Clinical and linguistic validation of a Polish version of the Pulmonary Embolism Quality of Life Questionnaire: a disease-specific quality of life questionnaire for patients after acute pulmonary embolism

Wiliński, Jerzy; Chukwu, Ositadima; Ciuk, Katarzyna; Borek, Radosław; Skwarek, Anna

doi:10.33963/kp.a2021.0074

Cited by 6 publications

(3 citation statements)

References 9 publications

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“…TTE is not a mandatory part of routine diagnostics in hemodynamically stable patients with PE [11]. Although short-term outcomes in acute PE are mainly conditioned by the hemodynamic status, RV dysfunction detected, inter alia, in TTE is associated with an increased risk of short-term mortality even in normotensive individuals [13,14]. Moreover, TTE enables close monitoring to detect hemodynamic decompensation and may help to identify possible candidates for rescue reperfusion therapy.…”

Section: Discussionmentioning

confidence: 99%

Subcostal echocardiographic assessment of tricuspid annular kick (SEATAK): A novel independent predictor of 30-day mortality in patients with acute pulmonary embolism

Wiliński¹,

Skwarek²,

Borek³

et al. 2022

Kardiol Pol

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Background:The most commonly used parameter of right ventricular (RV) systolic function -tricuspid annular plane systolic excursion (TAPSE) -is unavailable for some patients. Subcostal echocardiographic assessment of tricuspid annular kick (SEATAK) has been proposed as its alternative. Aim:The study aimed to assess the feasibility of SEATAK use in patients with acute pulmonary embolism (PE) and its value in prognosis after PE. Methods:The observational study included 164 consecutive patients (45.7% men; average age, 70 years) with a high clinical probability of PE referred for computed tomography pulmonary angiography.Results: SEATAK was unavailable due to inadequate quality of echocardiogram in 2.8% of patients, whereas TAPSE could not be calculated in 4.9%, both parameters were not estimated only in 0.6%. SEATAK and TAPSE values did not differ between groups of patients with PE (n = 82) and without (n = 82). In the whole study, SEATAK correlated positively with TAPSE (r = 0.71; 95% confidence interval [CI], 0.62-0.78; P <0.001), fractional area change of the RV, left ventricular ejection fraction, and peak systolic tricuspid annular velocity assessed with tissue Doppler imaging. There were only 3 echocardiographic predictors of 30-day all-cause mortality in patients with with PE (n = 10): SEATAK, pulmonary acceleration time, and the 60/60 sign. SEATAK predicted 30-day all-cause mortality with AUC (area under the curve) 0.726 (95% CI, 0.594-0.858; P = 0.01) and 30-day PE-related mortality (n = 4) with AUC, 0.772 (95% CI, 0.506-0.998; P = 0.03).Conclusions: SEATAK is a promising practicable echocardiographic parameter reflecting RV systolic function and might be an accurate alternative to TAPSE. Moreover, SEATAK could be an independent predictor of all-cause and PE-related 30-day mortality in patients with acute PE.

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Section: Discussionmentioning

confidence: 99%

Subcostal echocardiographic assessment of tricuspid annular kick (SEATAK): A novel independent predictor of 30-day mortality in patients with acute pulmonary embolism

Wiliński¹,

Skwarek²,

Borek³

et al. 2022

Kardiol Pol

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“…Moreover, the prevalence of venous thromboembolism is steadily increasing, while the estimated morbidity figures are underrepresented due to numerous clinically silent cases [2]. PE might be associated with various complications including severe disability related to subsequent chronic thromboembolic pulmonary hypertension and heart failure with decreased quality of life [3,4].…”

Section: Introductionmentioning

confidence: 99%

Echocardiographic parameters as adjuncts to the Pulmonary Embolism Severity Index in predicting 30-day mortality in acute pulmonary embolism patients

Wiliński,

Chukwu,

Skwarek

et al. 2024

Pol Heart J

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“…The disorder has been showing a steady upward trend in recent years with an annual incidence between 100 and 200 per 100,000 adults [2]. Venous thromboembolic disease with PE has a broad array of complications including the disability related to subsequent chronic thromboembolic pulmonary hypertension and impaired quality of life [3,4]. Moreover, acute PE is associated with a serious mortality rate beginning from 8% in early diagnosed and treated patients, to 30% in those untreated [5].…”

Section: Introductionmentioning

confidence: 99%

Indexing of Speckle Tracking Longitudinal Strain of Right Ventricle to Body Surface Area Does Not Improve Its Efficiency in Diagnosis and Mortality Risk Stratification in Patients with Acute Pulmonary Embolism

Wiliński,

Skwarek,

Borek

et al. 2023

Healthcare

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Background: Acute pulmonary embolism (PE) is associated with a serious mortality rate. Thus, the rapid diagnosis and identification of patients at high risk of death is pivotal. The search for echocardiographic parameters for this purpose continues. Recent publications reveal correlations between myocardial longitudinal strain (LS) and body surface area (BSA). The aim of the study was to evaluate the usefulness of indexing the right ventricular (RV) speckle tracking LS to BSA in detecting PE and stratifying the risk of 30-day all-cause mortality. Methods: the prospective cross-sectional observational study group consisted of 167 consecutive patients (76 men, 45.5%) aged 69.5 ± 15.3 years, and they were referred for computed tomography pulmonary angiography. Patients underwent a transthoracic echocardiographic examination within 24 h of admission to the hospital ward. RVLS and their derivatives indexed to BSA were included in the analysis. Results: PE was confirmed in 88 patients, while 79 patients had no radiological features of PE. The only echocardiographic parameters that differed between subgroups were pulmonary flow acceleration (Act), McConnell’s sign, LS of the middle segment of the RV free wall, and its derivative indexed to BSA. During the 30-day follow-up of a subgroup of subjects with PE, 12 patients died. The mortality predictors with increasing prediction value included a RV free wall mid-segment LS (cut-off value: −21%, Area Under the Curve—AUC 0.6, p = 0.02) and its derivative indexed to BSA (−14 %/m2, AUC 0.62, p = 0.003), body mass index (24.7 kg/m2, AUC 0.63, p = 0.002), D-dimer serum concentration (3559 pg/mL, AUC 0.66, p < 0.001), Act (67 ms, AUC 0.67, p < 0.001), septal basal LS (−15%, AUC 0.68, p = 0.02), RV free wall basal segment LS (−14%, AUC 0.7, p = 0.015), age (66 years, AUC 0.74, p = 0.004), NT-proBNP (1120 pg/mL, AUC 0.75, p = 0.01), troponin T (66 ng/mL, AUC 0.78, p = 0.005), and the complex score of the Pulmonary Embolism Severity Index (AUC 0.88, p < 0.001). Conclusions: indexing of RVLS to BSA does not improve its prognostic value in patients with acute PE.

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Clinical and linguistic validation of a Polish version of the Pulmonary Embolism Quality of Life Questionnaire: a disease-specific quality of life questionnaire for patients after acute pulmonary embolism

Cited by 6 publications

References 9 publications

Subcostal echocardiographic assessment of tricuspid annular kick (SEATAK): A novel independent predictor of 30-day mortality in patients with acute pulmonary embolism

Subcostal echocardiographic assessment of tricuspid annular kick (SEATAK): A novel independent predictor of 30-day mortality in patients with acute pulmonary embolism

Echocardiographic parameters as adjuncts to the Pulmonary Embolism Severity Index in predicting 30-day mortality in acute pulmonary embolism patients

Indexing of Speckle Tracking Longitudinal Strain of Right Ventricle to Body Surface Area Does Not Improve Its Efficiency in Diagnosis and Mortality Risk Stratification in Patients with Acute Pulmonary Embolism

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