Do hemodynamics matter in the treatment of patients with submassive pulmonary emboli?
Morton J KernArnold H SetoPublished in: Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions (2020)
The present article examines the right heart (RH) pressures of patients with submassive pulmonary embolism before and after catheter-directed thrombolysis (CDT). 40% of patients had a low cardiac output (CI ≤1.8 L/min/m2 ) despite normally preserved blood pressure. After thrombolysis, CI increased and pulmonary artery pressures decreased. Although routine RH pressure measurements may help in CDT management and possibly serve as a surrogate outcome measure, more comprehensive pulmonary embolism trials are needed to solidify the role of hemodynamics in this setting.
Keyphrases
- pulmonary embolism
- pulmonary artery
- pulmonary hypertension
- inferior vena cava
- blood pressure
- end stage renal disease
- coronary artery
- pulmonary arterial hypertension
- ejection fraction
- chronic kidney disease
- newly diagnosed
- heart failure
- left ventricular
- peritoneal dialysis
- prognostic factors
- type diabetes
- heart rate
- skeletal muscle
- metabolic syndrome
- patient reported outcomes
- weight loss
- blood glucose
- patient reported
- acute ischemic stroke
- smoking cessation
- glycemic control