In this study, the association between the right ventricular dysfunction (RVD) and CHA2DS2-VASc (C: congestive heart failure or left ventricular systolic dysfunction, H: hypertension, A: age of ≥ 75 years, D: diabetes mellitus, S: previous stroke, V: vascular disease, A: age between 65 and 74 years, Sc: female gender) scores was investigated in patients with acute pulmonary thromboembolism (PTE). The patients have been assigned to 3 subgroups as massive, submassive, and nonmassive PTE. The CHA2DS2-VASc scores were calculated for all of the patients, and the scores have been classified into 3 groups as the scores between 0 and 1, the scores of 2, and the scores of 3 and over. The independent predictors of the RVD were investigated by the univariate and multivariate regression analyses. The independent predictors of the RVD were determined to be the CHA2DS2-VASc scores ( P = .034), the systolic pulmonary artery pressure ( P < .001), the presence of acute deep vein thrombosis ( P = .007), high simplified Pulmonary Embolism Severity Index ( P < .001), D-dimer ( P < .006), and the mean platelet volume ( P < .001). The CHA2DS2-VASc scores predicted the RVD with 70% sensitivity and 50% specificity as determined by the receiver operating characteristic analysis. The CHA2DS2-VASc score is an independent predictor of the RVD in patients with acute PTE.
(NSTEMI), ST segment elevation myocardial infarction (STEMI), and sudden cardiac death due to thrombotic coronary artery disease refers to a series of events. In this study, we aimed to determine the clinical features of the ACS patients admitted to our hospital with a tertiary center and the prevalence of traditional risk factors for coronary artery disease (CAD) and its treatment methods in order to increase opportunities for more rapid and effective treatment. In addition, we also aimed to develop prevention strategies for preventable CAD so that our hospital can perform better at the treatment strategies for ACS and in accordance with the guidelines in this direction we can draw attention to and raise awareness in the region.
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