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• W2104433492 abstract "Pulmonary embolism (PE) is a frequent and life-threatening disease. Its incidence is estimated to be 500,000/year in the United States, which represents the third largest cause of cardiovascular death after coronary artery disease and stroke. 1 Giuntini C. Di Ricco G. Marini C. Melillo E. Palla A. Pulmonary embolism epidemiology. Chest. 1995; 107: 3S-9S Crossref PubMed Google Scholar , 2 Goldhaber S.W. Pulmonary embolism. in: Braunwald E. Heart Disease A Textbook of Cardiovascular Medicine. 5th ed. WB Saunders, Philadelphia1997: 1582-1603 Google Scholar The diagnosis of PE remains difficult despite progress in imaging and nonimaging diagnostic methods. Transthoracic echocardiography is actually a useful diagnostic tool and has also been suggested to guide the indication of thrombolysis in PE. Echocardiographic disturbances are usually present when the Miller angiographic index is >30% to 40%. 3 Ribeiro A. Juhlin-Dannfelt A. Brodin L.A. Holmgren A. Jorfeldt L. Pulmonary embolism relation between the degree of right ventricle overload and the extent of perfusion defects. Am Heart J. 1998; 135: 868-874 Abstract Full Text Full Text PDF PubMed Scopus (52) Google Scholar , 4 Charbonnier B. Major pulmonary embolism. Rev Pract. 2000; 50: 40-44 Google Scholar Several previous studies have validated echocardiography in acute PE and many echocardiographic parameters secondary to pulmonary obstruction have been proposed, 5 Nazeyrollas P. Metz D. Jolly D. Maillier B. Jennesseaux C. Maes D. Chabert J.P. Chapoutot L. Elaerts J. Use of transthoracic Doppler echocardiography combined with clinical and electrocardiographic data to predict acute pulmonary embolism. Eur Heart J. 1996; 17: 779-786 Crossref PubMed Scopus (110) Google Scholar , 6 Kasper W. Meinertz T. Kersting F. Lollgen H. Limbourg P. Just H. Echocardiography in assessing acute pulmonary hypertension due to pulmonary embolism. Am J Cardiol. 1980; 45: 567-572 Abstract Full Text PDF PubMed Scopus (88) Google Scholar , 7 Metz D. Chapoutot L. Ouzan J. Chabert J. Pollet E. Elaerts J. Bajolet A. Doppler echocardiographic assessment of the severity of acute pulmonary embolism. A correlative angiographic study of forty-eight adult patients. Am J Noninvas Cardiol. 1991; 5: 223-228 Google Scholar , 8 Jardin F. Dubourg O. Guéret P. Delorme G. Bourdarias J.P. Quantitative two-dimensional echocardiography in massive pulmonary embolism emphasis on ventricular interdependence and leftward septal displacement. J Am Coll Cardiol. 1987; 10: 1201-1206 Abstract Full Text PDF PubMed Scopus (198) Google Scholar especially right ventricular (RV)-to-left ventricular (LV) end-diastolic (ED) diameter ratio 6 Kasper W. Meinertz T. Kersting F. Lollgen H. Limbourg P. Just H. Echocardiography in assessing acute pulmonary hypertension due to pulmonary embolism. Am J Cardiol. 1980; 45: 567-572 Abstract Full Text PDF PubMed Scopus (88) Google Scholar and RVED-to-LVED area ratio. 8 Jardin F. Dubourg O. Guéret P. Delorme G. Bourdarias J.P. Quantitative two-dimensional echocardiography in massive pulmonary embolism emphasis on ventricular interdependence and leftward septal displacement. J Am Coll Cardiol. 1987; 10: 1201-1206 Abstract Full Text PDF PubMed Scopus (198) Google Scholar To our knowledge, no study has previously compared the values of these different parameters. This investigation compares the accuracy of the different echocardiographic indexes of RV obstruction in acute PE." @default.
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• W2104433492 date "2003-07-01" @default.
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• W2104433492 title "Comparison of different echocardiographic indexes secondary to right ventricular obstruction in acute pulmonary embolism" @default.
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• W2104433492 doi "https://doi.org/10.1016/s0002-9149(03)00485-5" @default.
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