Login
Search
Search
0 Dates
2024
2023
2022
2021
2020
2019
2018
0 Events
CPC 2018
CPC 2019
Curso de Atualização em Medicina Cardiovascular 2019
Reunião Anual Conjunta dos Grupos de Estudo de Cirurgia Cardíaca, Doenças Valvulares e Ecocardiografia da SPC
CPC 2020
CPC 2021
CPC 2022
CPC 2023
CPC 2024
0 Topics
A. Basics
B. Imaging
C. Arrhythmias and Device Therapy
D. Heart Failure
E. Coronary Artery Disease, Acute Coronary Syndromes, Acute Cardiac Care
F. Valvular, Myocardial, Pericardial, Pulmonary, Congenital Heart Disease
G. Aortic Disease, Peripheral Vascular Disease, Stroke
H. Interventional Cardiology and Cardiovascular Surgery
I. Hypertension
J. Preventive Cardiology
K. Cardiovascular Disease In Special Populations
L. Cardiovascular Pharmacology
M. Cardiovascular Nursing
N. E-Cardiology / Digital Health, Public Health, Health Economics, Research Methodology
O. Basic Science
P. Other
0 Themes
01. History of Cardiology
02. Clinical Skills
03. Imaging
04. Arrhythmias, General
05. Atrial Fibrillation
06. Supraventricular Tachycardia (non-AF)
07. Syncope and Bradycardia
08. Ventricular Arrhythmias and Sudden Cardiac Death (SCD)
09. Device Therapy
10. Chronic Heart Failure
11. Acute Heart Failure
12. Coronary Artery Disease (Chronic)
13. Acute Coronary Syndromes
14. Acute Cardiac Care
15. Valvular Heart Disease
16. Infective Endocarditis
17. Myocardial Disease
18. Pericardial Disease
19. Tumors of the Heart
20. Congenital Heart Disease and Pediatric Cardiology
21. Pulmonary Circulation, Pulmonary Embolism, Right Heart Failure
22. Aortic Disease
23. Peripheral Vascular and Cerebrovascular Disease
24. Stroke
25. Interventional Cardiology
26. Cardiovascular Surgery
27. Hypertension
28. Risk Factors and Prevention
29. Rehabilitation and Sports Cardiology
30. Cardiovascular Disease in Special Populations
31. Pharmacology and Pharmacotherapy
32. Cardiovascular Nursing
33. e-Cardiology / Digital Health
34. Public Health and Health Economics
35. Research Methodology
36. Basic Science
37. Miscellanea
0 Resources
Abstract
Slides
Vídeo
Report
CLEAR FILTERS
Exercise stress echocardiography diagnostic and prognostic value in post-pulmonary embolism
Session:
Posters 2 - Écran 10 - Circulação / Embolia Pulmonar
Speaker:
João Pais
Congress:
CPC 2019
Topic:
F. Valvular, Myocardial, Pericardial, Pulmonary, Congenital Heart Disease
Theme:
21. Pulmonary Circulation, Pulmonary Embolism, Right Heart Failure
Subtheme:
21.2 Pulmonary Circulation, Pulmonary Embolism, Right Heart Failure – Epidemiology, Prognosis, Outcome
Session Type:
Posters
FP Number:
---
Authors:
Antonio; Ana I. Marques; Ana Rita F. Pereira; Rita Ventura Gomes; Dra. Inês Cruz; Ana Almeida; Marco Quadrado; Angela Manuel; Ana Francisco; Paulas Fazenda ; Isabel João; Helder Pereira
Abstract
<p><strong>Introduction: </strong>Exercise stress echocardiography (ESE) is used mainly in the study of patients (P) with coronary artery disease (CAD). However, the technique is increasingly being used to study other diseases namely symptomatic post-pulmonary embolism (PE) P without evidence of pulmonary hypertension (PH) at rest.</p> <p><strong>Objectives:</strong> To evaluate post-PE P that were submitted to ESE. To determine the prognostic value of ESE according to the development of PH in ESE and determine factors associated with symptoms persistence at follow-up (FUP).</p> <p><strong>Methods:</strong> Retrospective study including post-PE symptomatic P without evidence of PH on rest echocardiogram, submitted to ESE, during a 5 year-period (Jan/2013-Dec/2018). Pulmonary hypertension during exercise was defined when estimated systolic pulmonary arterial pressure (SPAP) was > 60 mmHg on exertion.</p> <p><strong>Results:</strong> Of 2518 ESE performed, 31 (1,2%) P were selected: 21(67,7%) female, mean age 56±12 years. The initial diagnosis of PE was made during an acute episode in 15 P (48,5%); the remaining were diagnosed due to chronic symptoms by ventilation-perfusion scintigraphy or angio-TC. In 7 (22,5%) there was recurrence of PE. PE was central in 12 (38,7%) P and bilateral in 28 (90,3. All PE were considered idiopathic. The majority of the patients were anticoagulated indeterminately (27 P; 87,1%) and 20 P (64,5%) were anticoagulated with warfarin.</p> <p>ESE was performed 28±18 months after the diagnosis, on average. The indication for ESE was fatigue for minor exertion in 58% of the P. The mean time duration of the exam was 473±201 seconds, reaching an average of 6.6±3.4 METS and maximum heart rate of 83±13%. The mean rest estimated SPAP was 23±18 mmHg, with a mean value of 44±24 mmHg on exertion. 10 (32%) P developed PH during exercise. Of these, 6 P were submitted to right heart catheterization after ESE. Only 1 P had PH criteria; the remaining had pulmonary artery pressure (PAP) of 22±2mmHg, pulmonary vascular resistance of 4.5±1.4 UWood, cardiac output of 4,4±1,5L/min (by Fick method), on average. 3 P were referred for pulmonary endarterectomy (1 was refused and other didn´t accept the surgery) and two were referred to pulmonary angioplasty programme.</p> <p>In a median time of 24±14months, 20 (64,5%) P mentioned symptoms. P that have symptoms persistence at FUP presented lower maximum heart rates achieved at ESE (p=0,03), and lower METS achieved (p=0,03). </p> <p><strong>Conclusion:</strong>In our study, 32% pts developed pulmonary hypertension during exercise stress echocardiography, however only in 1 of these pts was confirmed the diagnosis by right heart catheterization. ESE was important for the determination of invasive therapeutic approach in 12,8% of the patients of the study population.</p>
Slides
Our mission: To reduce the burden of cardiovascular disease
Visit our site