ArticleJournal of the American Heart Association2018
Early Use of Echocardiography in Patients With Acute Pulmonary Embolism: Findings From the RIETE Registry.
Article in Journal of the American Heart Association, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.
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Who cites it
24 citing papers in PubMed, 1 synthesis or guideline pooled it, 65 citations in OpenAlex.
- Scientific and Standardization Committee communication: Clinical guidance on the diagnosis, prevention, and treatment of venous thromboembolism in hospitalized patients with COVID-19.Journal of thrombosis and haemostasis : JTH · 2020Guideline
- Right ventricular dysfunction is superior and sufficient for risk stratification by a pulmonary embolism response team.Journal of thrombosis and thrombolysis · 2020Trial
- Saddle pulmonary embolism detected by transthoracic echocardiography-a case report.Wiener klinische Wochenschrift · 2026Article
- Prognostic Value of Arterial Lactate in Predicting In-Hospital Mortality in Acute Pulmonary Embolism.Diagnostics (Basel, Switzerland) · 2026Article
- Disparities in Current Pulmonary Embolism Management and Outcomes: A Scientific Statement From the American Heart Association.Circulation · 2025Review
- Pulmonary Embolism in the Elderly: From Symptoms to Speckle Tracking Echocardiography.Journal of cardiovascular development and disease · 2024Article
- Agreement Between Transthoracic Echocardiography and Computed Tomography Pulmonary Angiography for Detection of Right Ventricular Dysfunction in Pulmonary Embolism.Anatolian journal of cardiology · 2024Article
- A Novel Tool for Predicting an Abnormal Echocardiogram in Patients with Pulmonary Embolism: The PEACE Score.The Journal of emergency medicine · 2024Article
- Validation of Echocardiographic Measurements in Patients with Pulmonary Embolism in the RIETE Registry.TH open : companion journal to thrombosis and haemostasis · 2024Article
- A Novel Composed Index to Evaluate the Right Ventricle Free-Wall Adaptation Against Ventricular Wall Stress in Acute Pulmonary Embolism.Anatolian journal of cardiology · 2023Article
- Right heart thrombus in acute pulmonary embolism: A single center experience in China.Pulmonary circulation · 2023Article
- Prognostic role of different findings at echocardiography in acute pulmonary embolism: a critical review and meta-analysis.ERJ open research · 2023Article
- An Update on the Management of Acute High-Risk Pulmonary Embolism.Journal of clinical medicine · 2022Review
- Intermediate-risk pulmonary embolism: echocardiography predictors of clinical deterioration.Critical care (London, England) · 2022Observational
- CHAClinical cardiology · 2022Article
- Case report of subacute presentation of tricuspid valve thrombus complicated by widespread bilateral pulmonary emboli: a multifactorial aetiology.European heart journal. Case reports · 2021Article
- The addition of echocardiographic parameters to PESI risk score improves mortality prediction in patients with acute pulmonary embolism: PESI-Echo score.European heart journal. Acute cardiovascular care · 2021Article
- Coagulation disorders and thromboembolic disease in COVID-19: review of current evidence in search of a better approach.Journal of thoracic disease · 2021Review
- Importance of computed tomography pulmonary angiography for predict 30-day mortality in acute pulmonary embolism patients.European journal of radiology open · 2021Article
- COVID-19 and Thrombotic or Thromboembolic Disease: Implications for Prevention, Antithrombotic Therapy, and Follow-Up: JACC State-of-the-Art Review.Journal of the American College of Cardiology · 2020Review
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Authors and funding
13 authors at 20 institutions in 17 countries.
Funding
Abstract
Background Transthoracic echocardiography ( TTE ) is often considered for risk stratification of patients with acute pulmonary embolism ( PE ). We sought to determine the contemporary utilization of early TTE (within 72 hours of PE diagnosis) and explored the association between TTE findings and PE -related mortality. Methods and Results Data from the RIETE (Registro Informatizado Enfermedad TromboEmbolica) registry, a multicenter registry of consecutive patients with acute PE , were used (2001-July 2017). We used a generalized linear mixed model to determine predictors of early TTE performance. Moreover, the association between 3 TTE variables (right atrial enlargement, right ventricular hypokinesis, and presence of right heart thrombi) and 30-day PE -related mortality was assessed in generalized linear mixed models adjusted for PE severity index, and other comorbidities. Among 35 935 enrollees with acute PE , 15 375 (42.8%) underwent early TTE . There was an increase in early TTE utilization rate over time ( P<0.001 for trend). Younger age, female sex, enrollment in countries other than Spain, history of coronary disease, heart failure, atrial fibrillation, tachycardia, and hypotension were the main predictors of early TTE ( P<0.01 for all). In multivariable analyses, right atrial enlargement (adjusted odds ratio: 3.74; 95% confidence interval, 2.10-6.66), right ventricular hypokinesis (adjusted odds ratio: 3.11, 95% confidence interval: 1.85-5.21) and right heart thrombi (adjusted odds ratio: 4.39, 95% confidence interval, 1.99-9.71) were associated with increased odds for PE -related mortality. Conclusions Early TTE is commonly performed for acute PE and utilization rates have increased over time. Right atrial enlargement, right ventricular hypokinesis, and right heart thrombi are predictive of worse outcomes. Clinical Trial Registration URL : http://www.clinicaltrials.gov . Unique identifier: NCT 02832245.
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