Hepatic venous doppler assessment can anticipate simplified pulmonary embolism severity index and right ventricle dysfunction in patients with acute pulmonary embolism

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dc.authorid0000-0003-1784-3584
dc.authorid0000-0001-6595-7493
dc.contributor.authorAcar, Emrah
dc.contributor.authorİzci, Servet
dc.contributor.authorİnanır, Mehmet
dc.contributor.authorYılmaz, Mehmet F.
dc.contributor.authorİzgi, İbrahim A.
dc.contributor.authorGökçe, Mustafa
dc.contributor.authorKırma, Cevat
dc.date.accessioned2021-06-23T19:54:24Z
dc.date.available2021-06-23T19:54:24Z
dc.date.issued2020
dc.departmentBAİBÜ, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümüen_US
dc.description.abstractPurpose Acute pulmonary embolism (APE) is a life-threating cardiothoracic thromboembolic emergency in which right ventricle dysfunction (RVD) is a major concern. In the present study, we examined the hepatic veins (HVs) blood flow with pulsed-wave spectral Doppler ultrasonography to determine its relationship with the simplified pulmonary embolism severity index (sPESI) and the patient's RVD status. Methods We divided the 243 patients who met the inclusion criteria into two groups based on both their sPESI scores and their RVD status. Transthoracic echocardiography was performed to evaluate the RVD and the HVs within 1 hour after patient admission. The liver was evaluated using subcostal and intercostal echocardiographic windows in grayscale B-mode, and HVs were assessed using color and spectral Doppler assessment though the same echocardiographic windows. Result A cut-off value of the systolic reverse flow velocity-time integral (SrVTI) = 2.2 cm carried a sensitivity and specificity of 84.29% and 74.89%, respectively, for the prediction of sPESI >= 1. A SrVTI cut-off value of 2.1 cm yielded a sensitivity and specificity of 83.03% and 73.91%, respectively, for the prediction of RVD. Conclusion HV Doppler assessment could be a useful method for anticipating the sPESI and the presence of RVD in patients with APE. In addition, it may provide information regarding the hemodynamic impact of APE.en_US
dc.identifier.doi10.1002/jcu.22825
dc.identifier.endpage262en_US
dc.identifier.issn0091-2751
dc.identifier.issn1097-0096
dc.identifier.issue5en_US
dc.identifier.pmid32237150en_US
dc.identifier.scopus2-s2.0-85082627290en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage254en_US
dc.identifier.urihttps://doi.org/10.1002/jcu.22825
dc.identifier.urihttps://hdl.handle.net/20.500.12491/10527
dc.identifier.volume48en_US
dc.identifier.wosWOS:000522772000001en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorİnanır, Mehmet
dc.language.isoenen_US
dc.publisherWileyen_US
dc.relation.ispartofJournal Of Clinical Ultrasounden_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectDoppler Ultrasonographyen_US
dc.subjectHepatic Veinsen_US
dc.subjectPulmonary Embolismen_US
dc.subjectRight Ventricleen_US
dc.titleHepatic venous doppler assessment can anticipate simplified pulmonary embolism severity index and right ventricle dysfunction in patients with acute pulmonary embolismen_US
dc.typeArticleen_US

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