Table 3 Baseline characteristics, medical history, and initial presentation of 153 normotensive patients with acute pulmonary embolism stratified by miR-let7a above and below median.
All study patients (n = 153) | MiR let7a above median (n = 78) | MiR let7a below median (n = 75) | p-value | |
---|---|---|---|---|
Sex (female) | 78 (51.0%) | 45 (58.4%) | 33 (43.4%) | 0.076 |
Age (years) | 70 (52–76) | 72 (51–78) | 66 (51–73) | 0.068 |
BMI (kg/m2) | 27.7 (24.5–31.1) | 28 (25–30) | 28 (24–33) | 0.514 |
Risk factors for VTE and comorbidities | ||||
Unprovoked PE | 92 (60.1%) | 45 (58.4%) | 47 (61.8%) | 0.742 |
Previous PE | 23 (15.0%) | 10 (13.0%) | 13 (17.1%) | 0.506 |
Recent surgery* | 21 (13.7%) | 13 (16.9%) | 8 (10.5%) | 0.348 |
Pregnancy/post partum** | 3 (2.0%) | 1 (1.3%) | 2 (2.6%) | 0.620 |
Thrombophilia | 5 (3.3%) | 1 (1.3%) | 4 (5.3%) | 0.209 |
Hyperlipoproteinaemia | 34 (22.2%) | 14 (18.2%) | 20 (26.3%) | 0.243 |
Chronic heart failure | 21 (13.7%) | 9 (11.7%) | 12 (15.8%) | 0.490 |
Coronary artery disease | 22 (14.4%) | 11 (14.3%) | 11 (14.5%) | 1.000 |
Chronic pulmonary disease | 18 (11.8%) | 6 (7.8%) | 12 (15.8%) | 0.140 |
Arterial hypertension | 92 (60.1%) | 44 (57.2%) | 48 (63.2%) | 0.510 |
Previous ischemic stroke | 11 (7.2%) | 5 (6.5%) | 6 (7.9%) | 0.765 |
Diabetes mellitus | 24 (15.7%) | 9 (11.7%) | 15 (19.7%) | 0.189 |
Symptoms and clinical findings on admission | ||||
Syncope | 18 (11.8%) | 7 (9.1%) | 11 (14.5%) | 0.327 |
Heart rate (bpm) | 88 (75–105) | 90 (76–105) | 83 (75–103) | 0.474 |
Heart rate ≥ 100 bpm | 48 (31.4%) | 24 (31.2%) | 24 (31.6%) | 1.000 |
Chest pain | 91 (59.5%) | 41 (53.2%) | 50 (65.8%) | 0.139 |
Dyspnoea | 135 (88.2%) | 68 (88.3%) | 67 (88.2%) | 1.000 |
Sepsis | 43 (28.1%) | 20 (26.0%) | 23 (30.3%) | 0.593 |
Systolic blood pressure (mmHg) | 130 (120–150) | 130 (120–150) | 130 (120–150) | 0.484 |
Mild hypotension (systolic BP < 100 mmHg) | 4 (2.6%) | 2 (2.6%) | 2 (2.6%) | 1.000 |
Hypoxia† n = 129 | 33 (25.6%) | 14 (20.6%) | 19 (31.1%) | 0.225 |
Echocardiography performed within 48 h | 91 (59.5%) | 45 (58.4%) | 46 (60.5%) | 0.870 |
RV dysfunction on TTE†† n = 91 | 45 (49.5%) | 27 (60.0%) | 18 (39.1%) | 0.060 |
Estimated systolic PAP n = 72 | 39 (32–50) | 43 (35–52) | 36 (25–50) | 0.089 |
Computed tomography performed | 148 (96.7%) | 75 (97.4%) | 73 (96.1%) | 0.681 |
RV/LV ratio on CT n = 127 | 88 (69.3%) | 49 (77.8%) | 39 (60.9%) | 0.054 |
Elevated troponin (hsTnT ≥ 13.9 pg/ml) n = 151 | 88 (58.3%) | 55 (73.3%) | 33 (43.4%) | < 0.001 |
Elevated NTproBNP (≥ 600 pg/ml) n = 151 | 75 (49.7%) | 43 (57.3%) | 32 (42.1%) | 0.074 |
GFR (ml/min/1.73 m2) | 75.3 (58.1–93.3) | 73.5 (55.9–95.6) | 76.4 (60.1–93.3) | 0.456 |
CRP (mg/l) | 33 (11.1–68.1) | 34 (12.1–70.4) | 25 (9.4–57.6) | 0.350 |
Scores | ||||
sPESI ≥ 1 | 80 (52.3%) | 40 (51.9%) | 40 (52.6%) | 1.000 |
ESC2019§ (interm.-high vs. interm.-low and low-risk) | 53 (34.6%) | 30 (39.0%) | 23 (30.3%) | 0.309 |
Complications, treatment and short-term outcomes | ||||
Administration of catecholamines | 8 (5.2%) | 3 (3.9%) | 5 (6.6%) | 0.495 |
Mechanical ventilation | 8 (5.2%) | 3 (3.9%) | 5 (6.6%) | 0.495 |
Cardio-pulmonary resuscitation | 2 (1.3%) | 0 (0.0%) | 2 (2.6%) | 0.245 |
Thrombolysis | 12 (7.8%) | 8 (5.3%) | 4 (2.6%) | 0.357 |
Adverse outcome§§ | 9 (5.9%) | 3 (3.9%) | 6 (7.9%) | 0.327 |
PE-related death | 3 (2.0%) | 1 (1.3%) | 2 (2.6%) | 0.620 |
All-cause death | 3 (2.0%) | 1 (1.3%) | 2 (2.6%) | 0.620 |
In-hospital stay (days) | 9 (6–13) | 8 (6–12) | 8 (5–13) | 0.727 |
Follow-up and long-term outcome | ||||
Longterm follow-up (days) | 2968 (1186–2691) | 2344 (1554–2986) | 1927 (1097–2375) | 0.013 |
Longterm mortality | 28 (18.9%) | 13 (17.6%) | 15 (20.3%) | 0.834 |
Recurrence of VTE | 0 (0.0%) | 0 (0.0%) | 0 (0.0%) | 1.000 |
CTEPH | 6 (3.9%) | 5 (6.5%) | 1 (1.3%) | 0.210 |