What does this research mean for the field?

The ratio of tricuspid to mitral valve systolic lateral annular velocities (SmRV/SmLV) measured by tissue Doppler imaging is a significant and useful predictor for diagnosing acute pulmonary embolism in patients with chronic heart failure. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

January 1, 2014Archives of Medical ScienceOpen Access

The significance of mitral and tricuspid valve systolic lateral annular velocities in the diagnosis of acute pulmonary embolism in patients with chronic heart failure

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Why the study?

Does tissue Doppler imaging of mitral and tricuspid annular velocities help diagnose acute pulmonary embolism in patients with chronic heart failure?

Population

75 patients with previously diagnosed chronic heart failure, admitted due to resting dyspnea, with a maximum…

Comparison

Tissue Doppler imaging to measure maximum… vs Spiral computed tomography as the reference…

Design

Cross-sectional

Authors

LGLeszek GromadzińskiUniversity of Warmia and Mazury in Olsztyn RTRyszard TargońskiNicolaus Copernicus University BJBeata Januszko‐GiergielewiczNicolaus Copernicus University

Discussion

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Implication

May support tissue Doppler for APE detection in chronic HF; hypothesis-generating pending prospective validation.

Structured PICO

Does tissue Doppler imaging of mitral and tricuspid annular velocities help diagnose acute pulmonary embolism in patients with chronic heart failure?

Population

75 patients with previously diagnosed chronic heart failure (CHF), admitted due to resting dyspnea, with a maximum tricuspid regurgitation pressure gradient (TRPG) of ≥ 35 mm Hg and positive D-dimer assay.

Intervention

Tissue Doppler imaging (TDI) to measure maximum systolic lateral annular velocities in the mitral (SmLV) and tricuspid (SmRV) valves, and the SmRV/SmLV ratio

Comparator

Spiral computed tomography (sCT) as the reference standard to confirm (n=35) or exclude (n=40) acute pulmonary embolism

Outcome

Diagnostic accuracy of SmLV, SmRV, and SmRV/SmLV ratio for acute pulmonary embolismsurrogate

Tissue Doppler imaging of the lateral tricuspid and mitral annuli, specifically the SmRV/SmLV ratio, is a useful tool to help identify acute pulmonary embolism in patients with chronic heart failure.

Cite This Study

Gromadziński et al. (2014) studied this question.

synapsesocial.com/papers/6a1bc69e1567d2fc4d5ef6d5 https://doi.org/10.5114/aoms.2014.40732

Topics

Heart failure Pulmonary embolism HFrEF treatment

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The significance of mitral and tricuspid valve systolic lateral annular velocities in the diagnosis of acute pulmonary embolism in patients with chronic heart failure

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Topics

The significance of mitral and tricuspid valve systolic lateral annular velocities in the diagnosis of acute pulmonary embolism in patients with chronic heart failure

Discussion

Member takes

Implication

Structured PICO

Cite This Study

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Topics

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