Logistic regression model for identification of right ventricular dysfunction in patients with acute pulmonary embolism by means of computed tomography.

Purpose: Diagnosis of right ventricular dysfunction in patients with acute pulmonary embolism (PE) is known to be associated with increased risk of mortality. The aim of the study was to calculate a logistic regression model for reliable identification of right ventricular dysfunction (RVD) in patients diagnosed with computed tomography pulmonary angiography.

Material And Methods: Ninety-seven consecutive patients with acute pulmonary embolism were divided into groups with and without RVD basing upon echocardiographic measurement of pulmonary artery systolic pressure (PASP).

Meteorological parameters and severity of acute pulmonary embolism episodes.

Frequency of acute pulmonary embolism episodes has been previously shown to correlate significantly with meteorological factors in the period preceding their occurrence. The purpose of the study was to analyze the relation of meteorological factors and the severity of acute pulmonary embolism, expressed by the CT-based pulmonary obstruction score. A retrospective analysis of medical data of 182 consecutive patients with acute pulmonary embolism diagnosed with CT pulmonary angiography was performed.

Widening of coronary sinus in CT pulmonary angiography indicates right ventricular dysfunction in patients with acute pulmonary embolism.

Objectives: Right ventricular dysfunction (RVD) may occur in the course of acute pulmonary embolism (PE). Patients with RVD need more intensive treatment, and the prognosis is more severe. The aim of this study was to evaluate the usefulness of the measurement of the coronary sinus in the assessment of RVD in patients with acute PE and to compare it with other indicators of RVD.

Coronary atherosclerosis in patients with acquired valvular disease.

Background: Coronary atherosclerosis often coexists with acquired valvular disorders. There is growing evidence in literature that these two conditions may have common aetiology.

Aim: To assess the incidence of coronary atherosclerosis in patients with acquired valvular disorders and to compare clinical parameters as well as the prevalence of risk factors between patients with aortic and mitral valve diseases.

[Angina pectoris in patients with aortic valvular stenosis].

Aim: The aim of the study was to analyze the factors contributing to the development of anginal pain common in patients with aortic valvular stenosis (SOAS).

Methods: The study included 74 consecutive patients, aged 60,5 (+/- 10,7), with severe acquired valvular aortic stenosis (resting maximum systolic pressure gradient above 50 mm Hg) who were referred for evaluation prior to elective cardiac surgery. The history of angina and its severity according to CCS classification and of common atherosclerosis risk factors including: hypertension, hyperlipidaemia, smoking, diabetes mellitus and family history was taken.