Condition 1: Pulmonary Embolism. Condition 2: Chronic Thromboembolic Pulmonary Hypertension. Pulmonary embolism Chronic pulmonary embolism
Conditions
Interventions
Intervention 1: Intervention group: fibrinilytic therapy with streptokinase 2500000 IU IV bolus then 10000 IU/hour IV infusion 12-24 hour. Then bridging therapy will initiate within two days after PT
Sponsors
Esfahan University of Medical Sciences
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: Patients with high-risk Submassive pulmonary emboli;those patients with acute PE without systemic hypotension but with evidence of either right ventricle (RV) dysfunction or myocardial necrosis
Exclusion criteria
Exclusion criteria: Patients with history of chronic thromboembolic pulmonary hypertension (CTEPH)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Prevalence of chronic thromboembolic PH(CTEPH) after 3 month therapy (anticoagulant or fibrinolytic) in two groups. Timepoint: comparision of mean LVEF after 3 month standard anticoagulant therapy. Method of measurement: comparision of mean RV function with TAPSE after 3 month standard anticoagulant therapy. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactMohammad Hadi Mansouri
Esfahan University of Medical Sciences
Outcome results
None listed