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dc.rights.licenseAtribución-NoComercial 4.0 Internacional
dc.contributor.advisorCarillo Bayona, Jorge Alberto
dc.contributor.advisorSalazar, Luis Carlos
dc.contributor.authorLópez Donato, Diego Fernando
dc.date.accessioned2020-01-30T18:55:51Z
dc.date.available2020-01-30T18:55:51Z
dc.date.issued2019-11-20
dc.identifier.citationAgnelli G, Becattini C. Acute pulmonary embolism [11]. N Engl J Med [Internet]. 2010;363(20):1974–5. Available from: http://dx.doi.org/10.1016/j.thorsurg.2009.12.010
dc.identifier.citationArticle R, Steering I, For C, Thrombosis W. Thrombosis : a major contributor to the global disease burden. 2014;(August):1580–90.
dc.identifier.citationStein PD, Beemath A, Olson RE. Trends in the incidence of pulmonary embolism and deep venous thrombosis in hospitalized patients. Am J Cardiol. 2005;95(12):1525–6.
dc.identifier.citationKonstantinides S V, Meyer G, Becattini C, Bueno H, Geersing G-J, Harjola V-P, et al. 2019 ESC Guidelines for the diagnosis and management of acute pulmonary embolism developed in collaboration with the European Respiratory Society (ERS). Eur Heart J. 2019;1–61.
dc.identifier.citationHuisman M V, Barco S, Cannegieter SC, Gal G Le. Pulmonary embolism Nature 2018. Nat Rev Dis Prim. 2018;VOLUME 4(May):18.
dc.identifier.citationSchoepf UJ, Kucher N, Kipfmueller F, Quiroz R, Costello P, Goldhaber SZ. Right ventricular enlargement on chest computed tomography: A predictor of early death in acute pulmonary embolism. Circulation. 2004;110(20):3276–80.
dc.identifier.citationIlker I, Altınsoy B, Serifoglu I, Sayın R, Cagatay M, Erboy F, et al. Evaluation of right atrium-to-right ventricle diameter ratio on computed tomography pulmonary angiography : Prediction of adverse outcome and 30-day mortality. Eur J Radiol [Internet]. 2015;84(12):2526–32. Available from: http://dx.doi.org/10.1016/j.ejrad.2015.08.019
dc.identifier.citationJiménez D, Lobo JL, Monreal M, Moores L, Oribe M, Barrón M, et al. Prognostic significance of multidetector CT in normotensive patients with pulmonary embolism: Results of the protect study. Thorax. 2014;69(2):109–15.
dc.identifier.citationScheffel H, Stolzmann P, Leschka S, Desbiolles L, Seifert B, Marincek B, et al. Ventricular short-axis measurements in patients with pulmonary embolism : Effect of ECG-gating on variability , accuracy , and risk prediction. Eur J Radiol [Internet]. 2012;81(9):2195–202. Available from: http://dx.doi.org/10.1016/j.ejrad.2011.03.067
dc.identifier.citationAviram G, Soikher E, Bendet A, Shmueli H, Ziv-Baran T, Amitai Y, et al. Prediction of Mortality in Pulmonary Embolism Based on Left Atrial Volume Measured on CT Pulmonary Angiography. Chest [Internet]. 2016;149(3):667–75. Available from: http://www.ncbi.nlm.nih.gov/pubmed/26356029
dc.identifier.citationDaley J, Grotberg J, Pare J, Medoro A, Liu R, Hall MK, et al. Emergency physician performed tricuspid annular plane systolic excursion in the evaluation of suspected pulmonary embolism. Am J Emerg Med [Internet]. 2017;35(1):106–11. Available from: http://dx.doi.org/10.1016/j.ajem.2016.10.018
dc.identifier.citationApfaltrer P, Henzler T, Meyer M, Roeger S, Haghi D, Gruettner J, et al. Correlation of CT angiographic pulmonary artery obstruction scores with right ventricular dysfunction and clinical outcome in patients with acute pulmonary embolism. Eur J Radiol [Internet]. 2012;81(10):2867–71. Available from: http://dx.doi.org/10.1016/j.ejrad.2011.08.014
dc.identifier.citationMeyer M, Fink C, Roeger S, Apfaltrer P, Haghi D, Kaminski WE, et al. Benefit of combining quantitative cardiac CT parameters with troponin i for predicting right ventricular dysfunction and adverse clinical events in patients with acute pulmonary embolism. Eur J Radiol [Internet]. 2012;81(11):3294–9. Available from: http://dx.doi.org/10.1016/j.ejrad.2012.06.023
dc.identifier.citationHenzler T, Roeger S, Meyer M, Schoepf UJ, Nance JW, Haghi D, et al. Pulmonary embolism: CT signs and cardiac biomarkers for predicting right ventricular dysfunction. Eur Respir J. 2012;39(4):919–26.
dc.identifier.urihttps://repositorio.unal.edu.co/handle/unal/75543
dc.description.abstractIntroduction: Acute pulmonary embolism has a mortality rate that reaches up to 58%, with heart adaptation mechanisms to right ventricular strain as the main factor determining outcomes. The gold standard for diagnosis of right ventricular failure is echocardiography, but it has some limitations as it is operator dependent and the technical difficulties of acquiring adequate images of the right cardiac chambers. There have been performed some trials testing conventional tomography (CT) as a diagnostic tool for determining hemodynamic alterations derived from this pathology, however none of them has demonstrated an acceptable diagnostic performance. Along with the advent of new CT technologies having better acquisition hardware and post-processing software, it has been possible to measure the cardiac chamber volumes to make appropriate comparisons with those obtained through echocardiography. Objective: to perform a systematic review of the diagnostic validity of cardiac chamber volume determined on ECG-gated heart CT for the diagnosis of right ventricular failure. Materials and methods: it was performed a systematic review on the validity of cardiac volumetric measurements calculated through ECG-gated heart CT as a diagnostic tool compared with those obtained through echocardiography as it is the reference standard in diagnosis of right ventricular failure, finding a combined sensitivity of 0.89 % (0.76-0.95; CI 95) and a specificity of 87% (9.79-9.93%; CI 95). Conclusions: actual scientific evidence supports the use of heart chamber volume measurements obtained through ECG-gated heart CT as a diagnostic tool in determining right ventricular failure on patients having an acute pulmonary embolism, with a good diagnostic performance.
dc.description.abstractIntroducción: La mortalidad del embolismo pulmonar agudo puede llegar hasta el 58% siendo la adaptación del corazón a la sobrecarga ventricular derecha el factor que determina la evolución clínica. El método diagnóstico de referencia de falla ventricular es la ecocardiografía, con las limitaciones de ser operador dependiente y la dificultad técnica para valorar las cavidades derechas. Se han evaluado varios hallazgos en las imágenes de tomografía convencional para determinar el compromiso hemodinámico sin embargo ninguna ha demostrado un adecuado rendimiento diagnóstico. Con el advenimiento de nuevas tecnologías tomográficas, tanto en la adquisición como en el postproceso, es posible realizar una valoración de los volúmenes cardíacos que se podrían extrapolar a los hallazgos ecocardiográficos. Objetivo: Revisar sistemáticamente la validez diagnóstica de los volúmenes cardíacos por angiotomografía en el diagnóstico de falla del ventrículo derecho. Materiales y métodos: se realizó una revisión sistemática sobre la validez de los parámetros volumétricos cardiacos calculados por angiotomografía comparados con los obtenidos con ecocardiograma como estándar de referencia para el diagnóstico de falla ventricular derecha. Resultados: se calculó para la relación vVD/vVI como criterio diagnóstico de falla ventricular derecha una sensibilidad combinada de 0.89% (0,76-0.95% IC) y especificidad de 87% (0,79-0,93% IC). Conclusiones: la evidencia actual apoya la utilización de los volúmenes cardiacos angiotomográficos como diagnóstico de falla ventricular derecha en pacientes con embolia pulmonar aguda con un buen rendimiento diagnóstico.
dc.format.extent46
dc.format.mimetypeapplication/pdf
dc.language.isospa
dc.rightsDerechos reservados - Universidad Nacional de Colombia
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/
dc.subject.ddcMedicina y salud
dc.titleEvaluación volumétrica cardíaca por angiotomografía y falla del ventrículo derecho en pacientes con embolia pulmonar aguda: revisión sistemática de la literatura
dc.typeDocumento de trabajo
dc.rights.spaAcceso abierto
dc.coverage.sucursalUniversidad Nacional de Colombia - Sede Bogotá
dc.description.additionalEspecialista en Radiología e Imágenes Diagnósticas. Línea de Investigación: Imagen Corporal.
dc.type.driverinfo:eu-repo/semantics/workingPaper
dc.type.versioninfo:eu-repo/semantics/acceptedVersion
dc.contributor.researchgroupGRUPO DE INVESTIGACIÓN EN RADIOLOGÍA E IMÁGENES DIAGNÓSTICAS (GRID)
dc.publisher.branchUniversidad Nacional de Colombia - Sede Bogotá
dc.relation.references1. Agnelli G, Becattini C. Acute pulmonary embolism [11]. N Engl J Med [Internet]. 2010;363(20):1974–5. Available from: http://dx.doi.org/10.1016/j.thorsurg.2009.12.010 2. Article R, Steering I, For C, Thrombosis W. Thrombosis : a major contributor to the global disease burden. 2014;(August):1580–90. 3. Stein PD, Beemath A, Olson RE. Trends in the incidence of pulmonary embolism and deep venous thrombosis in hospitalized patients. Am J Cardiol. 2005;95(12):1525–6. 4. Konstantinides S V, Meyer G, Becattini C, Bueno H, Geersing G-J, Harjola V-P, et al. 2019 ESC Guidelines for the diagnosis and management of acute pulmonary embolism developed in collaboration with the European Respiratory Society (ERS). Eur Heart J. 2019;1–61. 5. Huisman M V, Barco S, Cannegieter SC, Gal G Le. Pulmonary embolism Nature 2018. Nat Rev Dis Prim. 2018;VOLUME 4(May):18. 6. Schoepf UJ, Kucher N, Kipfmueller F, Quiroz R, Costello P, Goldhaber SZ. Right ventricular enlargement on chest computed tomography: A predictor of early death in acute pulmonary embolism. Circulation. 2004;110(20):3276–80. 7. Ilker I, Altınsoy B, Serifoglu I, Sayın R, Cagatay M, Erboy F, et al. Evaluation of right atrium-to-right ventricle diameter ratio on computed tomography pulmonary angiography : Prediction of adverse outcome and 30-day mortality. Eur J Radiol [Internet]. 2015;84(12):2526–32. Available from: http://dx.doi.org/10.1016/j.ejrad.2015.08.019 8. Jiménez D, Lobo JL, Monreal M, Moores L, Oribe M, Barrón M, et al. Prognostic significance of multidetector CT in normotensive patients with pulmonary embolism: Results of the protect study. Thorax. 2014;69(2):109–15. 9. Scheffel H, Stolzmann P, Leschka S, Desbiolles L, Seifert B, Marincek B, et al. Ventricular short-axis measurements in patients with pulmonary embolism : Effect of ECG-gating on variability , accuracy , and risk prediction. Eur J Radiol [Internet]. 2012;81(9):2195–202. Available from: http://dx.doi.org/10.1016/j.ejrad.2011.03.067 10. Aviram G, Soikher E, Bendet A, Shmueli H, Ziv-Baran T, Amitai Y, et al. Prediction of Mortality in Pulmonary Embolism Based on Left Atrial Volume Measured on CT Pulmonary Angiography. Chest [Internet]. 2016;149(3):667–75. Available from: http://www.ncbi.nlm.nih.gov/pubmed/26356029 11. Daley J, Grotberg J, Pare J, Medoro A, Liu R, Hall MK, et al. Emergency physician performed tricuspid annular plane systolic excursion in the evaluation of suspected pulmonary embolism. Am J Emerg Med [Internet]. 2017;35(1):106–11. Available from: http://dx.doi.org/10.1016/j.ajem.2016.10.018 12. Apfaltrer P, Henzler T, Meyer M, Roeger S, Haghi D, Gruettner J, et al. Correlation of CT angiographic pulmonary artery obstruction scores with right ventricular dysfunction and clinical outcome in patients with acute pulmonary embolism. Eur J Radiol [Internet]. 2012;81(10):2867–71. Available from: http://dx.doi.org/10.1016/j.ejrad.2011.08.014 13. Meyer M, Fink C, Roeger S, Apfaltrer P, Haghi D, Kaminski WE, et al. Benefit of combining quantitative cardiac CT parameters with troponin i for predicting right ventricular dysfunction and adverse clinical events in patients with acute pulmonary embolism. Eur J Radiol [Internet]. 2012;81(11):3294–9. Available from: http://dx.doi.org/10.1016/j.ejrad.2012.06.023 14. Henzler T, Roeger S, Meyer M, Schoepf UJ, Nance JW, Haghi D, et al. Pulmonary embolism: CT signs and cardiac biomarkers for predicting right ventricular dysfunction. Eur Respir J. 2012;39(4):919–26.
dc.rights.accessrightsinfo:eu-repo/semantics/openAccess
dc.subject.proposalTomography X-Ray Computed; Pulmonary Embolism; Ventricular Dysfunction Right; Echocardiography
dc.subject.proposalTomografía Computarizada por Rayos X; Embolia Pulmonar; Disfunción Ventricular Derecha; Ecocardiografía
dc.type.coarhttp://purl.org/coar/resource_type/c_8042
dc.type.coarversionhttp://purl.org/coar/version/c_ab4af688f83e57aa
dc.type.contentText
dc.type.redcolhttp://purl.org/redcol/resource_type/WP
oaire.accessrightshttp://purl.org/coar/access_right/c_abf2


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