Association between 2D echocardiographic right atrial volume to left atrial volume (RAV/LAV) ratio and in-hospital prognosis in thrombolysed acute pulmonary thromboembolism patients

Autor: G. Ravi Kiran, P. Chandrasekhar, S. Mohammad Ali
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Indian Heart Journal, Vol 72, Iss 6, Pp 610-613 (2020)
Druh dokumentu: article
ISSN: 0019-4832
DOI: 10.1016/j.ihj.2020.09.008
Popis: Right atrial volume/Left atrial volume (RAV/LAV) ratio is a good hemodynamic parameter in acute pulmonary thromboembolism (PTE), whose prognostic ability by 2D echocardiography is not studied to date. We conducted a 27 month, prospective observational study on 55 eligible acute PTE thrombolysed (29: Tenecteplase; 26: Streptokinase) patients. The primary endpoint was a composite of in-hospital death and poor right ventricular reverse remodelling at the time of discharge. The incidence of primary end-point and death were 40% and 7.2% respectively. On regression analysis, RAV/LAV ratio was the only predictor of the primary endpoint, with an optimal cut-off of 3.8 (accuracy 75%).
Databáze: Directory of Open Access Journals