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LOCALIZATION OF PULMONARY THROMBOEMBOLISM - AN IMPORTANT PROGNOSTIC FACTOR

Zh. Zheleva, K. Kisyova, A. Kulova, A. Angelov, T. Todorov, A. Tsonev, H. Herlod

Abstract

The prognosis of pulmonary thromboembolism is a serious challenge for the clinicians. A total of 967 patients with pulmonary thromboembolism, 511 males and 456 females at a mean age of 60,1 ±13,7 years were analyzed. A special protocol consisting of 52 parameters was used to define their prognostic value. A non-invasive diagnostic algorithm based on symptoms, ECG, pulmonary roentgenography, perfusion scintigraphy, spiral scan, pulmoangiography, or on autopsy was applied. A prognostic index was elaborated by means of multifactorial analysis of the parameters of prognostic significance concerning the risk of lethal outcome. The localization of the pulmonary thromboembolism as determined by using spiral C T can effectively be used for patients' risk stratification.


Keywords

pulmonary thromboembolism; prognostic index; diagnostic algorithm; spiral C T; Cox's regression analysis

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References

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DOI: http://dx.doi.org/10.14748/ssm.v34i0.2781

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About The Authors

Zh. Zheleva

K. Kisyova

A. Kulova

A. Angelov

T. Todorov

A. Tsonev

H. Herlod

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