Pulmonary Embolism
Conditions
Keywords
pulmonary embolism, Heart-type fatty acid-binding protein, cardiac biomarkers, risk stratification
Brief summary
The patients presenting with acute pulmonary embolism and right ventricular dysfunction are at high risk for life-threatening events and must be identified in the emergency department for adequate care and hospital admission. Echocardiography can identify right ventricular dysfunction, but this test is not always available, and echocardiographic criteria of right ventricular dysfunction vary among published studies. The primary purpose of this protocol is to study the prognostic value of a cardiac biomarker, h-FABP (heart-type Fatty Acid-Binding Protein) , to identify in the emergency department the patients presenting with high risk pulmonary embolism. As secondary outcomes, H-FABP results will be compared to other cardiac biomarkers (BNP, troponin) and clinical score performances that have been previously studied to stratify the prognosis of patients with pulmonary embolism in the emergency department.
Interventions
Dosage de l'h-FABP
Sponsors
Study design
Eligibility
Inclusion criteria
* patients with acute pulmonary embolism diagnosed in the emergency departement
Exclusion criteria
* patient under guardianship * patient without social insurance * pregnant women * refusal to sign the consent * myocardial infarction in the 10 days before pulmonary embolism
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| number of death by pulmonary embolism | 1 month |
| life-threatening pulmonary embolism (cardiopulmonary arrest, shock, mechanical ventilation) | 1 month |
| recurrent episode of pulmonary embolism | 1 month |
Secondary
| Measure | Time frame |
|---|---|
| prognostic value of a clinical score (PESI), BNP and troponin in acute pulmonary embolism | 1 month |
Countries
France