Online first
Original article
Published online: 2024-11-13

open access

Page views 18
Article views/downloads 10
Get Citation

Connect on Social Media

Connect on Social Media

Role of echocardiographic indicators of right ventricular dysfunction in prediction of 30-day mortality in non-high-risk patients with acute pulmonary embolism within different variants of Bova score

Jerzy Wiliński12, Ositadima Chukwu3, Anna Skwarek12, Radosław Borek12, Michał Medygrał1, Julia Chukwu4, Katarzyna Stolarz-Skrzypek5, Marek Rajzer5

Abstract

Not available

Article available in PDF format

View PDF Download PDF file

References

  1. Konstantinides SV, Meyer G, Becattini C, et al. 2019 ESC Guidelines for the diagnosis and management of acute pulmonary embolism developed in collaboration with the European Respiratory Society (ERS). Eur Heart J. 2020; 41(4): 543–603.
  2. Mohr K, Hobohm L, Kaier K, et al. Drivers and recent trends of hospitalisation costs related to acute pulmonary embolism. Clin Res Cardiol. 2024 [Epub ahead of print].
  3. Bĕlohlávek J, Dytrych V, Linhart A. Pulmonary embolism, part I: Epidemiology, risk factors and risk stratification, pathophysiology, clinical presentation, diagnosis and nonthrombotic pulmonary embolism. Exp Clin Cardiol. 2013; 18(2): 129–138.
  4. Kürkciyan I, Meron G, Sterz F, et al. Pulmonary embolism as a cause of cardiac arrest: Presentation and outcome. Arch Intern Med. 2000; 160(10): 1529–1535.
  5. Pruszczyk P, Torbicki A. Pulmonary embolism. In: Szczeklik A, Gajewski P. ed. Szczeklik’s Internal Medicine. Medycyna Praktyczna, Kraków 2023: 579–591.
  6. Wiliński J, Chukwu O, Ciuk K, et al. Clinical and linguistic validation of a Polish version of the Pulmonary Embolism Quality of Life Questionnaire: a disease-specific quality of life questionnaire for patients after acute pulmonary embolism. Kardiol Pol. 2021; 79(9): 1019–1021.
  7. Pruszczyk P, Skowrońska M, Ciurzyński M, et al. Assessment of pulmonary embolism severity and the risk of early death. Pol Arch Intern Med. 2021; 131(12): 16134.
  8. Cimini LA, Candeloro M, Pływaczewska M, et al. Prognostic role of different findings at echocardiography in acute pulmonary embolism: A critical review and meta-analysis. ERJ Open Res. 2023; 9(2): 00641-2022.
  9. Aujesky D, Obrosky DS, Stone RA, et al. Derivation and validation of a prognostic model for pulmonary embolism. Am J Respir Crit Care Med. 2005; 172(8): 1041–1046.
  10. Jiménez D, Aujesky D, Moores L, et al. Simplification of the pulmonary embolism severity index for prognostication in patients with acute symptomatic pulmonary embolism. Arch Intern Med. 2010; 170(15): 1383–1389.
  11. Bova C, Sanchez O, Prandoni P, et al. Identification of intermediate-risk patients with acute symptomatic pulmonary embolism. Eur Respir J. 2014; 44(3): 694–703.
  12. Dellas C, Tschepe M, Seeber V, et al. A novel H-FABP assay and a fast prognostic score for risk assessment of normotensive pulmonary embolism. Thromb Haemost. 2014; 111(5): 996–1003.
  13. Fernández C, Bova C, Sanchez O, et al. Validation of a model for identification of patients at intermediate to high risk for complications associated with acute symptomatic pulmonary embolism. Chest. 2015; 148(1): 211–218.
  14. Hobohm L, Hellenkamp K, Hasenfuß G, et al. Comparison of risk assessment strategies for not-high-risk pulmonary embolism. Eur Respir J. 2016; 47(4): 1170–1178.
  15. Lankeit M, Friesen D, Schäfer K, et al. A simple score for rapid risk assessment of non-high-risk pulmonary embolism. Clin Res Cardiol. 2013; 102(1): 73–80.
  16. Zhang Yu, Chen Y, Chen H, et al. Performance of the simplified pulmonary embolism severity index in predicting 30-day mortality after acute pulmonary embolism: Validation from a large-scale cohort. Eur J Intern Med. 2024; 124: 46–53.
  17. Konstantinides SV, Torbicki A, Agnelli G, et al. 2014 ESC guidelines on the diagnosis and management of acute pulmonary embolism. Eur Heart J. 2014; 35(43): 3033–3080.
  18. Wiliński J, Skwarek A, Borek R, et al. Subcostal echocardiographic assessment of tricuspid annular kick (SEATAK): A novel independent predictor of 30-day mortality in patients with acute pulmonary embolism. Kardiol Pol. 2022; 80(11): 1127–1135.
  19. Wiliński J, Skwarek A, Borek R, et al. Right ventricular wall thickness indexed to body surface area as an echocardiographic predictor of acute pulmonary embolism in high-risk patients. Kardiol Pol. 2022; 80(2): 205–207.
  20. Wiliński J, Skwarek A, Borek R, et al. Indexing of speckle tracking longitudinal strain of right ventricle to body surface area does not improve its efficiency in diagnosis and mortality risk stratification in patients with acute pulmonary embolism. Healthcare (Basel). 2023; 11(11): 1629.
  21. Wiliński J, Chukwu O, Skwarek A, et al. Echocardiographic parameters as adjuncts to the Pulmonary Embolism Severity Index in predicting 30-day mortality in acute pulmonary embolism patients. Pol Heart J. 2024; 82(5): 507–515.
  22. Recommended Reading on Echocardiography — European Association of Cardiovascular Imaging (EACVI). https://www.escardio.org/Guidelines/Recommended-Reading/Cardiovascular-Imaging/Echocardiography (accessed: July 31 2024).
  23. Lang RM, Badano LP, Mor-Avi V, et al. Recommendations for cardiac chamber quantification by echocardiography in adults: An update from the American Society of Echocardiography and the European Association of Cardiovascular Imaging. Eur Heart J Cardiovasc Imaging. 2015; 16(3): 233–270.
  24. Jimenez D, Lobo JL, Fernandez-Golfin C, et al. Effectiveness of prognosticating pulmonary embolism using the ESC algorithm and the Bova score. Thromb Haemost. 2016; 115(4): 827–834.
  25. Bova C, Vanni S, Prandoni P, et al. A prospective validation of the Bova score in normotensive patients with acute pulmonary embolism. Thromb Res. 2018; 165: 107–111.
  26. Çorbacıoğlu ŞK, Aksel G. Receiver operating characteristic curve analysis in diagnostic accuracy studies: A guide to interpreting the area under the curve value. Turk J Emerg Med. 2023; 23(4): 195–198.
  27. Barco S, Mahmoudpour SH, Planquette B, et al. Prognostic value of right ventricular dysfunction or elevated cardiac biomarkers in patients with low-risk pulmonary embolism: A systematic review and meta-analysis. Eur Heart J. 2019; 40(11): 902–910.
  28. Kurnicka K, Lichodziejewska B, Ciurzyński M, et al. Peak systolic velocity of tricuspid annulus is inferior to tricuspid annular plane systolic excursion for 30 days prediction of adverse outcome in acute pulmonary embolism. Cardiol J. 2020; 27(5): 558–565.
  29. Dahhan T, Siddiqui I, Tapson VF, et al. Clinical and echocardiographic predictors of mortality in acute pulmonary embolism. Cardiovasc Ultrasound. 2016; 14(1): 44.
  30. Shmueli H, Steinvil A, Aviram G, et al. Re-appraisal of echocardiographic assessment in patients with pulmonary embolism: Prospective blinded long-term follow-up. Isr Med Assoc J. 2020; 11(22): 688–695.
  31. Pruszczyk P, Kurnicka K, Ciurzyński M, et al. Defining right ventricular dysfunction by the use of echocardiography in normotensive patients with pulmonary embolism. Pol Arch Intern Med . 2020; 130(9): 741–747.
  32. Torbicki A, Kurzyna M, Ciurzynski M, et al. Proximal pulmonary emboli modify right ventricular ejection pattern. Eur Respir J. 1999; 13(3): 616–621.
  33. Kurzyna M, Torbicki A, Pruszczyk P, et al. Disturbed right ventricular ejection pattern as a new Doppler echocardiographic sign of acute pulmonary embolism. Am J Cardiol. 2002; 90(5): 507–511.
  34. Goldhaber SZ, Elliott CG. Acute pulmonary embolism: Part I: Epidemiology, pathophysiology, and diagnosis. Circulation. 2003; 108(22): 2726–2729.
  35. Kurnicka K, Lichodziejewska B, Goliszek S, et al. Echocardiographic pattern of acute pulmonary embolism: Analysis of 511 consecutive patients. J Am Soc Echocardiogr. 2016; 29(9): 907–913.
  36. Shah BR, Velamakanni SM, Patel A, et al. Analysis of the 60/60 sign and other right ventricular parameters by 2D transthoracic echocardiography as adjuncts to diagnosis of acute pulmonary embolism. Cureus. 2021; 13(3): e13800.
  37. Alerhand S, Adrian RJ. What echocardiographic findings differentiate acute pulmonary embolism and chronic pulmonary hypertension? Am J Emerg Med. 2023; 72: 72–84.
  38. Trivedi SJ, Terluk AD, Kritharides L, et al. Right ventricular speckle tracking strain echocardiography in patients with acute pulmonary embolism. Int J Cardiovasc Imaging. 2020; 36(5): 865–872.
  39. Ballas C, Lakkas L, Kardakari O, et al. What is the real incidence of right ventricular affection in patients with acute pulmonary embolism? Acta Cardiol. 2023; 78(10): 1089–1098.
  40. Lee K, Kwon O, Lee EJ, et al. Prognostic value of echocardiographic parameters for right ventricular function in patients with acute non-massive pulmonary embolism. Heart Vessels. 2019; 34(7): 1187–1195.
  41. Kanar BG, Göl G, Oğur E, et al. Assessment of right ventricular function and relation to mortality after acute pulmonary embolism: A speckle tracking echocardiography-based study. Echocardiography. 2019; 36(7): 1298–1305.
  42. Tadic M, Nita N, Schneider L, et al. The predictive value of right ventricular longitudinal strain in pulmonary hypertension, heart failure, and valvular diseases. Front Cardiovasc Med. 2021; 8: 698158.
  43. Silva BV, Calé R, Menezes MN, et al. How to predict prognosis in patients with acute pulmonary embolism? Recent advances. Kardiol Pol. 2023; 81(7–8): 684–691.
  44. Eckelt J, Hobohm L, Merten MC, et al. Long-term mortality in patients with pulmonary embolism: results in a single-center registry. Res Pract Thromb Haemost. 2023; 7(5): 100280.
  45. Murguia AR, Segovia F, Ayvali F, et al. Evaluation of four validated risk scores to predict outcomes in hispanic patients with acute pulmonary embolism. Angiology. 2024 [Epub ahead of print]: 33197241230716.