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Cardiologia Croatica, Vol. 19 No. 11-12, 2024.

Meeting abstract

https://doi.org/10.15836/ccar2024.495

The pulmonary artery obstruction index (PAOI) score is correlated with right ventricular systolic pressure, tricuspid regurgitation and D-dimer values in patients with pulmonary embolism

Nejra Mlačo-Vražalić orcid id orcid.org/0000-0002-3299-6899 ; General Hospital “Prim. dr.Abdulah Nakaš”, Sarajevo, Bosnia and Herzegovina
Dino Alić orcid id orcid.org/0009-0001-5571-7426 ; General Hospital “Prim. dr.Abdulah Nakaš”, Sarajevo, Bosnia and Herzegovina
Lana Mrdović orcid id orcid.org/0009-0004-4046-9513 ; Health Care Center Istočno Sarajevo, Istočno Sarajevo, Bosnia and Herzegovina
Džana Badžak orcid id orcid.org/0009-0000-9655-5315 ; Health Care Center Konjic, Konjic, Bosnia and Herzegovina
Amela Sofić orcid id orcid.org/0000-0002-1577-1006 ; General Hospital “Prim. dr.Abdulah Nakaš”, Sarajevo, Bosnia and Herzegovina
Aida Mujaković orcid id orcid.org/0000-0002-0022-1482 ; General Hospital “Prim. dr.Abdulah Nakaš”, Sarajevo, Bosnia and Herzegovina; School of Medicine, Sarajevo School of Science and Technology, Sarajevo, Bosnia and Herzegovina
Tijana Muhić-Skalonja orcid id orcid.org/0009-0001-4717-8733 ; General Hospital “Prim. dr.Abdulah Nakaš”, Sarajevo, Bosnia and Herzegovina
Akif Mlačo orcid id orcid.org/0000-0002-1907-9017 ; Clinical Center University of Sarajevo, Sarajevo, Bosnia and Herzegovina ; Faculty of Medicine University of Sarajevo, Sarajevo, Bosnia and Herzegovina
Denis Mačkić orcid id orcid.org/0000-0001-6540-4944 ; General Hospital “Prim. dr.Abdulah Nakaš”, Sarajevo, Bosnia and Herzegovina
Nejra Prohić orcid id orcid.org/0000-0001-6789-1096 ; General Hospital “Prim. dr.Abdulah Nakaš”, Sarajevo, Bosnia and Herzegovina
Ada Đozić ; General Hospital “Prim. dr.Abdulah Nakaš”, Sarajevo, Bosnia and Herzegovina
Adnan Mušanović orcid id orcid.org/0009-0007-3589-3848 ; Clinical Center University of Sarajevo, Sarajevo, Bosnia and Herzegovina
Jasmin Idrizović orcid id orcid.org/0009-0006-3598-3870 ; General Hospital “Prim. dr.Abdulah Nakaš”, Sarajevo, Bosnia and Herzegovina
Edin Begić ; General Hospital “Prim. dr.Abdulah Nakaš”, Sarajevo, Bosnia and Herzegovina; School of Medicine, Sarajevo School of Science and Technology, Sarajevo, Bosnia and Herzegovina

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Abstract

Keywords

pulmonary embolism; CT angiography; D-dimer

Hrčak ID:

328299

URI

https://hrcak.srce.hr/328299

Publication date:

13.12.2024.

Visits: 361 *

Copyright statement: Croatian Cardiac Society

Copyright: 2024, Croatian Cardiac Society

Date received: 12 October 2024

Date: 31 October 2024

Publication date: November 2024

Publication date: November 2024

Volume: 19

Issue: 11-12

Page: 495

Publisher ID: CC 2024 19_11-12_495

DOI: 10.15836/ccar2024.495

Article Information (continued)

Categories:

Subject: Extended Abstract

Categories:

Subject: Echocardiography, MSCT, MRI

KEYWORDS: :

KEYWORDS:

Keyword: pulmonary embolism

Keyword: CT angiography

Keyword: D-dimer

The pulmonary artery obstruction index (PAOI) score is correlated with right ventricular systolic pressure, tricuspid regurgitation and D-dimer values in patients with pulmonary embolism

[https://orcid.org/0000-0002-3299-6899] Nejra Mlačo-Vražalić[1][*]

[https://orcid.org/0009-0001-5571-7426] Dino Alić[1]

[https://orcid.org/0009-0004-4046-9513] Lana Mrdović[2]

[https://orcid.org/0009-0000-9655-5315] Džana Badžak[3]

[https://orcid.org/0000-0002-1577-1006] Amela Sofić[1]

[https://orcid.org/0000-0002-0022-1482] Aida Mujaković[1][4]

[https://orcid.org/0009-0001-4717-8733] Tijana Muhić-Skalonja[1]

[https://orcid.org/0000-0002-1907-9017] Akif Mlačo[5][6]

[https://orcid.org/0000-0001-6540-4944] Denis Mačkić[1]

[https://orcid.org/0000-0001-6789-1096] Nejra Prohić[1]

[https://orcid.org/0000-0002-2664-810X] Ada Đozić[1]

[https://orcid.org/0009-0007-3589-3848] Adnan Mušanović[5]

[https://orcid.org/0009-0006-3598-3870] Jasmin Idrizović[1]

[https://orcid.org/0000-0001-6842-262X] Edin Begić[1][4]

 

[1] General Hospital “Prim.dr.Abdulah Nakaš”, Sarajevo, Bosnia and Herzegovina

[2] Health Care Center Istočno Sarajevo, Istočno Sarajevo, Bosnia and Herzegovina

[3] Health Care Center Konjic, Konjic, Bosnia and Herzegovina

[4] School of Medicine, Sarajevo School of Science and Technology, Sarajevo, Bosnia and Herzegovina

[5] Clinical Center University of Sarajevo, Sarajevo, Bosnia and Herzegovina

[6] Faculty of Medicine University of Sarajevo, Sarajevo, Bosnia and Herzegovina

Author notes:

Correspondence to: [*] ADDRESS FOR CORRESPONDENCE: Nejra Mlačo-Vražalić, General Hospital “Prim.dr. Abdulah Nakaš”, Kranjčevićeva 12, 71000 Sarajevo, Bosnia and Herzegovina. / Phone: +387-61-974-238 / E-mail: nejra.ml@gmail.com

Introduction: Obstruction of the pulmonary artery and its branches increases the pulmonary vascular resistance, resulting in pulmonary hypertension and right ventricular (RV) dysfunction. (1,2) Aim: To analyze the correlation between the pulmonary artery obstruction index (PAOI) score obtained from quantifying obstruction in pulmonary embolism (PE), inflammatory markers, coagulation parameters, and echocardiographic findings.

Patients and Methods: This retrospective study included 59 patients hospitalized with PE at the Department of Internal Medicine, General Hospital “Prim.dr. Abdulah Nakaš” in the period from 2022 until 2024. PE was confirmed on CT angiography and the PAOI score was calculated using the Qanadli index. Echocardiography was performed during hospitalization. Inflammatory and coagulation parameters were obtained.

Results: The PAOI score significantly correlated with the right ventricular systolic pressure (RVSP) (p=0.03) and with the presence and degree of the tricuspid regurgitation (p=0.03). No correlation was found between the PAOI score and other echocardiographic parameters. Strong correlation was found between the PAOI score and D-dimer values (p<0.001). No significant correlation was found between the PAOI score and C-reactive protein, hemogram and hemogram-derived ratios.

Conclusion: The PAOI score on admission in patients with PE is in correlation with RV function and coagulation parameters.

LITERATURE

1 

Russell C, Keshavamurthy S, Saha S. Classification and Stratification of Pulmonary Embolisms. Int J Angiol. 2022 September 2;31(3):162–5. https://doi.org/10.1055/s-0042-1756218 PubMed: http://www.ncbi.nlm.nih.gov/pubmed/36157098

2 

Hajiahmadi S, Tabesh F, Shayganfar A, Shirani F, Ebrahimian S. Pulmonary artery obstruction index, pulmonary artery diameter and right ventricle strain as prognostic CT findings in patient with acute pulmonary embolism. Radiologia (Engl Ed). 2023 May-June;65(3):200–12. https://doi.org/10.1016/j.rxeng.2021.04.001 PubMed: http://www.ncbi.nlm.nih.gov/pubmed/37268362

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