PMID- 35484778
OWN - NLM
STAT- MEDLINE
DCOM- 20230320
LR  - 20230329
IS  - 1477-111X (Electronic)
IS  - 0267-6591 (Linking)
VI  - 38
IP  - 3
DP  - 2023 Apr
TI  - Clinical application value of echocardiography in evaluating left ventricular 
      diastolic function in patients with acute pulmonary embolism.
PG  - 477-483
LID - 10.1177/02676591211058287 [doi]
AB  - OBJECTIVE: To explore the clinical value of echocardiography in the assessment of 
      left ventricular diastolic function in patients with acute pulmonary embolism 
      (APE). METHODS: APE patients in our hospital from June 2019 to June 2021 were 
      selected as the observation group. They were divided into low-risk group (19 
      cases), medium-risk group (16 cases) and high-risk group (15 cases). The non-APE 
      people in our hospital during the same period were selected as the control group. 
      All subjects underwent echocardiography to observe the performance of APE 
      patients under echocardiography. The peak velocity ratio S-wave/D-wave (S/D), 
      early diastolic annular velocity/advanced diastolic annular velocity (Ea/Aa), 
      early filling/early diastolic annular velocity (E/Ea), and early filling/early 
      diastolic annular velocity (E/Ea) were compared with Ar and Vp, respectively; 
      receiver operator characteristic (ROC) curve was used to evaluate the value of 
      echocardiography in evaluating left ventricular diastolic function in patients 
      with APE. RESULTS: Echocardiography show different manifestations of APE 
      patients. Compared with the control group, S/D, Ea/Aa, and Vp in the observation 
      group were significantly decreased and E/Ea and Ar in the observation group were 
      significantly increased (p < 0.05). With the increase of risk stratification, 
      S/D, Ea/Aa, and Vp gradually decreased, E/Ea and Ar gradually increased, and the 
      difference was statistically significant (p < 0.05). The sensitivity, 
      specificity, accuracy, positive predictive value, negative predictive value, area 
      under curve (AUC), and 95% CI were 89.52%, 65.57%, 72.86%, 80.82%, 75.38%, 0.730, 
      and 0.629-0.831, respectively. CONCLUSION: Echocardiography can effectively 
      evaluate left ventricular diastolic function in patients with APE, and there are 
      significant differences in left ventricular diastolic function in different risk 
      stratification, which has important reference value for clinical diagnosis and 
      treatment of APE.
FAU - Qin, Shiyang
AU  - Qin S
AUID- ORCID: 0000-0002-3241-2830
AD  - Department of Ultrasound, RinggoldID:117914Affiliated Hospital of Chengde Medical 
      College, Chengde, China.
FAU - Liu, Huiling
AU  - Liu H
AD  - Department of Ultrasound, RinggoldID:117914Affiliated Hospital of Chengde Medical 
      College, Chengde, China.
FAU - Cao, Xuesong
AU  - Cao X
AD  - Department of Ultrasound, RinggoldID:117914Affiliated Hospital of Chengde Medical 
      College, Chengde, China.
FAU - Zhang, Rui
AU  - Zhang R
AD  - Department of physical examination, RinggoldID:117914Affiliated Hospital of 
      Chengde Medical College, Chengde, China.
LA  - eng
PT  - Journal Article
DEP - 20220428
PL  - England
TA  - Perfusion
JT  - Perfusion
JID - 8700166
SB  - IM
MH  - Humans
MH  - Echocardiography, Doppler
MH  - *Ventricular Dysfunction, Left
MH  - Ventricular Function, Left
MH  - Echocardiography
MH  - *Pulmonary Embolism/diagnostic imaging
OTO - NOTNLM
OT  - acute pulmonary embolism
OT  - echocardiography
OT  - evaluation value
OT  - left ventricular diastolic function
EDAT- 2022/04/30 06:00
MHDA- 2023/03/21 06:00
CRDT- 2022/04/29 00:43
PHST- 2022/04/30 06:00 [pubmed]
PHST- 2023/03/21 06:00 [medline]
PHST- 2022/04/29 00:43 [entrez]
AID - 10.1177/02676591211058287 [doi]
PST - ppublish
SO  - Perfusion. 2023 Apr;38(3):477-483. doi: 10.1177/02676591211058287. Epub 2022 Apr 
      28.