Prediction of new onset atrial fibrillation in patients with acute pulmonary embolism: The role of sPESI Score
Objective: Acute pulmonary embolism (APE) is a serious clinical situation and atrial fibrillation (AF) is the most common arrhytmia in clinical practice. The Pulmonary Embolism Severity Index (PESI) is an accepted risk stratification tool used to predict short term mortality in APE. The aim of this...
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doaj-8f08108247a14300a8ad10c6ca68dca02021-01-19T07:29:19ZengKARE PublishingTürk Kardiyoloji Derneği Arşivi1016-51692019-04-0147319119710.5543/tkda.2018.78241TKDA-78241Prediction of new onset atrial fibrillation in patients with acute pulmonary embolism: The role of sPESI ScoreEkrem Şahan0Suzan Şahan1Murat Karamanlıoğlu2Murat Gül3Omaç Tüfekçioğlu4Department of Cardiology, Atatürk Chest Disease and Thorasic Surgery Training and Research Hospital, Ankara TurkeyDepartment of Cardiology, Türkiye Yüksek Ihtisas Training and Research Hospital, Ankara, TurkeyDepartment of Cardiology, Atatürk Chest Disease and Thorasic Surgery Training and Research Hospital, Ankara TurkeyDepartment of Cardiology, Düzce State Hospital, Düzce, TurkeyDepartment of Cardiology, Türkiye Yüksek Ihtisas Training and Research Hospital, Ankara, TurkeyObjective: Acute pulmonary embolism (APE) is a serious clinical situation and atrial fibrillation (AF) is the most common arrhytmia in clinical practice. The Pulmonary Embolism Severity Index (PESI) is an accepted risk stratification tool used to predict short term mortality in APE. The aim of this study was to evaluate the relationship between the PESI score and new-onset AF in patients with APE. Methods: The records of 869 APE patients admitted between May 2012 and December 2015 were evaluated retrospectively. The PESI score was calculated for every patient. Clinical variables associated with new-onset AF in APE were assessed after the exclusion of patients with hypertension, coronary or hemodynamically significant valvular heart disease, hepatic or renal dysfunction, chronic obstructive pulmonary disease, thyroid dysfunction, diabetes mellitus, sleep apnea, any history of inflammatory or infectious disease, or recent trauma. New-onset AF was detected in 42 (4.8%) patients. Results: Age, gender, systolic and diastolic blood pressure, heart rate, fasting glucose level, serum creatinine, left ventricle ejection fraction, tricuspid annular plane systolic excursion value, and pulmonary artery systolic pressure measures were not significantly different between patients with and without AF. New-AF patients demonstrated larger LVEDD and LAD dimensions (p <0.001 for both). The PESI score was higher in the new-onset AF group (93+-23 vs.75+-17; p <0.001). LVEDD, LAD, levels of uric acid, bilirubin, albumin, and troponin, and PESI score were univariate predictors of new-onset AF. Conclusion: In patients with APE, the PESI score was positively correlated with new-onset AF. A PESI score greater than 82.50 may be useful to predict new-onset AF in these patients.https://jag.journalagent.com/z4/download_fulltext.asp?pdir=tkd&un=TKDA-78241acute pulmonary embolismatrial fibrillation; pulmonary embolism severity index; simplified pulmonary embolism severity index. |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Ekrem Şahan Suzan Şahan Murat Karamanlıoğlu Murat Gül Omaç Tüfekçioğlu |
spellingShingle |
Ekrem Şahan Suzan Şahan Murat Karamanlıoğlu Murat Gül Omaç Tüfekçioğlu Prediction of new onset atrial fibrillation in patients with acute pulmonary embolism: The role of sPESI Score Türk Kardiyoloji Derneği Arşivi acute pulmonary embolism atrial fibrillation; pulmonary embolism severity index; simplified pulmonary embolism severity index. |
author_facet |
Ekrem Şahan Suzan Şahan Murat Karamanlıoğlu Murat Gül Omaç Tüfekçioğlu |
author_sort |
Ekrem Şahan |
title |
Prediction of new onset atrial fibrillation in patients with acute pulmonary embolism: The role of sPESI Score |
title_short |
Prediction of new onset atrial fibrillation in patients with acute pulmonary embolism: The role of sPESI Score |
title_full |
Prediction of new onset atrial fibrillation in patients with acute pulmonary embolism: The role of sPESI Score |
title_fullStr |
Prediction of new onset atrial fibrillation in patients with acute pulmonary embolism: The role of sPESI Score |
title_full_unstemmed |
Prediction of new onset atrial fibrillation in patients with acute pulmonary embolism: The role of sPESI Score |
title_sort |
prediction of new onset atrial fibrillation in patients with acute pulmonary embolism: the role of spesi score |
publisher |
KARE Publishing |
series |
Türk Kardiyoloji Derneği Arşivi |
issn |
1016-5169 |
publishDate |
2019-04-01 |
description |
Objective: Acute pulmonary embolism (APE) is a serious clinical situation and atrial fibrillation (AF) is the most common arrhytmia in clinical practice. The Pulmonary Embolism Severity Index (PESI) is an accepted risk stratification tool used to predict short term mortality in APE. The aim of this study was to evaluate the relationship between the PESI score and new-onset AF in patients with APE.
Methods: The records of 869 APE patients admitted between May 2012 and December 2015 were evaluated retrospectively. The PESI score was calculated for every patient. Clinical variables associated with new-onset AF in APE were assessed after the exclusion of patients with hypertension, coronary or hemodynamically significant valvular heart disease, hepatic or renal dysfunction, chronic obstructive pulmonary disease, thyroid dysfunction, diabetes mellitus, sleep apnea, any history of inflammatory or infectious disease, or recent trauma. New-onset AF was detected in 42 (4.8%) patients.
Results: Age, gender, systolic and diastolic blood pressure, heart rate, fasting glucose level, serum creatinine, left ventricle ejection fraction, tricuspid annular plane systolic excursion value, and pulmonary artery systolic pressure measures were not significantly different between patients with and without AF. New-AF patients demonstrated larger LVEDD and LAD dimensions (p <0.001 for both). The PESI score was higher in the new-onset AF group (93+-23 vs.75+-17; p <0.001). LVEDD, LAD, levels of uric acid, bilirubin, albumin, and troponin, and PESI score were univariate predictors of new-onset AF.
Conclusion: In patients with APE, the PESI score was positively correlated with new-onset AF. A PESI score greater than 82.50 may be useful to predict new-onset AF in these patients. |
topic |
acute pulmonary embolism atrial fibrillation; pulmonary embolism severity index; simplified pulmonary embolism severity index. |
url |
https://jag.journalagent.com/z4/download_fulltext.asp?pdir=tkd&un=TKDA-78241 |
work_keys_str_mv |
AT ekremsahan predictionofnewonsetatrialfibrillationinpatientswithacutepulmonaryembolismtheroleofspesiscore AT suzansahan predictionofnewonsetatrialfibrillationinpatientswithacutepulmonaryembolismtheroleofspesiscore AT muratkaramanlıoglu predictionofnewonsetatrialfibrillationinpatientswithacutepulmonaryembolismtheroleofspesiscore AT muratgul predictionofnewonsetatrialfibrillationinpatientswithacutepulmonaryembolismtheroleofspesiscore AT omactufekcioglu predictionofnewonsetatrialfibrillationinpatientswithacutepulmonaryembolismtheroleofspesiscore |
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