Please use this identifier to cite or link to this item: http://doi.org/10.25358/openscience-10092
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dc.contributor.authorMavromanoli, Anna C.-
dc.contributor.authorBarco, Stefano-
dc.contributor.authorAgeno, Walter-
dc.contributor.authorBouvaist, Hélène-
dc.contributor.authorBrodmann, Marianne-
dc.contributor.authorCuccia, Claudio-
dc.contributor.authorCouturaud, Francis-
dc.contributor.authorDellas, Claudia-
dc.contributor.authorDimopoulos, Konstantinos-
dc.contributor.authorDuerschmied, Daniel-
dc.contributor.authorEmpen, Klaus-
dc.contributor.authorFaggiano, Pompilio-
dc.contributor.authorFerrari, Emile-
dc.contributor.authorGaliè, Nazzareno-
dc.contributor.authorGalvani, Marcello-
dc.contributor.authorGhuysen, Alexandre-
dc.contributor.authorGiannakoulas, George-
dc.contributor.authorHuisman, Menno V.-
dc.contributor.authorJiménez, David-
dc.contributor.authorKozak, Matija-
dc.contributor.authorLang, Irene M.-
dc.contributor.authorMeneveau, Nicolas-
dc.contributor.authorMünzel, Thomas-
dc.contributor.authorPalazzini, Massimiliano-
dc.contributor.authorPetris, Antoniu Octavian-
dc.contributor.authorPiovaccari, Giancarlo-
dc.contributor.authorSalvi, Aldo-
dc.contributor.authorSchellong, Sebastian-
dc.contributor.authorSchmid, Kai‑Helge-
dc.contributor.authorVerschuren, Franck-
dc.contributor.authorSchmidtmann, Irene-
dc.contributor.authorToenges, Gerrit-
dc.contributor.authorKlok, Frederikus A.-
dc.contributor.authorKonstantinides, Stavros V.-
dc.date.accessioned2024-02-15T09:58:35Z-
dc.date.available2024-02-15T09:58:35Z-
dc.date.issued2023-
dc.identifier.urihttps://openscience.ub.uni-mainz.de/handle/20.500.12030/10110-
dc.description.abstractBackground: Right ventricular (RV) function plays a critical role in the pathophysiology and acute prognosis of pulmonary embolism (PE). We analyzed the temporal changes of RV function in the cohort of a prospective multicentre study investigating if an early switch to oral anticoagulation in patients with intermediate-risk PE is effective and safe. Methods: Echocardiographic and laboratory examinations were performed at baseline (PE diagnosis), 6 days and 6 months. Echocardiographic parameters were classified into categories representing RV size, RV free wall/tricuspid annulus motion, RV pressure overload and right atrial (RA)/central venous pressure. Results: RV dysfunction based on any abnormal echocardiographic parameter was present in 84% of patients at baseline. RV dilatation was the most frequently abnormal finding (40.6%), followed by increased RA/central venous pressure (34.6%), RV pressure overload (32.1%), and reduced RV free wall/tricuspid annulus motion (20.9%). As early as day 6, RV size remained normal or improved in 260 patients (64.7%), RV free wall/tricuspid annulus motion in 301 (74.9%), RV pressure overload in 297 (73.9%), and RA/central venous pressure in 254 (63.2%). At day 180, the frequencies slightly increased. The median NT-proBNP level decreased from 1448 pg/ml at baseline to 256.5 on day 6 and 127 on day 180. Conclusion: In the majority of patients with acute intermediate-risk PE switched early to a direct oral anticoagulant, echocardiographic parameters of RV function normalised within 6 days and remained normal throughout the first 6 months. Almost one in four patients, however, continued to have evidence of RV dysfunction over the long term.en_GB
dc.language.isoengde
dc.rightsCC BY*
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/*
dc.subject.ddc610 Medizinde_DE
dc.subject.ddc610 Medical sciencesen_GB
dc.titleRecovery of right ventricular function after intermediate-risk pulmonary embolism : results from the multicentre Pulmonary Embolism International Trial (PEITHO)-2en_GB
dc.typeZeitschriftenaufsatzde
dc.identifier.doihttp://doi.org/10.25358/openscience-10092-
jgu.type.contenttypeScientific articlede
jgu.type.dinitypearticleen_GB
jgu.type.versionPublished versionde
jgu.type.resourceTextde
jgu.organisation.departmentFB 04 Medizinde
jgu.organisation.number2700-
jgu.organisation.nameJohannes Gutenberg-Universität Mainz-
jgu.rights.accessrightsopenAccess-
jgu.journal.titleClinical research in cardiologyde
jgu.journal.volume112de
jgu.pages.start1372de
jgu.pages.end1381de
jgu.publisher.year2023-
jgu.publisher.nameSpringer Naturede
jgu.publisher.placeBerlinde
jgu.publisher.issn1861-0692de
jgu.organisation.placeMainz-
jgu.subject.ddccode610de
jgu.publisher.doi10.1007/s00392-022-02138-4de
jgu.organisation.rorhttps://ror.org/023b0x485-
jgu.subject.dfgLebenswissenschaftende
Appears in collections:DFG-491381577-H

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