Relationship Between ECG Findings and Pulmonary Artery Pressure in Patients With Acute Massive Pulmonary Thromboembolism

Autor: Satoshi Ikeda, Masahiro Shikuwa, Yoshiyuki Miyahara, Shigeru Kohno, Takayuki Yoshinaga
Rok vydání: 2003
Předmět:
Zdroj: Circulation Journal. 67:229-232
ISSN: 1347-4820
1346-9843
DOI: 10.1253/circj.67.229
Popis: Pulmonary thromboembolism (PTE) is associated with various electrocardiogram (ECG) abnormalities, but the utility of evaluating the severity of PTE based on ECG abnormalities alone has not been investigated in Japanese patients previously. The purpose of this study was to examine the relationship between ECG abnormalities and the mean pulmonary artery pressure (MPAP) in patients with acute massive PTE (AMPTE). ECG examination of 21 patients, who were diagnosed with AMPTE by pulmonary arteriography, found that S1Q3T 3 was the most frequently observed abnormality (in 67% of the patients), followed by negative T (62%), clockwise rotation (57%), and ST elevation (48%). When these patients were divided into 2 groups based on the level of MPAP, 8 of the 11 ECG findings, which were associated with PTE in a previous report, were more frequently observed in Group H (MPAP ≥40 mmHg) than in Group L (MPAP
Databáze: OpenAIRE