Annals of Thoracic Medicine Official publication of the Saudi Thoracic Society, affiliated to King Saud University
 
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LETTER TO EDITOR
Year : 2014  |  Volume : 9  |  Issue : 3  |  Page : 182
Reply to the editor


Assistant Professor of Medicine, Consultant Department of Critical Care Medicine, King Saud University, Saudi Arabia

Date of Web Publication7-Jun-2014

Correspondence Address:
Hadil AK Al Otair
Assistant Professor of Medicine, Consultant Department of Critical Care Medicine, King Saud University
Saudi Arabia
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DOI: 10.4103/1817-1737.134080

PMID: 24987482

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How to cite this article:
Al Otair HA. Reply to the editor. Ann Thorac Med 2014;9:182

How to cite this URL:
Al Otair HA. Reply to the editor. Ann Thorac Med [serial online] 2014 [cited 2020 Jan 23];9:182. Available from: http://www.thoracicmedicine.org/text.asp?2014/9/3/182/134080


Sir,

We read with pleasure the comments on our recent paper, entitled "Outcome of pulmonary embolism and clinico-radiological predictors of mortality: Experience from a university hospital in Saudi Arabia".[1] We agree that signs of right ventricular dysfunction in computed tomography scan can be more predictive of outcome than the embolic burden based on obstruction score and localization, however in our study we assessd right side overload using echocardiographic criteria.[2] Biochemical markers of myocardial injury, e.g., troponin and pro-brain natriuretic peptide, although they are non specific, can be useful as prognostic markers in normotensive patients[3] and we acknowledge this to be a limitation of our study.

 
   References Top

1.Al Otair HA, Al-Boukai AA, Ibrahim GF, Al Shaikh MK, Mayet AY, Al-Hajjaj MS. Outcome of pulmonary embolism and clinico-radiological predictors of mortality: Experience from a university hospital in Saudi Arabia. Ann Thorac Med 2014;9:18-22.   Back to cited text no. 1
    
2.Schoepf UJ, Kucher N, Kipfmueller F, Quiroz R, Costello P, Goldhaber SZ. Right ventricular enlargement on chest computed tomography: A predictor of early death in acute pulmonary embolism. Circulation 2004;110:3276-80.   Back to cited text no. 2
    
3.ten Wolde M, Söhne M, Quak E, Mac Gillavry MR, Büller HR. Prognostic value of echocardiographically assessed right ventricular dysfunction in patients with pulmonary embolism. Arch Intern Med 2004;164:1685-9.  Back to cited text no. 3
    




 

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