Assessment of Renal Dysfunction Improves the Simplified Pulmonary Embolism Severity Index (sPESI) for Risk Stratification in Patients with Acute Pulmonary Embolism

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Predictive value of troponins and simplified pulmonary embolism severity index in patients with normotensive pulmonary embolism

BACKGROUND To investigate whether 2 cardiac troponins [conventional troponin-T(cTnT) and high sensitive troponin-T(hsTnT)] combined with simplified pulmonary embolism severity index (sPESI), or either test alone are useful for predicting 30-day mortality and 6 months adverse outcomes in patients with normotensive pulmonary embolism(PE). METHODS The prospective study included 121 consecutive p...

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Simplification of the pulmonary embolism severity index for prognostication in patients with acute symptomatic pulmonary embolism.

BACKGROUND The Pulmonary Embolism Severity Index (PESI) estimates the risk of 30-day mortality in patients with acute pulmonary embolism (PE). We constructed a simplified version of the PESI. METHODS The study retrospectively developed a simplified PESI clinical prediction rule for estimating the risk of 30-day mortality in a derivation cohort of Spanish outpatients. Simplified and original P...

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Risk-stratification in normotensive acute pulmonary embolism

In the Netherlands, 10,000 to 12,500 patients per year are diagnosed with acute pulmonary embolism (PE) [1]. The large majority of these patients are normotensive. Just recently, the European Society of Cardiology (ESC) published an update of their guideline on the diagnosis and management of acute PE [2]. Compared with the previous version of 2008, special emphasis was given to risk stratifica...

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Risk Stratification of Patients with Acute Pulmonary Embolism

Acute pulmonary embolism (PE) is an under-diagnosed but potentially fatal condition. This condition presents with a wide clinical spectrum, from asymptomatic small PE to lifethreatening one causing cardiogenic shock. Depending on the estimated risk of an adverse outcome, treatment with thrombolysis or embolectomy may be indicated in high-risk individuals. Conversely, early hospital discharge or...

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The Pulmonary Embolism Severity Index in Predicting the Prognosis of Patients With Pulmonary Embolism

BACKGROUND/AIMS Many prognostic models have been developed to help physicians make medical decisions on treating patients with pulmonary embolism. Among these models, the Pulmonary Embolism Severity Index (PESI) has been shown to be a successful risk stratification tool for patients with acute pulmonary embolism. The PESI, however, had not been applied to patients with pulmonary embolism in Kor...

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ژورنال

عنوان ژورنال: Journal of Clinical Medicine

سال: 2019

ISSN: 2077-0383

DOI: 10.3390/jcm8020160