Background: Today, knowing the prognosis of PTE patients is of particular importance, because currently some of these patients can be treated on an outpatient basis, as well as determining the assignment of these patients in the emergency medicine service according to the prognosis of these patients helps a lot in survival. These patients will also reduce costs.
Methods: The present study is a longitudinal and retrospective study for all patients hospitalized in Qaem and Imam Reza emergency rooms between 2017 and 2023, who were over 18 years old and were candidates for CT angiography of the lung according to the standard protocol, and they had acute embolism. In CT angiography it was diagnosed by the radiologist, it was considered. Qualitative and quantitative imaging criteria were evaluated.
Results: No statistically significant relationship was found between survival status and gender, presence of DVT, history of smoking and history of retplase injection (P>0.05). There was a significant difference in the systolic and diastolic blood pressure of patients in the two groups, and in the improved group, blood pressure was lower, but no significant difference was observed in the breathing rate and heart rate (P>0.05). Adjusted for age, sex, systolic and diastolic blood pressure, having a higher ratio of the maximum longitudinal and transverse diameters of the right to left ventricle, protrusion (Bow) of the interventricular septum and having an embolism at the fourth level and age over 65 years with a higher chance of death was associated (P<0.05).
Conclusion: The results indicated that CT angiography criteria have predictive value in patients with acute pulmonary thromboembolism.
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1. 1.Sharifi K, Roshani D, Bostani M. Evaluation of CT angiography findings in the patients with clinical diagnosis of pulmonary thromboembolism. Scientific Journal of Kurdistan University of Medical Sciences. 2019;24(2):90-8.
2. Hadei SK, Molani L, Kahramfar Z, Mohammadi Y. Relationship between Computed Tompgraphy Pulmonary Angiography Findings and Clinical Findings Based on Wells Score in Acute Pulmonary Thromboembolism. Avicenna Journal of Clinical Medicine. 2021;28(2):71-8.
3. Molaee S, Ghanaati H, Safavi E, Foroumandi M, Peiman S. Computed tomography pulmonary angiography for evaluation of patients with suspected pulmonary embolism: use or overuse. Iranian Journal of Radiology. 2015;12(3).
4. Wang X, Xiang Y, Zhang T, Yang Y, Sun X, Shi J. Association between serum calcium and prognosis in patients with acute pulmonary embolism and the optimization of pulmonary embolism severity index. Respiratory research. 2020;21(1):1-9.
5. Sun J, Li H, Li J, Yu T, Li M, Zhou Z, et al. Improving the image quality of pediatric chest CT angiography with low radiation dose and contrast volume using deep learning image reconstruction. Quantitative Imaging in Medicine and Surgery. 2021;11(7):3051.
6. Huang Y, Ge H, Wang X, Zhang X. Association Between Blood Lipid Levels and Lower Extremity Deep Venous Thrombosis: A Population-Based Cohort Study. Clin Appl Thromb Hemost. 2022 Jan-Dec;28:10760296221121282
7. Nicholson M, Chan N, Bhagirath V, Ginsberg J. Prevention of Venous Thromboembolism in 2020 and Beyond. J Clin Med. 2020 Aug 1;9(8):2467.
8. Leme LE, Sguizzatto GT. PROPHYLAXIS OF VENOUS THROMBOEMBOLISM IN ORTHOPAEDIC SURGERY. Rev Bras Ortop. 2015 Nov 4;47(6):685-93.
9. Etesamifard N, Shirani S, Jenab Y, Lotfi-Tokaldany M, Pourjafari M, Jalali A. Role of clinical and pulmonary computed tomography angiographic parameters in the prediction of short- and long-term mortality in patients with pulmonary embolism. Intern Emerg Med. 2016 Apr;11(3):405-13.
10. Zantonelli G, Cozzi D, Bindi A, Cavigli E, Moroni C, Luvarà S, Grazzini G, Danti G, Granata V, Miele V. Acute Pulmonary Embolism: Prognostic Role of Computed Tomography Pulmonary Angiography (CTPA). Tomography. 2022 Feb 14;8(1):529-539
11. Bach A.G., Nansalmaa B., Kranz J., Taute B.-M., Wienke A., Schramm D., Surov A. CT pulmonary angiography findings that predict 30-day mortality in patients with acute pulmonary embolism. Eur. J. Radiol. 2015;84:332–337
12. Meinel F., Nance J.W., Schoepf U.J., Hoffmann V.S., Thierfelder K.M., Costello P., Goldhaber S.Z., Bamberg F. Predictive Value of Computed Tomography in Acute Pulmonary Embolism: Systematic Review and Meta-analysis. Am. J. Med. 2015;128:747–759.e2.
13. Costantino MM, Randall G, Gosselin M, Brandt M, SpinningK, Vegas CD, et al. CT angiography in the evaluation of acute pulmonary embolus. AJR Am J Roentgenol. 2008;191(2):471-4
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