Characterization of the outcome of CT angiography for pulmonary thromboembolism depending on age group and gender

Warley Ferreira Felix,Ramon Vitor De Miranda,Marcos Eugênio Silva Abrantes,Maria Auxiliadora F Veloso

doi:10.15392/bjrs.v9i2c.1675

Warley Ferreira Felix, Ramon Vitor De Miranda + Show 2 more

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https://doi.org/10.15392/bjrs.v9i2c.1675

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Abstract

Pulmonary thromboembolism is the third cause of morbimortality between acute cardiovascular diseases and for your diagnosis, Angiotomography is the most used exam in the current. When performing analyzes by gender and age group of the population participating in a study, that they submitted an angiotomography for pulmonary thromboembolism, it was observed that the female gender comprised 65.48% of the population studied with an average age group (55.86 ± 16,88) years and the male 34.52% with an age average of (56.86 ± 16.87) years. Thus, the contrast ratio by age groups between genders was studied, where statistical studies did not show significant differences.

Highlights

With the advances acquired in image resolution and scanning time by Computerized Tomographs (CT), many diagnostic imaging exams that were considered the gold standard are being replaced by tomographic exams, either because of their cost, accessibility or because they are less invasive in terms of compared to other methods [1, 2]
Knowing the Brazilian reality, the study highlights that factors such as inequality in access to health care, the quality of services provided in health care and the difficulties of a clinical diagnosis for TEP that contribute to a possible underestimation of mortality rates due to TEP, a theory reinforced by the low mortality rates from TEP in Brazil compared to the United States [5]
The largest number of participants being from the female group can be explained by Konstantinides et al [2], where in their study it is shown that almost 50% of the risk factors temporarily provoked or reversible is associated with the female gender, increasing the incidence of cases in this group [2]

Summary

Introduction

With the advances acquired in image resolution and scanning time by Computerized Tomographs (CT), many diagnostic imaging exams that were considered the gold standard are being replaced by tomographic exams, either because of their cost, accessibility or because they are less invasive in terms of compared to other methods [1, 2].Angiotomography for the diagnosis of pulmonary thromboembolism (TEP) has replaced, in most cases, angiography of pulmonary vessels and pulmonary ventilation and perfusion scintigraphy, mainly because it is less invasive and cheaper, in addition to having a diagnostic capacity similar to others methods [3,4].According to Darze et al [5], between 1989 and 2010, approximately 93,000 deaths caused by thromboembolisms were reported in Brazil. Angiotomography for the diagnosis of pulmonary thromboembolism (TEP) has replaced, in most cases, angiography of pulmonary vessels and pulmonary ventilation and perfusion scintigraphy, mainly because it is less invasive and cheaper, in addition to having a diagnostic capacity similar to others methods [3,4]. Knowing the Brazilian reality, the study highlights that factors such as inequality in access to health care, the quality of services provided in health care and the difficulties of a clinical diagnosis for TEP that contribute to a possible underestimation of mortality rates due to TEP, a theory reinforced by the low mortality rates from TEP in Brazil compared to the United States [5]. There are undiagnosed cases as a result of nonspecific symptoms, such as chest pain, shortness of breath, tachycardia, among others, which are confused with other pulmonary and cardiac problems [6,7]

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