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      Electrocardiographic Abnormalities in Patients with Right Ventricular Dilation due to Acute Pulmonary Embolism

      case-report

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          Abstract

          In a study of 190 patients with acute pulmonary embolism, right ventricular dilation was present in 64 (34%), mean age 58 ± 15 years. The 18 electrocardiographic abnormalities on the 12-lead electrocardiogram had a sensitivity of 8–69%, a specificity of 70–98%, a positive predictive value of 23–69%, a negative predictive value of 64–83%, a likelihood ratio for a positive test of 1.3–4.4, and a likelihood ratio for a negative test of 0.41–1.10 in predicting right ventricular dilation in patients with acute pulmonary embolism.

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          Echocardiography Doppler in pulmonary embolism: right ventricular dysfunction as a predictor of mortality rate.

          Ary Ribeiro, Per Lindmarker, Anders Juhlin-Dannfelt … (1997)
          To test the hypothesis that right ventricular (RV) systolic dysfunction at the time of diagnosis of pulmonary embolism (PE) is a predictor of mortality rate, 126 consecutive patients with PE were examined with echocardiography Doppler (ED) on the day of diagnosis. RV function was assessed by evaluation of wall motion on a four-point scale. The material was divided into two groups: group A (n = 56) with normal or slightly reduced RV function and group B (n = 70) with moderately or severely reduced RV function. The overall mortality rate was 7.9% in the hospital and 15.1% within 1 year. Four deaths occurred in group A and 15 in group B (p = 0.04). All in-hospital deaths (n = 10) occurred in group B (p = 0.002). The variables associated with mortality rate were RV dysfunction and cancer (in-hospital, p = 0.002 and 0.004; 1 year, p = 0.04 and < 0.001, respectively). Nine (7.1%) deaths (all in-hospital) were caused by PE. Five of these patients had advanced-stage cancer. The in-hospital mortality rate in patients without cancer was 4%, all from PE and all in group B. In conclusion, RV dysfunction when diagnosis of PE is established is associated with mortality rate. A strategy for risk stratification of patients with PE with ED may be of clinical usefulness.
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            The ECG in Pulmonary Embolism

            Emile Ferrari, Alain Imbert, Thierry Chevalier … (1997)
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              The electrocardiogram in acute pulmonary embolism

              Kevin M. McIntyre, Paul Stein, Park W. Willis … (1975)
              Article 0 comments Cited 9 times – based on 0 reviews     Review now
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                Author and article information

                Journal
                Journal ID (publisher-id): CRD
                Journal ID (nlm-ta): Cardiology
                Journal ID (doi): 10.1159/issn.0008-6312
                Title: Cardiology
                Publisher: S. Karger AG
                ISSN (Print): 0008-6312
                ISSN (Electronic): 1421-9751
                Publication date Subscription-year: 2006
                Publication date (Print): November 2005
                Publication date (Electronic): 24 November 2005
                Volume: 105
                Issue: 1
                Pages: 57-60
                Affiliations
                Cardiology Division, Department of Medicine, Westchester Medical Center/New York Medical College, Valhalla, N.Y., and Department of Medicine, University of Texas School of Medicine, Houston, Tex., USA
                Article
                Publisher ID: 89249 Other ID: Cardiology 2006;105:57–60
                DOI: 10.1159/000089249
                PubMed ID: 16254425
                SO-VID: febdc937-4533-4d70-b0de-844c5a34ea0f
                Copyright © © 2006 S. Karger AG, Basel
                License:

                Copyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher. Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug. Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.

                History
                Date received : 25 May 2005
                Date accepted : 20 August 2005
                Page count
                Tables: 3, References: 8, Pages: 4
                Categories
                Subject: Original Research

                ScienceOpen disciplines: General medicine,Neurology,Cardiovascular Medicine,Internal medicine,Nephrology
                Keywords: Right ventricular dilation,Electrocardiographic abnormalities,Acute pulmonary embolism
                Data availability:
                ScienceOpen disciplines: General medicine, Neurology, Cardiovascular Medicine, Internal medicine, Nephrology
                Keywords: Right ventricular dilation, Electrocardiographic abnormalities, Acute pulmonary embolism

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