (Japan)

^g DOKKYO MEDICAL UNIVERSITY   (Japan)

Author keywords

Diagnostic; Electrocardiography; Pulmonary embolism; T wave inversion

Indexed keywords

D DIMER;

ADULT; ARTERIAL GAS; ARTICLE; CLINICAL ASSESSMENT; DISEASE COURSE; ECG ABNORMALITY; ELECTROCARDIOGRAM; FEMALE; HEART RATE; HUMAN; LUNG EMBOLISM; MAJOR CLINICAL STUDY; MALE; PREDICTION; QRS COMPLEX; SCORING SYSTEM; ST SEGMENT DEPRESSION; T WAVE INVERSION;

ACUTE DISEASE; AGED; ELECTROCARDIOGRAPHY; FEMALE; HEALTH STATUS INDICATORS; HUMANS; MALE; MIDDLE AGED; PREDICTIVE VALUE OF TESTS; PULMONARY EMBOLISM; TIME FACTORS;

EID: 79955699849     PISSN: 13469843     EISSN: 13474820     Source Type: Journal    
DOI: 10.1253/circj.CJ-10-0121     Document Type: Article

References (20)

1. Araoz PA, Gotway MB, Harrington JR, Harmsen WS, Mandrekar JN. Pulmonary embolism: Prognostic CT findings. Radiology 2007; 242: 889-897.
2. Sanchez O, Trinquart L, Colombet I, Durieux P, Huisman MV, Chatellier G, et al. Prognostic value of right ventricular dysfunction in patients with haemodynamically stable pulmonary embolism: A systematic review. Eur Heart J 2008; 29: 1569-1577.
3. McGinn S, White PD. Acute cor pulmonale resulting from pulmonary embolism: Its clinical recognition. JAMA 1935; 104: 1473-1480.
4. Fuji M. Electrocardiographic changes in acute pulmonary embolism. Mie-igaku 1987; 30: 597-603.
5. Stein PD, Dalen JE, McIntyre KM, Sasahara AA, Wenger NK, Willis PW 3rd. The electrocardiogram in acute pulmonary embolism. Prog Cardiovasc Dis 1975; 17: 247-257.
6. Kosuge M, Kimura K, Ishikawa T, Ebina T, Hibi K, Tsukahara K, et al. Prognostic significance of inverted T waves in patients with acute pulmonary embolism. Circ J 2006; 70: 750-755.
7. Guidelines for the diagnosis, treatment and prevention of pulmonary thromboembolism and deep vein thrombosis (JCS 2004). Circ J 2004; 68(Suppl 1): 1079-1134.
8. Sakuma M, Nakamura M, Yamada N, Ota S, Shirato K, Nakano T, et al. Venous thromboembolism: Deep vein thrombosis with pulmonary embolism, deep vein thrombosis alone, and pulmonary embolism alone. Circ J 2009; 73: 305-309.
9. Sreeram N, Cheriex EC, Smeets JL, Gorgels AP, Wellens HJ. Value of the 12-lead electrocardiogram at hospital admission in the diagnosis of pulmonary embolism. Am J Cardiol 1994; 73: 298-303.
10. Ferrari E, Imbert A, Chevalier T, Mihoubi A, Morand P, Baudouy M. The ECG in pulmonary embolism: Predictive value of negative T waves in precordial leads--80 case reports. Chest 1997; 111: 537-543.
11. Yoshinaga T, Ikeda S, Nishimura E, Shioguchi K, Shikuwa M, Miyahara Y, et al. Serial changes in negative T wave on electrocardiogram in acute pulmonary thromboembolism. Int J Cardiol 1999; 72: 65-72.
12. Kakura H. Mechanisms of ECG changes in precordial leads on acute right ventricular pressure overload: An experimental study. J Jpn Coll Angiol 2001; 41: 463-470.
13. Yoshinaga T, Ikeda S, Shikuwa M, Miyahara Y, Kohno S. Relationship between ECG findings and pulmonary artery pressure in patients with acute massive pulmonary thromboembolism. Circ J 2003; 67: 229-232.
14. Shimozato K, Hayase T, Kobayashi A, Hasegawa N, Muramatsu J. Clinical pathognomy of pulmonary thromboembolism. Kitasato Med 1995; 25: 431-438.
15. Mager JJ, Schutgens RE, Haas FJ, Westermann CJ, Biesma DH. The early course of D-dimer concentration following pulmonary artery embolisation. Thromb Haemost 2001; 86: 1578-1579.
16. Kline JA, Zeitouni R, Marchick MR, Hernandez-Nino J, Rose GA. Comparison of 8 biomarkers for prediction of right ventricular hypokinesis 6 months after submassive pulmonary embolism. Am Heart J 2008; 156: 308-314.
17. Tokyo CCU Network Scientific Committee. Latest management and outcomes of major pulmonary embolism in the cardiovascular disease early transport system: Tokyo CCU Network. Circ J 2010; 74: 289-293.
18. Ro A, Kageyama N, Tanifuji T, Hamamatsu A, Murai T. A clinicopathological study of sudden death by acute massive pulmonary thromboembolism. J Jpn Coll Angiol 2004; 44: 241-246.
19. Wu DK, Hsiao SH, Lin SK, Lee CY, Yang SH, Chang SM, et al. Main pulmonary arterial distensibility: Different presentation between chronic pulmonary hypertension and acute pulmonary embolism. Circ J 2008; 72: 1454-1459.
20. Lewczuk J, Ajlan AW, Piszko P, Jagas J, Mikulewicz M, Wrabec K. Electrocardiographic signs of right ventricular overload in patients who underwent pulmonary embolism event(s): Are they useful in diagnosis of chronic thromboembolic pulmonary hypertension? J Electrocardiol 2004; 37: 219-225.