آنژیوگرافی ریوی توموگرافی اسپیرال در بیماران مبتلا به آمبولی حاد ریوی و عدم ابتلا به بیماری قبلی: مطالعه پانل آینده نگر پیش آگهی
Spiral computed tomographic pulmonary angiography in patients with acute pulmonary emboli and no pre-existing comorbidity: a prospective prognostic panel study
نویسندگان: رضا جواد رشید , محمد کاظم طرزمنی , محمدرضا غفاری باویل , دانیال فدایی فولادی
کلمات کلیدی: Multidetector computed tomography; Mortality; Pulmonary embolism; Right ventricle; Angiography
نشریه: 11065 , 1 , 25 , 2015
| نویسنده ثبت کننده مقاله |
محمدرضا غفاری باویل |
| مرحله جاری مقاله |
تایید نهایی |
| دانشکده/مرکز مربوطه |
مرکز تحقیقات سل و بیماری های ریوی |
| کد مقاله |
74468 |
| عنوان فارسی مقاله |
آنژیوگرافی ریوی توموگرافی اسپیرال در بیماران مبتلا به آمبولی حاد ریوی و عدم ابتلا به بیماری قبلی: مطالعه پانل آینده نگر پیش آگهی |
| عنوان لاتین مقاله |
Spiral computed tomographic pulmonary angiography in patients with acute pulmonary emboli and no pre-existing comorbidity: a prospective prognostic panel study |
| ناشر |
5 |
| آیا مقاله از طرح تحقیقاتی و یا منتورشیپ استخراج شده است؟ |
بلی |
| عنوان نشریه (خارج از لیست فوق) |
|
| نوع مقاله |
Original Article |
| نحوه ایندکس شدن مقاله |
ایندکس شده سطح یک – ISI - Web of Science |
| آدرس لینک مقاله/ همایش در شبکه اینترنت |
|
| Objective To investigate the prognostic validity of the right ventricular to left ventricular diameter (RVD/LVD) ratio and Qanadli pulmonary artery obstruction score (PAOS) in hemo-dynamically stable patients with no pre-existing comorbidities.
Methods Sixty-three patients with no previous comorbidity were recruited for this study. The RVD/LVD ratio was calculated based on axial image measurements obtained from contrast-enhanced non-electrocardiography-gated spiral computed tomography (CT) pulmonary angiographic studies. Patients were followed up for 60 days after the initial CT and study variables including demographic data, the RVD/LVD ratio and PAOS were compared between deceased cases and survivors via univariate and multivariate statistical models.
Results The 60-day mortality rate was 22.2 %. The deceased and surviving groups were comparable for PAOS, whereas both the median age and RVD/LVD ratio were significantly higher in the first group. In multivariate analysis, however, age was the only significant, independent predictor of 60-day mortality (p=0.02, Exp(B)=1.06). At a cut-off age of 63 years the 60-day mortality was predicted with a sensitivity and specificity of 64.3 % and 69.4 %, respectively.
Conclusions The RVD/LVD ratio and PAOS are not independent predictors of mortality in hemodynamically stable patients with acute PE and no pre-existing comorbidities. |
| نام فایل |
تاریخ درج فایل |
اندازه فایل |
دانلود |
| Javadrashid2015_Article_SpiralComputedTomographicPulmo.pdf | 1399/09/02 | 592715 | دانلود |