Association between 2D echocardiographic right atrial volume to left atrial volume (RAV/LAV) ratio and in-hospital prognosis in thrombolysed acute pulmonary thromboembolism patients.

G Ravi Kiran, P Chandrasekhar, S Mohammad Ali

Abstract readObservational Study

In one paragraph

Observational study in Indian heart journal. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

3 authors.

G Ravi KiranDepartment of Cardiology, Kurnool Medical College and Hospital, Kurnool, Andhra-pradesh, India. Electronic address: drrxrk@gmail.com.

P ChandrasekharDepartment of Cardiology, Kurnool Medical College and Hospital, Kurnool, Andhra-pradesh, India.

S Mohammad AliDepartment of Cardiology, Kurnool Medical College and Hospital, Kurnool, Andhra-pradesh, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Right atrial volume/Left atrial volume (RAV/LAV) ratio is a good hemodynamic parameter in acute pulmonary thromboembolism (PTE), whose prognostic ability by 2D echocardiography is not studied to date. We conducted a 27 month, prospective observational study on 55 eligible acute PTE thrombolysed (29: Tenecteplase; 26: Streptokinase) patients. The primary endpoint was a composite of in-hospital death and poor right ventricular reverse remodelling at the time of discharge. The incidence of primary end-point and death were 40% and 7.2% respectively. On regression analysis, RAV/LAV ratio was the only predictor of the primary endpoint, with an optimal cut-off of 3.8 (accuracy 75%).

Indexed as

Cardiac VolumeAcute DiseaseAdultAtrial Function, LeftEchocardiographyFemaleFollow-Up StudiesHeart AtriaHumansMalePrognosisProspective StudiesPulmonary EmbolismThrombolytic TherapyAtrial volume ratioPulmonary thromboembolismThrombolysis

Identifiers

PMID33357655

DOI10.1016/j.ihj.2020.09.008

PMCPMC7772587

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