Early Determination of TAPSE (Tricuspid Annular Plane Systolic Excursion) Improves Early Identification of Pulmonary Thromboembolism and Management in the Female Population Presenting with Undifferentiated Dyspnea to the Emergency Department

Early Determination of TAPSE (Tricuspid Annular Plane Systolic Excursion) Improves Early Identification of Pulmonary Thromboembolism and Management in the Female Population Presenting with Undifferentiated Dyspnea to the Emergency Department

Pulmonary embolism (PE) can present to emergency departments with various clinical symptoms. It can be easily missed. Although both sexes are equally susceptible to it, but factors associated with the use of oral contraceptives and hormonal therapy and pregnancy put the female population more at ris...

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Bibliographic Details
Main Authors: Hymavathi Akula, Ashima Sharma, K. Jeethender Jain
Format: Article
Language:English
Published: Thieme Medical and Scientific Publishers Pvt. Ltd. 2021-04-01
Series:Indian Journal of Cardiovascular Disease in Women
Subjects:
female
india
pulmonary thromboembolism
vte
Online Access:http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1732516
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spelling doaj-07341e7722dc4ee8a1a38e4456eb9f0d2021-08-27T22:53:18ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Cardiovascular Disease in Women2455-78542021-04-01060210811210.1055/s-0041-1732516Early Determination of TAPSE (Tricuspid Annular Plane Systolic Excursion) Improves Early Identification of Pulmonary Thromboembolism and Management in the Female Population Presenting with Undifferentiated Dyspnea to the Emergency DepartmentHymavathi Akula0Ashima Sharma1K. Jeethender Jain2Department of Emergency Medicine, Nizam's Institute of Medical Sciences, Hyderabad, Telangana, IndiaDepartment of Emergency Medicine, Nizam's Institute of Medical Sciences, Hyderabad, Telangana, IndiaDepartment of Cardiology, Nizam's Institute of Medical Sciences, Hyderabad, Telangana, IndiaPulmonary embolism (PE) can present to emergency departments with various clinical symptoms. It can be easily missed. Although both sexes are equally susceptible to it, but factors associated with the use of oral contraceptives and hormonal therapy and pregnancy put the female population more at risk theoretically. Apart from gender-based differences, we have observed that early recognition of PE is dependent on many parameters, with varying degrees of accuracy. The gold standard CT pulmonary angiography is logistically impossible in an unstable patient. Estimation of TAPSE values by performing bedside echocardiography is found to be very sensitive and specific for PE. Our study denotes a cutoff point of 1.8 cm for females with PE and 1.07 cm for males with PEhttp://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1732516femaleindiapulmonary thromboembolismvte
collection DOAJ
language English
format Article
sources DOAJ
author Hymavathi Akula
Ashima Sharma
K. Jeethender Jain
spellingShingle Hymavathi Akula
Ashima Sharma
K. Jeethender Jain
Early Determination of TAPSE (Tricuspid Annular Plane Systolic Excursion) Improves Early Identification of Pulmonary Thromboembolism and Management in the Female Population Presenting with Undifferentiated Dyspnea to the Emergency Department
Indian Journal of Cardiovascular Disease in Women
female
india
pulmonary thromboembolism
vte
author_facet Hymavathi Akula
Ashima Sharma
K. Jeethender Jain
author_sort Hymavathi Akula
title Early Determination of TAPSE (Tricuspid Annular Plane Systolic Excursion) Improves Early Identification of Pulmonary Thromboembolism and Management in the Female Population Presenting with Undifferentiated Dyspnea to the Emergency Department
title_short Early Determination of TAPSE (Tricuspid Annular Plane Systolic Excursion) Improves Early Identification of Pulmonary Thromboembolism and Management in the Female Population Presenting with Undifferentiated Dyspnea to the Emergency Department
title_full Early Determination of TAPSE (Tricuspid Annular Plane Systolic Excursion) Improves Early Identification of Pulmonary Thromboembolism and Management in the Female Population Presenting with Undifferentiated Dyspnea to the Emergency Department
title_fullStr Early Determination of TAPSE (Tricuspid Annular Plane Systolic Excursion) Improves Early Identification of Pulmonary Thromboembolism and Management in the Female Population Presenting with Undifferentiated Dyspnea to the Emergency Department
title_full_unstemmed Early Determination of TAPSE (Tricuspid Annular Plane Systolic Excursion) Improves Early Identification of Pulmonary Thromboembolism and Management in the Female Population Presenting with Undifferentiated Dyspnea to the Emergency Department
title_sort early determination of tapse (tricuspid annular plane systolic excursion) improves early identification of pulmonary thromboembolism and management in the female population presenting with undifferentiated dyspnea to the emergency department
publisher Thieme Medical and Scientific Publishers Pvt. Ltd.
series Indian Journal of Cardiovascular Disease in Women
issn 2455-7854
publishDate 2021-04-01
description Pulmonary embolism (PE) can present to emergency departments with various clinical symptoms. It can be easily missed. Although both sexes are equally susceptible to it, but factors associated with the use of oral contraceptives and hormonal therapy and pregnancy put the female population more at risk theoretically. Apart from gender-based differences, we have observed that early recognition of PE is dependent on many parameters, with varying degrees of accuracy. The gold standard CT pulmonary angiography is logistically impossible in an unstable patient. Estimation of TAPSE values by performing bedside echocardiography is found to be very sensitive and specific for PE. Our study denotes a cutoff point of 1.8 cm for females with PE and 1.07 cm for males with PE
topic female
india
pulmonary thromboembolism
vte
url http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1732516
work_keys_str_mv AT hymavathiakula earlydeterminationoftapsetricuspidannularplanesystolicexcursionimprovesearlyidentificationofpulmonarythromboembolismandmanagementinthefemalepopulationpresentingwithundifferentiateddyspneatotheemergencydepartment
AT ashimasharma earlydeterminationoftapsetricuspidannularplanesystolicexcursionimprovesearlyidentificationofpulmonarythromboembolismandmanagementinthefemalepopulationpresentingwithundifferentiateddyspneatotheemergencydepartment
AT kjeethenderjain earlydeterminationoftapsetricuspidannularplanesystolicexcursionimprovesearlyidentificationofpulmonarythromboembolismandmanagementinthefemalepopulationpresentingwithundifferentiateddyspneatotheemergencydepartment
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