A new parameter for the determination of normal right ventricular function in patients with acute pulmonary embolism

Background/Aim: The performance of the right ventricular myocardium is crucial in various pathological states and dysfunction has a prognostic value pulmonary embolism. We sought to bring out which parameters were helpful predicting normal function patients with acute Methods: Consecutive 100 embolism patients, who hospitalized confirmed by computed tomography angiography, enrolled this cohort study. All patients’ demographics, symptoms on admission, risk factors, electrocardiography laboratory findings, hemodynamic assessed. Echocardiography was performed first 24 hours. study group divided into two groups based their basic characteristics: Patients failure. Results: average age 63 (16) years, 48 (48%) them being male. Twenty three (23%) had RV functions. According multiple logistic regression analysis, (P=0.041, OR: 1.174, 95% CI: 1.007 1.368), oxygen saturation (P=0.026, 1.372, 1.039 1.812) heart rate (P=0.049, 1.160, 1.001 1.346) independent predictors function. setting all (Age, Heart rate, Oxygen saturation) positive considered AHO index=1, predictive 100% sensitivity 44%, negative 85.6% specificity (AUC: 0.717, 0.619 0.803) for Conclusion: In younger than 53 years ≤118 bpm an >90% (AHO index=1), functions normal. Accordingly, without need angiography or echocardiography, clinician may predict available demographic noninvasive parameters.