دانلود رایگان مقاله لاتین شاخص شوک برای رده بندی خطر در آمبولی حاد ریه از سایت الزویر
عنوان فارسی مقاله:
شاخص شوک برای عاقبت و رده بندی خطر در آمبولی حاد ریه
عنوان انگلیسی مقاله:
Shock index for outcome and risk stratification in acute pulmonary embolism
سال انتشار : 2016
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مقدمه انگلیسی مقاله:
1. Introduction
Current guidelines emphasise the exceptional importance of early risk stratification of patients with an acute pulmonary embolism (PE).1e3 Risk stratification should help to identify PE patients with higher risk of early death, who could benefit from more intensive surveillance and especially more aggressive therapy.1,4,5 Therefore, early risk stratification of patients with acute pulmonary embolism (PE) is crucial in deciding appropriate therapy management. The Shock index (SI), defined as heart rate divided by systolic blood pressure, is a rapidly available and reliable parameter. Both parameters, heart rate and systolic blood pressure, are predictive for the outcome in PE on their own.3,6e11 Higher heart rate7,11e14 as well as lower systolic blood pressure6,8e11 were both predictive for poorer outcome in acute PE. Therefore heart rate and systolic blood pressure have been included in outcome scores such as pulmonary embolism severity index (PESI) as risk strati- fication parameters.9,11 Especially the systolic blood pressure is an important and powerful criterion in risk stratification and risk classification in patients with acute PE.3,9 Acute PE interferes with circulation, heart and lungs.2,15 If more than 30% of the pulmonary arterial bed is occluded by thrombus material, hemodynamic consequences of acute PE event occur.8,14 Severe obstruction of blood flow could result in right heart failure with insuffi- cient maintenance of blood pressure and high risk of short term death.3,5,9,16 Hypotension with systolic blood pressure <90 mmHg was detected as one important prognostic factor in the International Cooperative Pulmonary Embolism Registry (ICOPER).6 In the PESI and the simplified PESI a systolic BP of <100 mmHg is one of the parameters to predict worse outcome.2,10,11 SI is a well-established and an independent predictor of short term mortality in acute PE (first 30 days after PE event),17,18 but limited data about optimal cut-off values for SI predicting short term outcome and especially in-hospital death in acute PE are available up to now. The objective of this present study was to investigate SI as a risk stratification and outcome predicting parameter. We aimed to define optimal cut-off values for SI predicting in-hospital death, myocardial necrosis and right ventricular dysfunction (RVD) in patients with acute pulmonary embolism and to test the effectiveness of SI to predict these parameters.
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کلمات کلیدی:
[PDF]Risk Stratification of Patients with Acute Pulmonary Embolism - InTech cdn.intechopen.com/pdfs/32200.pdf by CWL Chin - Cited by 2 - Related articles Mar 14, 2012 - 2. Risk Stratification of Patients with Acute Pulmonary Embolism. Calvin Woon-Loong Chin. National Heart Center Singapore. Singapore. 1. Acute pulmonary embolism - risk stratification and management https://www.slideshare.net/.../acute-pulmonary-embolism-risk-stratification-and-mana... Sep 14, 2016 - Acute Pulmonary Embolism Risk stratification & Management September 2016 Dr Prithvi Puwar DNB Cardiology Vijaya Hospital • Risk ... Shock index for outcome and risk stratification in acute pulmonary ... www.arteryresearch.com/article/S1872-9312(16)30015-1/abstract by K Keller - 2016 - Related articles •Risk stratification in PE is crucial for deciding appropriate therapy. •Shock index is a rapidly available and reliable parameter. •Shock index is a significant ... Cardiac Biomarkers for Risk Stratification of Patients With Acute ... circ.ahajournals.org/content/108/18/2191 by N Kucher - 2003 - Cited by 307 - Related articles Nov 4, 2003 - Echocardiography has emerged as the principal tool for risk stratification in acute PE. From a prognostic point of view, echocardiography helps ... Diagnosis and Risk Stratification in Acute Pulmonary Embolism: The ... medreviews.com/.../diagnosis-and-risk-stratification-in-acute-pulmonary-embolism-ro... Pulmonary embolism (PE) is a frequently encountered clinical condition with a high mortality rate that is affected by various factors such as age, hemodynamics, ... Searches related to risk stratification in acute pulmonary embolism risk stratification pulmonary embolism pulmonary embolism severity index pulmonary embolism score perc score pesi
