ArticleAcademic emergency medicine : official journal of the Society for Academic Emergency Medicine2022
Electrocardiographic findings associated with early clinical deterioration in acute pulmonary embolism.
Article in Academic emergency medicine : official journal of the Society for Academic Emergency Medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed, 17 citations in OpenAlex.
- Artificial Intelligence-Driven Integration of ECG and Molecular Biomarkers in Pulmonary Embolism.International journal of molecular sciences · 2026Review
- Incomplete Right Bundle Branch Block: A Narrative Review of Clinical Relevance, Diagnostic Pitfalls, and Prognostic Implications.Cardiology and therapy · 2025Review
- Prevalence of Electrocardiographic Abnormalities in Patients with Acute Pulmonary Embolism: A Systematic Review and Meta-Analysis.Journal of clinical medicine · 2025Review
- Article
- Electrocardiographic Changes after Endovascular Mechanical Thrombectomy in a Patient with Pulmonary Embolism-A Case Report and Literature Review.Journal of clinical medicine · 2024Review
- The Zurkurnai ECG Pattern: A Novel ECG Pattern of the High-Risk Features of Acute Pulmonary Embolism.Cureus · 2024Article
- S1Q3T3 electrocardiographic pattern in saddle pulmonary embolism.HeartRhythm case reports · 2023Article
- Quality of life 1 month after acute pulmonary embolism in emergency department patients.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2023Article
- The impact of right bundle branch block and SIQIII-type patterns in determining risk levels in acute pulmonary embolism.F1000Research · 2023Article
- Electrocardiographic findings associated with early clinical deterioration in acute pulmonary embolism.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2022Article
- Baseline Echocardiographic Predictors of Outcomes in Low-to-intermediate Risk Acute Pulmonary Embolism and Integration with Electrocardiographic Findings: A Systematic Review and Meta-analysis.Journal of cardiovascular echographyArticle
- Beyond Standalone Diagnostic Accuracy: Contextual and Methodological Considerations in ECG Interpretation for Suspected Pulmonary Embolism.Journal of investigative medicine high impact case reportsArticle
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Authors and funding
14 authors at 9 institutions in 1 country.
Funding
Abstract
objectivesWe sought to determine associations of early electrocardiogram (ECG) patterns with clinical deterioration (CD) within 5 days and with RV abnormality (abnlRV) by echocardiography in pulmonary embolism (PE).
methodsIn this prospective, multicenter study of newly confirmed PE patients, early echocardiography and initial ECG were examined. Initial ECG patterns included lead-specific ST-segment elevation (STE) or depression (STD), T-wave inversion (TWI), supraventricular tachycardia (SVT), sinus tachycardia, and right bundle branch block as complete (cRBBB) or incomplete (iRBBB). We defined CD as respiratory failure, hypotension, dysrhythmia, cardiac arrest, escalated PE intervention, or death within 5 days. We calculated odds ratios (ORs) for CD and abnlRV with univariate and full multivariate models in the presence of other variables.
resultsOf 1676 patients, 1629 (97.2%) had both ECG and GDE; 415/1676 (24.7%) had CD, and 529/1629 (32.4%) had abnlRV. AbnlRV had an OR for CD of 4.25 (3.35, 5.38). By univariable analysis, the absence of abnormal ECG patterns had OR for CD and abnlRV of 0.34 (0.26, 0.44; p < 0.001) and 0.24 (0.18, 0.31; p < 0.001), respectively. By multivariable analyses, one ECG pattern had a significant OR for CD: SVT 2.87 (1.66, 5.00). Significant ORS for abnlRV were: TWI V
conclusionsSVT was an independent predictor of CD. TWI V
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.