What question did this study set out to answer?

To characterize the clinical presentation, hemodynamic features, and long-term outcomes of treated subacute massive, acute minor, and chronic pulmonary thromboembolism.

October 1, 1977HeartOpen Access

Clinical course and late prognosis of treated subacute massive, acute minor, and chronic pulmonary thromboembolism.

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Why the study?

What are the clinical, haemodynamic, and arteriographic characteristics and late prognosis of subacute massive, acute minor, and chronic pulmonary embolism?

Population

38 patients with pulmonary embolic disease

Design

Cohort

Follow-up

1 to 8 years

Authors

GSGeorge C. SuttonImperial College London RHR J HallUniversity College Hospital IKI.H. KerrGuy's Hospital

Discussion

Member takes

Implication

Supports differentiation of PE subtypes by hemodynamics; leaves open whether classification informs prognosis or therapy in observational data.

Key Points

To characterize the clinical presentation, hemodynamic features, and long-term outcomes of treated subacute massive, acute minor, and chronic pulmonary thromboembolism.
Evaluated 38 patients with pulmonary embolic disease using clinical assessment, right heart catheterization, and pulmonary arteriography or embolectomy.
Tracked complete follow-up in 92% of patients (35 of 38) over a period of 1 to 8 years after initial presentation.
Patients with subacute massive embolism exhibited prolonged exertional dyspnea, arteriograms resembling acute massive embolism, and higher pulmonary artery pressures than acute massive embolism, rarely having identifiable predisposing factors.
Acute minor embolism was characteristically tied to identifiable predisposing factors and presented with normal hemodynamic parameters.
Chronic pulmonary embolism presented with distinct arteriographic abnormalities, rarely had identifiable predisposing factors, and produced the highest pulmonary artery pressures.

Structured PICO

What are the clinical, haemodynamic, and arteriographic characteristics and late prognosis of subacute massive, acute minor, and chronic pulmonary embolism?

Population

38 patients with pulmonary embolic disease (subacute massive, acute minor, and chronic pulmonary embolism, excluding acute massive pulmonary embolism)

Intervention

Clinical assessment, right heart catheterisation, and pulmonary arteriography or pulmonary embolectomy

Outcome

Clinical course and late prognosis

The study characterizes three distinct subgroups of non-acute massive pulmonary embolism based on clinical history, haemodynamics, and arteriography.

Cite This Study

Sutton et al. (1977) studied this question.

synapsesocial.com/papers/69dd14007a14526fc013330b https://doi.org/10.1136/hrt.39.10.1135

Topics

Pulmonary embolism

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October 1, 1977HeartOpen Access

Clinical course and late prognosis of treated subacute massive, acute minor, and chronic pulmonary thromboembolism.

View Full Paper

Ask AI

Bookmark

Why the study?

What are the clinical, haemodynamic, and arteriographic characteristics and late prognosis of subacute massive, acute minor, and chronic pulmonary embolism?

Population

38 patients with pulmonary embolic disease

Design

Cohort

Follow-up

1 to 8 years

Authors

GSGeorge C. SuttonImperial College London RHR J HallUniversity College Hospital IKI.H. KerrGuy's Hospital

Discussion

Member takes

Implication

Supports differentiation of PE subtypes by hemodynamics; leaves open whether classification informs prognosis or therapy in observational data.

Key Points

To characterize the clinical presentation, hemodynamic features, and long-term outcomes of treated subacute massive, acute minor, and chronic pulmonary thromboembolism.
Evaluated 38 patients with pulmonary embolic disease using clinical assessment, right heart catheterization, and pulmonary arteriography or embolectomy.
Tracked complete follow-up in 92% of patients (35 of 38) over a period of 1 to 8 years after initial presentation.
Patients with subacute massive embolism exhibited prolonged exertional dyspnea, arteriograms resembling acute massive embolism, and higher pulmonary artery pressures than acute massive embolism, rarely having identifiable predisposing factors.
Acute minor embolism was characteristically tied to identifiable predisposing factors and presented with normal hemodynamic parameters.
Chronic pulmonary embolism presented with distinct arteriographic abnormalities, rarely had identifiable predisposing factors, and produced the highest pulmonary artery pressures.

Structured PICO

What are the clinical, haemodynamic, and arteriographic characteristics and late prognosis of subacute massive, acute minor, and chronic pulmonary embolism?

Population

38 patients with pulmonary embolic disease (subacute massive, acute minor, and chronic pulmonary embolism, excluding acute massive pulmonary embolism)

Intervention

Clinical assessment, right heart catheterisation, and pulmonary arteriography or pulmonary embolectomy

Outcome

Clinical course and late prognosis

The study characterizes three distinct subgroups of non-acute massive pulmonary embolism based on clinical history, haemodynamics, and arteriography.

Cite This Study

Sutton et al. (1977) studied this question.

synapsesocial.com/papers/69dd14007a14526fc013330b https://doi.org/10.1136/hrt.39.10.1135

Also Consider

Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context:

Topics

Pulmonary embolism

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