Mastora obstrukcijos balo prognostinė reikšmė ūminės plaučių arterijų trombinės embolijos atveju
| Autor: | Vaida Gedvilaitė, Jolita Račkauskienė, Mindaugas Matačiūnas, Mažvilė Abrutytė, Edvardas Danila |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
pulmonary embolism Mastora Pleural effusion business.industry lcsh:R lcsh:Medicine General Medicine chest CTPA CRP D-dimer medicine.disease Pulmonary embolism Hemodynamically stable Respiratory failure D-dimer Internal medicine medicine Pulmonary angiography Cardiology Respiratory system Increased pulmonary artery pressure CRP business Research Article |
| Zdroj: | Acta Med Litu Acta Medica Lituanica, Vol 26, Iss 4 (2020) Acta medica Lituanica, Vilnius : Vilniaus universiteto leidykla, 2019, t. 26, Nr. 4, p. 191-198 |
| ISSN: | 2029-4174 1392-0138 |
| DOI: | 10.6001/actamedica.v26i4.4203 |
| Popis: | BACKGROUND: To evaluate the clinical significance of Mastora obstruction score in hemodynamically stable patients with acute pulmonary embolism (aPE). MATERIALS AND METHODS: One-hundred-and-six patients with newly diagnosed aPE, confirmed by computed tomography pulmonary angiography (CTPA), were included in the study and prospectively examined. aPE severity was assessed by using Mastora obstruction score. According to the Mastora index, patients were divided into “non-massive” and “massive” groups. The patients’ medical histories and blood laboratory data were collected, and instrumental tests were performed and analyzed. RESULTS: Eighty-two (77%) of the patients had “non-massive” aPE. Cough (48%), fever (44%), and pleural effusion (48%) occurred significantly more often in the “non-massive” PE group, while syncope (42%) and right ventricular dysfunction (86%) were more frequent in the “massive” PE group. The probability of the right ventricular dysfunction was significantly higher in the presence of increased pulmonary artery pressure (Cramer’s V = 0.410; p |
| Databáze: | OpenAIRE |
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