Role of the 12-Lead Electrocardiogram in Diagnosing Pulmonary Embolism

Role of the 12-Lead Electrocardiogram in Diagnosing Pulmonary Embolism

We investigated the role of the standard 12-lead electrocardiogram (ECG) to improve the pretest probability of pulmonary embolism before performing computed tomographic (CT) pulmonary angiography. A retrospective chart analysis was performed on patients who underwent CT pulmonary angiography at a te...

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Veröffentlicht in:Cardiology in review 2005-01, Vol.13 (1), p.46-49
Hauptverfasser: Sinha, Neeraj, Yalamanchili, Kiran, Sukhija, Rishi, Aronow, Wilbert S, Fleisher, Arlen G, Maguire, George P, Lehrman, Stuart G
Format: Artikel
Sprache:eng
Schlagworte:
Acute Disease
Angiography
Case-Control Studies
Electrocardiography - methods
Female
Humans
Male
Middle Aged
Pulmonary Embolism - diagnosis
Pulmonary Embolism - diagnostic imaging
Tomography, X-Ray Computed
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Zusammenfassung:We investigated the role of the standard 12-lead electrocardiogram (ECG) to improve the pretest probability of pulmonary embolism before performing computed tomographic (CT) pulmonary angiography. A retrospective chart analysis was performed on patients who underwent CT pulmonary angiography at a tertiary care hospital during a 30-month period. Comparison of 15 ECG parameters was made between those with CT pulmonary angiograms positive for pulmonary embolism and a matched control group with negative CT pulmonary angiograms. Data were analyzed by chi-squared tests and logistic regression. Sinus tachycardia (39% vs. 24%, P
ISSN:1061-5377
1538-4683
DOI:10.1097/01.crd.0000134647.55135.4a