Accès ouvert déclaré
2024
article
Right ventricular-pulmonary artery coupling for prognostication in acute pulmonary embolism
Mads Dam Lyhne, Behnood Bikdeli, David Jiménez, Christopher Kabrhel, David M. Dudzinski, Jorge Moisés, J.L. Lobo, Fernándo Arméstar, Leticia Guirado, Aitor Ballaz, Manuel Monreal, Paolo Prandoni, Benjamin Brenner, Dominique Farge, Raquel Barba, Pierpaolo Di Micco, Laurent Bertoletti, Sebastian Schellong, Inna Tzoran, Abílio Reis, Marijan Bosevski, Henri Bounameaux, Radován Malý, Peter Verhamme, Joseph A. Caprini, My Bui, Jesús Aibar, A. Alberich-Conesa, Alicia Alda‐Lozano, J Alfonso, Jesús Alonso‐Carrillo, Cristina Amado, M. Angelina-García, Juan I. Arcelus, C. Barbagelata, Bienvenido Barreiro, M. Barrón, B. Barrón‐Andrés, José Bascuñana, Fahd Beddar-Chaib, Á. Blanco-Molina, Jesús Caballero Caballero, I. Cañas, R. Carrero-Arribas, G. Castellanos, Leyre Chasco, Gisela Claver, Juan Criado, C. De Juana-Izquierdo, J Del Toro, Pablo Demelo‐Rodríguez, Carmen Díaz‐Pedroche, J.A. Díaz‐Peromingo, Álvaro Dubois-Silva, José Carlos Escribano, C. Falgá, C. Fernández‐Aracil, Carmen Fernández‐Capitán, B. Fernández-Jiménez, J L Fernández-Reyes, María Ángeles Fidalgo, Iria Francisco, Cristina Gabara, Francisco Galeano‐Valle, F García‐Bragado, Alberto García‐Ortega, Olga Gavín‐Sebastián, Aída Gil‐Díaz, Covadonga Gómez‐Cuervo, A. González-Munera, E Grau, L. Guirado, Javier Gutiérrez-Guisado, Luis Blasco, M J Hernández-Vidal, Luis Jara‐Palomares, David Jiménez, I. Jou, M.D. Joya, Ramón Lecumberri, Pilar Llamas, Helena López-Brull, M. López-De la Fuente, Luciano López‐Jiménez, Patricia López-Miguel, J J López-Núñez, Antonio López‐Ruiz, J.B. López‐Sáez, M.A. Lorente, A. García de Lorenzo, M Lumbierres, Olga Madridano, Ana Maestre, P.J. Marchena, Miguel Marcos, M. Martín del Pozo, F. Martín‐Martos, R Martínez-Prado, Jesús Morales Maza, María Inés Mercado, Antonio Molino, Manuel Monreal, L Monzón, M.V. Morales, Gema Muñoz, Mónica Navas, José Antonio Nieto, M J Núñez-Fernández, M. Olid, Lucía Ordieres‐Ortega, María José Ortiz, Jorge Osorio, S. Otálora, Ronny Otero, Nazaret Pacheco-Gómez, Andrea Palomeque, E. Paredes, J M Pedrajas, C Pérez-Ductor, Montserrat Pérez‐Pinar, M L Peris, M.L. Pesce, José Antonio Porras, A. Rivas, F. Rivera-Cívico, Alberto Rivera-Gallego, A. Rodríguez-Cobo, M Romero-Bruguera, Pedro Ruiz‐Artacho, G. Salgueiro, Marina Sánchez-Serrano, Teresa Sancho, Vanesa Sendín, Patricia Sigüenza, S. Soler, Adrián Steinherr, S. Suárez-Fernández, Raimundo Tirado, A. Torrents-Vilar, Marı́a Isabel Torres, Javier Trujillo-Santos, Fernando Uresandi, José F. Varona, Alexander Villalobos, Paula Villares, Cihan Ay, Stephan Nopp, Ingrid Pabinger, Thomas Vanassche, Alain Verstraete, H H B Yoo, Ana Cristina de Albuquerque Montenegro, Shyrlei Morales, Jorge A. Roa, Jana Hirmerová, L Bertoletti, A. Bura-Rivière, Judith Catella, Romain Chopard, Françis Couturaud, Olivier Espitia, Raphaël Le Mao, B Leclerq, Isabelle Mahé, Farès Moustafa, L Plaisance, G. Sarlon-Bartoli, Pierre Suchon, E. Versini, Sebastian Schellong, Farid Rashidi, Parham Sadeghipour, Barry E. Brenner, Najib Dally, Gili Kenet, Alessia Abenante, Giovanni Barillari, Manuela Basaglia, Franca Bilora, Daniele Bissacco, B. Brandolin, Renato Casana, Maurizio Ciammaichella, Francesco Dentali, P. Di Micco, Matteo Giorgi‐Pierfranceschi, Egidio Imbalzano, D. Lambertenghi-Deliliers, César Marcon, Romeo Martini, Francesco Negro, Alessandra Poz, Paolo Prandoni, Paolo Simioni, Carmine Siniscalchi, B. Taflaj, A Tufano, A. Visonà, Beniamino Zalunardo, Ričards Kauliņš, A Skride, Z. Tazi-Mezalek, S. Fonseca, Rui Marques, J. Meireles, S. Pinto, Tomislav Stankovski, Marija Zdraveska, H Bounameaux, L Mazzolai, Avinash Aujayeb, J A Caprini, Azza Ali Khalil, Jose Tafur Soto, Ido Weinberg, Hà Mạnh Bùi, S. Nguyen, Khanh Quoc Pham, George Tran
5Citations signalées — pas une note de qualité
18Institutions déclarées
3Pays d’affiliation déclarés
Résumé fourni par la source
AIMS: Acute pulmonary embolism (PE) increases pulmonary pressure and impair right ventricular (RV) function. Echocardiographic investigation can quantify this mismatch as the tricuspid annular plane systolic excursion (TAPSE) to pulmonary arterial systolic pressure (PASP) ratio. The aim of the study was to investigate the prognostic capabilities of TAPSE/PASP ratio in patients with acute PE. METHODS AND RESULTS: We utilized the Registro Informatizado Enfermedad TromboEmbolica registry to analyse consecutive haemodynamically stable PE patients. We used multi-variable logistic regression analyses to assess the association between the TAPSE/PASP ratio and 30-day all-cause mortality across the strata of European Society of Cardiology (ESC) risk categories. We included 4478 patients, of whom 1326 (30%) had low-risk, 2425 (54%) intermediate-low risk and 727 (16%) intermediate-high risk PE. Thirty-day mortality rates were 0.7%, 2.3% and 3.4%, respectively. Mean TAPSE/PASP ratio was 0.65 ± 0.29 in low-risk patients, 0.46 ± 0.30 in intermediate-low risk and 0.33 ± 0.19 in intermediate-high risk patients. In multi-variable analyses, there was an inverse association between TAPSE/PASP ratio and 30-day mortality (adjusted OR 1.32 [95% CI 1.14-1.52] per 0.1 decrease in TAPSE/PASP). TAPSE/PASP ratio below optimal cut-points was associated with increased mortality in low- (<0.40, aOR: 5.88; 95% CI: 1.63-21.2), intermediate-low (<0.43, aOR: 2.96; 95% CI: 1.54-5.71) and intermediate-high risk patients (<0.34, aOR: 4.37; 95% CI: 1.27-15.0). TAPSE/PASP <0.44 showed net reclassification improvement of 18.2% (95% CI: 0.61-35.8) vs. RV/LV ratio >1, and 27.7% (95% CI: 10.2-45.1) vs. ESC risk strata. CONCLUSION: Decreased TAPSE/PASP ratio was associated with increased mortality. The ratio may aid in clinical decision-making, particularly for intermediate-risk patients for whom the discriminatory capability of the current risk stratification tools is limited.
Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.
Contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Right ventricular-pulmonary artery coupling for prognostication in acute pulmonary embolism
- Date Crossref
- 24/10/2024
- Éditeur
- Oxford University Press (OUP)
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude et ne compte pas comme une seconde source scientifique indépendante.
Institutions déclarées
Une affiliation ne permet pas de déduire la nationalité d’un auteur.
Sujets associés
Pulmonary Hypertension Research and TreatmentsVenous Thromboembolism Diagnosis and ManagementCardiovascular Function and Risk Factors