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Cited by 435

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

Ribeiro, Ary, Lindmarker, Per, Johnsson, Hans, Juhlin-Dannfelt, Anders, Jorfeldt, Lennart·1999·Circulation

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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CoChat. (2026). Citation check: Pulmonary Embolism: One-Year Follow-Up With Echocardiography Doppler and Five-Year Survival Analysis. https://app.cochat.ai/papers/10.1161/01.cir.99.10.1325
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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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