Clinical Features and Predictors of In-hospital Mortality in Patients with Acute and Chronic Pulmonary Thromboembolism
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概要
- 論文の詳細を見る
Objective The differences in the clinical findings of patients with acute pulmonary thromboembolism (acute-PTE) and chronic pulmonary thromboembolism (chronic-PTE) were compared, and the association between the clinical findings and prognosis in the two groups was analyzed. Patients This study included 204 patients with PTE, 139 patients with acute-PTE and 65 patients with chronic-PTE. Results There were significant differences between acute-PTE and chronic-PTE in the predisposing factors of post operation (19.4 versus 1.5%, p=0.0003), and electrocardiographic signs such as sinus tachycardia (73.7 versus 50.9%, p=0.007), ST-depression (25.3 versus 9.4%, p=0.03), right ventricular hypertrophy (20.0 versus 47.2%, p=0.0007), and right axis deviation (3.2 versus 22.6%, p=0.0003). Thirty-one of the 139 acute-PTE patients died from PTE, as did 17 of the 65 chronic-PTE patients. The prognosis was poor in patients older than 70 years old (p=0.01), with stroke (p=0.008), syncope (p=0.01), shock (p=0.0006), hypocapnia (Paco2≤25 torr; p=0.0006) and an elevation in total pulmonary resistance (TPR >1, 000 dyne • sec • cm-5 (p=0.02)) in acute-PTE, and in those with syncope (p=0.03), shock (p=0.008), and right ventricular hypertrophy on electrocardiogram (p=0.03) in chronic-PTE. Conclusion The results of this study indicate a relationship between the clinical features of patients with acute-PTE and chronic-PTE, and the predictors of in-hospital mortality.(Internal Medicine 39: 1038-1043, 2000)
- 社団法人 日本内科学会の論文
- 2000-12-01
著者
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Sakuma Masahito
The First Department of Internal Medicine, Tohoku University
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Shirato Kunio
The First Department Of Internal Medicine Tohoku University School Of Medicine
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Numakura Katsunori
Department Of Cardiovascular Medicine Tohoku University Graduate School Of Medicine
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KUMASAKA Norihisa
The First Department of Internal Medicine, Tohoku University School of Medicine
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