The DOI matches its Crossref record; 10 of the 10 references it cites were found in a registry or an index.
Pulmonary Embolism: One-Year Follow-Up With Echocardiography Doppler and Five-Year Survival Analysis
Abstract
Background —The long-term prognosis for patients with pulmonary embolism (PE) is dependent on the underlying disease, degree of pulmonary hypertension (PH), and degree of right ventricular (RV) dysfunction. A precise description of the time course of pulmonary artery pressure (PAsP)/RV function is therefore of importance for the early identification of persistent PH/RV dysfunction in patients treated for acute PE. Other objectives were to identify variables associated with persistent PH/RV dysfunction and to analyze the 5-year survival rate for patients alive 1 month after inclusion. Methods and Results —Echocardiography Doppler was performed in 78 patients with acute PE at the time of diagnosis and repeatedly during the next year. A 5-year survival analysis was made. The PAsP decreased exponentially until the beginning of a stable phase, which was ≤38 days. The recovery of RV function occurred during the same time period. Risk factors for persistent PH/RV dysfunction and the 5-year mortality rate were analyzed using multiple logistic regression models. A PAsP of >50 mm Hg at the time of diagnosis of acute PE was associated with persistent PH after 1 year. The 5-year mortality rate was associated with underlying disease. Only patients with persistent PH in the stable phase required pulmonary thromboendarterectomy within 5 years. Conclusions —An echocardiography Doppler investigation performed 6 weeks after diagnosis of acute PE can identify patients with persistent PH/RV dysfunction and may be of value in planning the follow-up and care of these patients.
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Metadata
- Authors
- Ribeiro, A., Lindmarker, P., Johnsson, H., Juhlin-Dannfelt, A., & Jorfeldt, L.
- Venue
- Circulation
- Published
- 1999-03-16
- Volume
- 99
- Issue
- 10
- Pages
- 1325-1330
- ISSN
- 0009-7322 (ISSN-L)
- 1524-4539
- OpenAlex
- W2167502709
- Cited by
- 435
- References
- 10
- FWCI
- 9.13
- Type
- journal article
- Language
- en
- Open access
- closed
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- Ribeiro, A., Lindmarker, P., Johnsson, H., Juhlin-Dannfelt, A., & Jorfeldt, L. (1999). Pulmonary Embolism: One-Year Follow-Up With Echocardiography Doppler and Five-Year Survival Analysis. Circulation. https://doi.org/10.1161/01.cir.99.10.1325
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