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Koomesh  2012 

Relationships of serum troponin T with ECG, colour doppler sonography of lower extremity venous and arterial blood gas findings in patients with acute pulmonary embolism

Keywords: Pulmonary embolism , Troponin T , Electrocardiography , Blood gas analysis , Venous thrombosis , Ultrasonography , Color doppler

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Abstract:

Introduction: Pulmonary embolism is a prevalent and fatal pulmonary disease. In this study, therelationships between serum highly sensitive (hs) troponin T levels and findings of ECG, colour dopplersonography of lower extremity veins venous (CDS LEV) and also arterial blood gas (ABG) innormotensive patients with acute pulmonary embolism were investigated.Materials and Methods: A cross sectional study was carried out on 33 patients with acute pulmonaryembolism who were hospitalized in Emam Khomeini Hospital, Tehran University of Medical Sciencesbetween 2009 and 2010 (mean age, 49.3; 18 male and 15 female). (18 patients had with a normal hstroponinT, lower than 14 pg/ml, and 15 patients had with elevated hs-troponin T.)with acute pulmonaryembolism (mean age, 49.3; 18 male and 15 female) who were hospitalized in Emam Khomeini Hospital,Tehran University of Medical Sciences between 2009 and 2010 Serum hs-troponin T level was measuredby ELISA highly sensitive method.Results: The prevalence of T invert and S1Q3T3 patterns and also thrombosis in lower extremity deepvenous were significantly higher in patients with elevated hs-troponin T. In addition, PCO2 and HCO3-levels were significantly lower in patients with elevated hs-troponin T levels.Conclusion: According to the results of the study, it seems that the elevated hs-troponin T accompanieswith ECG and ABG findings and also with thrombosis in lower extremity deep venous prevalence inpatients with acute pulmonary embolism.

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