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Early Systolic Notching in Pulmonary Embolism

G

Gazi University

Status

Completed

Conditions

Pulmonary Embolism

Study type

Observational

Funder types

Other

Identifiers

NCT04413825
Gazi U.

Details and patient eligibility

About

Venous thromboembolism (VTE), clinically seen as deep vein thrombosis (DVT) or pulmonary embolism (PE), is the third most common acute cardiovascular syndrome after myocardial infarction and stroke. In a study conducted by critical care and emergency physicians, lung ultrasonography (US) for pleural infarction areas, lower extremity venous US in terms of DVT, and focused cardiac US in terms of right ventricular strain were demonstrated with different diagnostic values for PE. However, no ultrasonographic method alone has a high diagnostic value for PE alone in the literature. In a recent study, it is stated that a new cardiac finding (early systolic notch- ESN) has high sensitivity (92%) and specificity (99%) in massive and submassive emboli. However, the limited patient population and the exclusion of many patient groups limits the applicability of the study and its use in other patient groups. With this study, it was aimed to determine the diagnostic value of ESN finding within the emergency department conditions by keeping the patient population wider.

Enrollment

180 patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • Patients undergoing pulmonary CT angiography with suspicion of pulmonary embolism

Exclusion criteria

  • Pregnant women,
  • Patients under 18 years of age,
  • Those who received thrombolytic therapy,
  • Poor ultrasound imaging.

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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