Value of ECG Combined with PESI Score in Stratification and Prognosis Prediction of Acute Pulmonary Embolism
Objective To investigate the value of electrocardiogram(ECG)combined with pulmonary embolism severity index(PESI)score in the stratification and prognosis of acute pulmonary embolism(APE).Methods A total of 122 cases of APE people in hospital from January 2020 to May 2023 were selected as the APE group,and 136 cases of health checkups matched in the medical checkup center during the same period were selected as the control group,ECG characteristics of the two groups were compared,and ECG scores and PESI scores of patients with different conditions were analyzed.Patients with APE received routine treatment for 30 days.ECG score and PESI score of patients with different prognosis were compared to analyze the prognostic value of ECG combined PESI score.Results The incidence of S ⅠQⅢTⅢ,T-wave inversion in lead V,,T-wave inversion in lead V2,ST-segment elevation＜0.1 mV in leads V1 and V2,atrial fibrillation,and cis-clockwise transposition was higher in the APE group than that in the control group(P＜0.05).ECG score and PESI score of severe patients were higher than those of moderate and mild patients,and ECG score and PESI score of moderate patients were higher than those of mild patients(P＜0.05).By Pearson analysis,ECG score and PESI score were positively correlated with the severity of the disease(P＜0.05).ROC curve showed that the AUC of ECG score and PESI score in predicting the prognosis of APE patients was 0.803,which was significantly higher than that of single index(P＜0.05).The risk of poor prognosis in APE patients with high ECG score and PESI score was 3.351 times and 4.919 times as high as that with low level(P＜0.05).Conclusion Combined application of electrocardiogram and PESI score can effectively predict the prognosis of APE patients.Dynamic monitoring of changes of electrocardiogram and PESI score can provide evidence for clinical assessment and facilitate the formulation of targeted treatment.
electrocardiogrampulmonary embolism severity indexacute pulmonary embolismthe degree of illnessprognosis
万方数据
维普
