MANAGEMENT OF PATIENTS WITH PULMONARY EMBOLISM IN THE CARDIAC HOSPITAL FROM POSITIONS OF MODERN EUROPEAN SOCIETY OF CARDIOLOGY GUIDELINES
https://doi.org/10.17802/2306-1278-2015-4-90-96
Abstract
Purpose. Estimation the detection rate of pulmonary embolism (PE) and identifying risk factors for its development and adverse hospital events.
Materials and methods. 55 patients with PE were conducted the standard laboratory and instrumental examination.
Results. About half the patients were hospitalized in the first 24 hours from the time of development symptoms, while 23,6 % of patients had primary PE. The female person with obesity, hypertension, diabetes mellitus and coronary artery disease prevailed in the group of patients. The cancer pathology and thrombosis of deep vein occurred in 21,8 and 18,2 % respectively. The 41,9 % of patients underwent thrombolytic therapy, 52,7 % of patients – conservative treatment by anticoagulants, three patients underwent surgery thrombectomy from the pulmonary artery trunk. The death occurred in 12 (23,6 %) patients. Identified adverse prognostic factors: the low systolic blood pressure, dilatation of the right ventricle, the pulmonary artery trunk thrombosis and elevated levels of troponin-T. The elevated levels of D-dimer was observed in all patients with PE, regardless of the outcome. The frequency of PE was 1,03 % of the patients with pathology of the cardiovascular system have been admitted to the hospital during the year.
Conclusion. The presence of obesity and hypertension in patients with pulmonary embolism was detected most frequently. Adverse hospital events in patients with PE was significantly associated with arterial hypotension (p=0,0016), the presence of right ventricular dilatation (p=0,006), thrombosis of the pulmonary artery trunk (p=0,026) and increased troponin T levels (p=0,0426).
About the Authors
S. A. BERNS
Federal State Budgetary Scientific Institution Research Institute for Complex Issues of Cardiovascular Diseases
Russian Federation
6, Sosnoviy blvd., Kemerovo, 650002
Russian Federation
6, Sosnoviy blvd., Kemerovo, 650002
Evgeniya A. Shmidt
Federal State Budgetary Scientific Institution Research Institute
for Complex Issues of Cardiovascular Diseases
Russian Federation
6, Sosnoviy blvd., Kemerovo, 650002
Russian Federation
6, Sosnoviy blvd., Kemerovo, 650002
O. A. NAGIRNIYAK
Federal State Budgetary Scientific Institution Research Institute
for Complex Issues of Cardiovascular Diseases
Russian Federation
6, Sosnoviy blvd., Kemerovo, 650002
Russian Federation
6, Sosnoviy blvd., Kemerovo, 650002
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Review
For citations:
BERNS S.A., Shmidt E.A., NAGIRNIYAK O.A. MANAGEMENT OF PATIENTS WITH PULMONARY EMBOLISM IN THE CARDIAC HOSPITAL FROM POSITIONS OF MODERN EUROPEAN SOCIETY OF CARDIOLOGY GUIDELINES. Complex Issues of Cardiovascular Diseases. 2015;(4):90-96. (In Russ.) https://doi.org/10.17802/2306-1278-2015-4-90-96
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