Volume 39, Issue 12 pp. 1532-1539
ORIGINAL ARTICLE

The relationship between pesi score and pulmonary venous flow parameters in patients with acute pulmonary embolism

Faruk Aydınyılmaz MD

Corresponding Author

Faruk Aydınyılmaz MD

Department of Cardiology, University of Health Sciences, Erzurum Bolge Training and Research Hospital, Erzurum, Turkey

Correspondence

Faruk Aydınyılmaz, University of Health Sciences, Erzurum Bolge Training and Research Hospital, Cardiology, Çat Yolu Cd., 25240 Yakutiye/Erzurum, Turkey.

Email: [email protected]

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Nail Burak Özbeyaz MD

Nail Burak Özbeyaz MD

Department of Cardiology, Pursaklar State Hospital, Ankara, Turkey

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Engin Algül MD

Engin Algül MD

Department of Cardiology, University of Health Sciences, Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara, Turkey

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Alperen Aksakal MD

Alperen Aksakal MD

Department of Chest Disease, University of Health Sciences, Erzurum Bolge Training and Research Hospital, Erzurum, Turkey

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İlkin Guliyev MD

İlkin Guliyev MD

Department of Cardiology, MedicalPark Hospital, Tokat, Turkey

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Haluk Furkan Şahan MD

Haluk Furkan Şahan MD

Department of Cardiology, University of Health Sciences, Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara, Turkey

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Emrah Aksakal MD

Emrah Aksakal MD

Department of Cardiology, University of Health Sciences, Erzurum Bolge Training and Research Hospital, Erzurum, Turkey

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İbrahim Saraç MD

İbrahim Saraç MD

Department of Cardiology, University of Health Sciences, Erzurum Bolge Training and Research Hospital, Erzurum, Turkey

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Kamuran Kalkan MD

Kamuran Kalkan MD

Department of Cardiology, University of Health Sciences, Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara, Turkey

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First published: 08 November 2022
Citations: 1

Abstract

Background

Acute pulmonary embolism (APE) is an important cause of cardiovascular morbidity and mortality. PESI scoring is used in risk classification. This study was designed to determine the relationship between echocardiographic pulmonary vein measurements and PESI score, which is an important tool in diagnosis and treatment.

Methods

A total of 210 patients were evaluated. Pulmonary vein measurements and PESI scores of the patients at the time of diagnosis were calculated. Correlation analysis was performed to determine the relationship between the two parameters.

Results

Total PESI scores were 112.9 ± 33.9. The pulmonary vein S wave .39 ± .14, the D wave .48 ± .18, and the S/D ratio was found to be .86 ± .35. It was determined that there was a significant correlation between pulmonary S/D ratio and PESI score. (Pearson correlation coefficient = −.693, R2 Linear:.484; p < .001) The AUC of S/D for mortality prediction was .729 (95% CI = .653–.804; p < .001), the cutoff value was .63, the sensitivity and specificity were 55.6% and 55.7%, respectively.

Conclusion

Pulmonary vein measurements were found to be correlated with the PESI score and were found to be a parameter that could predict mortality.

CONFLICT OF INTEREST

All authors declare that they do not have any conflicts of interest. The authors have no relevant financial or non-financial interests to disclose.

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