Diagnosis of Right Ventricular Dysfunction in Acute Pulmonary Embolism Using Helical Computed Tomography

Forty-six consecutive patients with pulmonary embolism (PE) who underwent pulmonary angiography, helical computed tomography (CT), and echocardiography in the investigators' emergency department were studied. It was determined that the CT right ventricular (RV)/left ventricular (LV) end-diastol...

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Veröffentlicht in:The American journal of cardiology 2005-05, Vol.95 (10), p.1260-1263
Hauptverfasser: Mansencal, Nicolas, Joseph, Thierry, Vieillard-Baron, Antoine, Langlois, Soline, El Hajjam, Mostafa, Qanadli, Salah D., Lacombe, Pascal, Jardin, François, Dubourg, Olivier
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Sprache:eng
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Zusammenfassung:Forty-six consecutive patients with pulmonary embolism (PE) who underwent pulmonary angiography, helical computed tomography (CT), and echocardiography in the investigators' emergency department were studied. It was determined that the CT right ventricular (RV)/left ventricular (LV) end-diastolic area ratio was correlated with PE obstruction and echocardiography. A CT RV/LV area ratio >1 had a sensitivity of 88% and a specificity of 88% in diagnosing significant PE. The present study suggests that helical CT may be used as a triage tool in acute PE for selecting high-risk patients, using calculation of the RV/LV area ratio to detect RV dysfunction.
ISSN:0002-9149
1879-1913
DOI:10.1016/j.amjcard.2005.01.064