Pulmonary Embolism
Conditions
Keywords
pulmonary embolism, pulmonary capillary blood volume, double diffusion NO/CO method
Brief summary
The purpose of this monocentric, preliminary study is to assess the evolution of pulmonary capillary blood volume (Vc), measured by the double diffusion nitric oxide/carbon monoxide (NO/CO) method (Guenard et al.; Respir Physiol 1987), from the starting of the anticoagulant therapy to 6 months after, and to search correlations with the evolution of clinical (dyspnea and results of the 6 minutes walking test), biological (BNP; Troponin), echocardiographic (right ventricular dysfunction, pulmonary arterial pressure) and ventilation/perfusion lung scan data.
Interventions
pulmonary capillary blood volume (Vc), measured by the double diffusion NO/CO method: this method is to inhale during a deep inspiration with a mixture of helium (8-10%), CO (2000 ppm) and NO (20-40 ppm), the O2 (21%)
Sponsors
Study design
Eligibility
Inclusion criteria
* Patient with a first episode of symptomatic pulmonary embolism, treated with anticoagulant * Age from 18 to 75 years-old
Exclusion criteria
* Confirmed pulmonary embolism in the past * Massive pulmonary embolism, thrombolytic treatment * Confirmed left heart systolic dysfunction * Confirmed asthma, chronic obstructive pulmonary disease or pulmonary fibrosis * Expected life below 6 months * Pleural effusion with indication of evacuation * Bronchopulmonary cancer * Pulmonary surgery with resection of two lobes minimum * Predictable incapacity to complete the 6 minutes walking test
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| difference of pulmonary capillary blood volume (Vc) from J0 to 6 months | from the starting of the anticoagulant therapy to 6 months after |
Secondary
| Measure | Time frame |
|---|---|
| correlations with the evolution of clinical (dyspnea and results of the 6 minutes walking test), biological (BNP; Troponin), echocardiographic (right ventricular dysfunction, pulmonary arterial pressure) and ventilation/perfusion lung scan data | from the starting of the anticoagulant therapy to 6 months after |
Countries
France