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- W2162113752 endingPage "814" @default.
- W2162113752 startingPage "806" @default.
- W2162113752 abstract "The presence of right heart thromboemboli complicating pulmonary thromboemboli carries with it an increased mortality rate compared to pulmonary thromboemboli alone, but little is known about the optimal management of this difficult clinical situation. This fact is highlighted in the case study of a patient with a 19-cm right atrial thrombus complicating bilateral pulmonary thromboemboli.We sought to determine the effects of anticoagulation therapy, thrombolysis, and surgical embolectomy on mortality rate in patients with right heart thromboemboli.Retrospective analysis of all reported cases in the English language literature (1966 to 2000) of right heart thromboembolism in which age, sex, therapy, and outcome were reported.We analyzed 177 cases of right heart thromboembolism. Pulmonary thromboembolism was present in 98% of the cases. The patients were evenly divided by gender with an average age of 59.8 years (SD, 16.6 years) years. Dyspnea (54.2%), chest pain (22.6%), and syncope (17.5%) were the most common presenting symptoms. The treatments administered were none (9%), anticoagulation therapy (35.0%), surgical procedure (35.6%), or thrombolytic therapy (19.8%). The overall mortality rate was 27.1%. The mortality rate associated with no therapy, anticoagulation therapy, surgical embolectomy, and thrombolysis was 100.0%, 28.6%, 23.8%, and 11.3%, respectively. Using multivariate modeling with survival as the primary outcome, age and gender were not associated with mortality rate, but thrombolytic therapy was associated with an improved survival rate (p < 0.05) when compared either to anticoagulation therapy or surgery.The presence of right heart thromboemboli may have diagnostic and therapeutic implications in pulmonary thromboembolism patients. A well-designed prospective, randomized trial is needed to determine the optimal treatment of right heart thromboemboli." @default.
- W2162113752 created "2016-06-24" @default.
- W2162113752 creator A5049816789 @default.
- W2162113752 creator A5076513928 @default.
- W2162113752 creator A5084574114 @default.
- W2162113752 date "2002-03-01" @default.
- W2162113752 modified "2023-10-09" @default.
- W2162113752 title "Treatment of Right Heart Thromboemboli" @default.
- W2162113752 cites W126279836 @default.
- W2162113752 cites W1523268811 @default.
- W2162113752 cites W1888600300 @default.
- W2162113752 cites W189405436 @default.
- W2162113752 cites W1967542112 @default.
- W2162113752 cites W1975629171 @default.
- W2162113752 cites W1978693557 @default.
- W2162113752 cites W1978830177 @default.
- W2162113752 cites W1979804730 @default.
- W2162113752 cites W1980531672 @default.
- W2162113752 cites W1982092722 @default.
- W2162113752 cites W1983038310 @default.
- W2162113752 cites W1985403985 @default.
- W2162113752 cites W1986292465 @default.
- W2162113752 cites W1987090451 @default.
- W2162113752 cites W1987784839 @default.
- W2162113752 cites W1989186390 @default.
- W2162113752 cites W1991204697 @default.
- W2162113752 cites W1991327202 @default.
- W2162113752 cites W1992617062 @default.
- W2162113752 cites W1998434545 @default.
- W2162113752 cites W2001258667 @default.
- W2162113752 cites W2001733129 @default.
- W2162113752 cites W2002199821 @default.
- W2162113752 cites W2005060756 @default.
- W2162113752 cites W2006232262 @default.
- W2162113752 cites W2007338502 @default.
- W2162113752 cites W2008397343 @default.
- W2162113752 cites W2009326922 @default.
- W2162113752 cites W2009406957 @default.
- W2162113752 cites W2012009571 @default.
- W2162113752 cites W2013235395 @default.
- W2162113752 cites W2013688073 @default.
- W2162113752 cites W2014259412 @default.
- W2162113752 cites W2014415885 @default.
- W2162113752 cites W2021032337 @default.
- W2162113752 cites W2021112959 @default.
- W2162113752 cites W2023676155 @default.
- W2162113752 cites W2025664249 @default.
- W2162113752 cites W2027068329 @default.
- W2162113752 cites W2027231697 @default.
- W2162113752 cites W2029731999 @default.
- W2162113752 cites W2031079304 @default.
- W2162113752 cites W2032034325 @default.
- W2162113752 cites W2045833844 @default.
- W2162113752 cites W2047485542 @default.
- W2162113752 cites W2048485765 @default.
- W2162113752 cites W2052865193 @default.
- W2162113752 cites W2056004266 @default.
- W2162113752 cites W2056222077 @default.
- W2162113752 cites W2061995020 @default.
- W2162113752 cites W2062143653 @default.
- W2162113752 cites W2062518766 @default.
- W2162113752 cites W2065350797 @default.
- W2162113752 cites W2067548179 @default.
- W2162113752 cites W2070347674 @default.
- W2162113752 cites W2071252964 @default.
- W2162113752 cites W2074335635 @default.
- W2162113752 cites W2076309407 @default.
- W2162113752 cites W2077500059 @default.
- W2162113752 cites W2083978863 @default.
- W2162113752 cites W2089159708 @default.
- W2162113752 cites W2090260054 @default.
- W2162113752 cites W2090818962 @default.
- W2162113752 cites W2091912820 @default.
- W2162113752 cites W2093335711 @default.
- W2162113752 cites W2100484963 @default.
- W2162113752 cites W2105948339 @default.
- W2162113752 cites W2111314273 @default.
- W2162113752 cites W2115785998 @default.
- W2162113752 cites W2138532060 @default.
- W2162113752 cites W2138855702 @default.
- W2162113752 cites W2138912174 @default.
- W2162113752 cites W2142615152 @default.
- W2162113752 cites W2148792995 @default.
- W2162113752 cites W2152963587 @default.
- W2162113752 cites W2158458540 @default.
- W2162113752 cites W2160453795 @default.
- W2162113752 cites W2162744881 @default.
- W2162113752 cites W2166723476 @default.
- W2162113752 cites W2171145855 @default.
- W2162113752 cites W2282331470 @default.
- W2162113752 cites W2288169668 @default.
- W2162113752 cites W2293581387 @default.
- W2162113752 cites W2319723069 @default.
- W2162113752 cites W2340367584 @default.
- W2162113752 cites W2427676656 @default.
- W2162113752 cites W2431427294 @default.
- W2162113752 cites W2975834859 @default.
- W2162113752 cites W59092716 @default.