Plasma Troponins Identify Patients with Very Low-Risk Acute Pulmonary Embolism.

ABSTRACT:

Introduction

Although in the non-vitamin K oral anticoagulants (NOAC) era majority of low-risk acute pulmonary embolism (APE) patients can be treated at home, identifying those at very low risk of clinical deterioration may be challenging. We aimed to propose the risk stratification algorithm in sPESI 0 point APE patients, allowing them to select candidates for safe outpatient treatment.

Materials and methods

Post hoc analysis of a prospective study of 1151 normotensive patients with at least segmental APE. In the final analysis, we included 409 sPESI 0 point patients. Cardiac troponin assessment and echocardiographic examination were performed immediately after admission. Right ventricular dysfunction was defined as the right ventricle/left ventricle ratio (RV/LV) > 1.0. Th

SUBMITTER: Karolak B 

PROVIDER: S-EPMC9963057 | biostudies-literature | 2023 Feb

REPOSITORIES: biostudies-literature