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January 24, 2023Biomedical PapersOpen Access

High incidence of acute and subacute ischaemic foci on brain MRI in patients with a diagnosis of acute pulmonary embolism and confirmed patent foramen ovale

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Key result

In patients with acute pulmonary embolism, the presence of a patent foramen ovale was significantly associated with asymptomatic acute and subacute ischaemic lesions on brain MRI (12.8% vs 1.2%, p=0.01).

Population

129 patients with a diagnosis of pulmonary embolism confirmed by CTA

Design

Cross-sectional observational study

Authors

RNRadomir NyklMHMartin HutyraEČEva Čecháková

Discussion

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Overview

Should not yet change PE management; hypothesis-generating for PFO screening or closure trials.

Study Design

Type

Observational (n=129)

Multicenter

No

Structured PICO

P
Population
129 patients (mean age 62.5 years, 48.8% female) with confirmed acute pulmonary embolism who underwent brain MRI and echocardiography.
O
Outcome
Presence of acute and subacute ischaemic foci on brain MRIsurrogate

Main Result

Absolute Event Rate: 12.8% vs 1.2%

p-value: p=0.01

There is a surprisingly high frequency of asymptomatic acute and subacute ischaemic brain lesions in patients with acute pulmonary embolism, particularly those with a patent foramen ovale.

Limitations

  • Small cohort size due to patient recruitment being negatively affected by the change of the department to a COVID unit

Cite This Study

Nykl et al. (2023) conducted an observational in Acute pulmonary embolism (n=129). Patent foramen ovale vs. No patent foramen ovale was evaluated on Acute and subacute ischaemic lesions on brain MRI (p=0.01). In patients with acute pulmonary embolism, the presence of a patent foramen ovale was significantly associated with asymptomatic acute and subacute ischaemic lesions on brain MRI (12.8% vs 1.2%, p=0.01).

synapsesocial.com/papers/6aa23d5f520b2d18c7efa28bhttps://doi.org/10.5507/bp.2023.005
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 12019 ESC Guidelines for the diagnosis and management of acute pulmonary embolism developed in collaboration with the European Respiratory Society (ERS)2019 · 1,646 citations
  2. 2Silent Cerebral Infarcts in Patients With Pulmonary Embolism and a Patent Foramen Ovale2009 · 74 citations
  3. 32019 ESC Guidelines for the diagnosis and management of acute pulmonary embolism developed in collaboration with the European Respiratory Society (ERS)2019 · 4,990 citations
  4. 4What You Always Wanted to Know about Endovascular Therapy in Acute Ischemic Stroke but Never Dared to Ask: A Comprehensive Review2022 · 8 citations
  5. 5Strategy That Includes Serial Noninvasive Leg Tests for Diagnosis of Thromboembolic Disease in Patients With Suspected Acute Pulmonary Embolism Based on Data From PIOPED1995 · 77 citations