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.

From: Circulating miR-let7a levels predict future diagnosis of chronic thromboembolic pulmonary hypertension

 

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

  1. Statistical methods: Data are presented as absolute numbers (percentages) or medians (25–75th percentile), (n) refers to the number of patients with available data, p-values were calculated by the Mann–Whitney U-test (A) or Fisher’s Exact test (B).
  2. BMI body mass index, DVT deep vein thrombosis, PE pulmonary embolism, ESC Euopean Sociey of Cardiology, Spesi simplified Pulmonary Embolism Severity Index, CT computed tomography, TTE transthoracic echocardiography, RVD right ventricular dysfunction, hsTnT high sensitive troponin T, NT-proBNP N-terminal propeptide of B-type natriuretic peptide, GFR glomerular filtration rate, CRP C-reactive protein, VTE venous thromboembolism, CTEPH chronic thromboembolic pulmonary hypertension.
  3. *Within the last 4 weeks.
  4. **Post partum within the last 6 weeks.
  5. Hypoxia was defined as methemoglobin oxygen saturation < 90% (regardless whether oxygen was given or not).
  6. ††RV dysfunction was defined as dilatation of the right ventricle (end-diastolic diameter > 30 mm from the parasternal view, or a right ventricle/left ventricle diameter ratio > 1.0 from the subcostal or apical views), combined with right atrial hypertension (absence of the inspiratory collapse of the inferior vena cava).
  7. §Low risk was defined as absence of RV dysfunction and absence of troponin elevation; intermediate risk was defined as RV dysfunction and/or troponin elevation.
  8. high risk was defined as haemodynamic instability.
  9. §§Defined as mechanical ventilation, catecholamine administration, CPR or all-cause death within 30 days.
  10. Significant values are in bold.