[Characteristics of acute, hemodynamically stable pulmonary embolism presenting as a syncope].
Syncope (S) occurs in approximately 10% patients with acute pulmonary embolism (APE) and is commonly ascribed to the massive, hemodynamically instable APE. The aim of the study was to assess the occurrence and significance of S revealing hemodynamically stable APE. We found syncope in 6 of 21 (29%) consecutive patients (16 females, 5 males; age from 46-87 years, mean age of 71 years) who were diagnosed with APE and in whom other reasons for S were excluded. All patients were treated with anticoagulation. They all survived hospitalization and no APE recurrences were found during in-hospital period. Patients with APE-S compared to patients with APE and without S had smaller baseline RVED (21.2 +/- 2 vs. 27.3 +/- 5.6, p = 0.01), however both groups did not differ statistically in baseline vital signs, angiographic, hemodynamic, other echocardiographic parameters as well as in the results of laboratory findings. It is concluded, that S signals hemodynamically stable APE more frequently than is quoted. APE-S patients could not be clearly discriminate from APE patients without S on the basis of the parameters studied and S did not impact the course of APE during in- hospital period.
Błaszczyk
Daniel
D
Z Oddziału Kardiologii Wojewódzkiego Szpitala Specjalistycznego we Wrocławiu.
Lewczuk
Jerzy
J
Piszko
Piotr
P
Ludwik
Bartosz
B
Konieczny
Andrzej
A
Nowak
Małgorzata
M
Stopyra-Poczatek
Marzena
M
Wrabec
Krzysztof
K
D000208:Acute Disease; D000368:Aged; D000369:Aged, 80 and over; D000925:Anticoagulants / Q000627:therapeutic use; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011651:Pulmonary Artery / Q000000981:diagnostic imaging; D011655:Pulmonary Embolism / Q000150:complications / Q000175:diagnosis*; D011859:Radiography; D013575:Syncope / Q000209:etiology*; D014463:Ultrasonography
D000925:Anticoagulants