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Analysis of parameters of patients undergoing pulmonary angiography with the possibility of pulmonary embolism in the emergency department
Maryam Safari, Abbas Ghaisouri, Shokofeh Mohammadi,
Volume 83, Issue 5 (August 2025)
Abstract
Background: Shortness of breath is a common disorder and means difficulty in breathing and shortness and shallow breathing that the patient feels unpleasant, difficulty and shallow breathing. The main purpose of this study was to analyze patients undergoing pulmonary angiography with a prognosis of pulmonary embolism in the emergency department.
Methods: This descriptive-analytical study was performed in the adult emergency department of Shahid Mostafa Hospital in Ilam in March2018-March2020 after receiving permission from the ethics committee. This study evaluated patients over 18 years of age who underwent CTPA with a pre-diagnosis of PE.
Results: The highest frequency was reported in CT findings of 31.9% normal, 27.6% PE. In our study based on CT results, 30.2% of patients suffered from PE. The highest frequency was reported in CT findings of 31.9% normal, 27.6% PE. In the present study, 65.5% of patients presented with shortness of breath, of which CT results showed 28.9% (PE), 38.2% (Non PE) and 98% (Normal). Other complaints of patients with shortness of breath were reported with CP (7.8%), lower edema (6%), respiratory distress (8.6%), CP and fever (5.2%) and hemotypy (1.7%).
Conclusion: Based on the above study, we conclude that the criterion for selecting patients for CT angiography to rule out PTE is the most important criterion for clinical examination and the Welsh Criteria score. As we can see, the results showed that patients with a Wales score above 8-12 had 80% PTE and patients with a Wales score of 3-6 had 23.5% PTE and the rest had a negative answer, so the Wells criteria were good criteria which unfortunately Due to some conditions, the diagnosis of a general practitioner or carelessness in examinations are not taken into account and causes a large percentage of patients with complaints of shortness of breath to undergo CT angiography while not having the necessary criteria based on Wells scores and clinical examination. CT angiography is either normal or another condition that does not require CT angiography and radiation.

Prevalence of hypertension in patients with coronary artery disease and its relationship with the severity of pulmonary involvement in patients admitted to Shahid Mostafa Khomeini Hospital in Ilam
Aakar Sofineai , Abbas Ghaisouri, Ali Zeinyvand,
Volume 83, Issue 8 (November 2025)
Abstract
Background: The COVID-19 epidemic is predicted to cause another NCDs epidemic. The fact that hypertension, as well as other forms of cardiovascular disease, is frequently seen in COVID-19 patients has led to the fact that most patients with SARS-COV-2 are treated with angiotensin converting enzyme inhibitors (ACEIs) and blockers. Angiotensin receptor (ARB) be treated. So far, no study has been conducted on the prevalence of hypertension in patients with coronary heart disease and its relationship with pulmonary involvement. Let's do it.
Methods: This retrospective cross-sectional comparative study is performed on the records of patients admitted to Shahid Mostafa Khomeini Hospital in Ilam with a diagnosis of COVID-19. It was carried out in the summer of 2021 to the summer of 2023. At the time of hospitalization, patients' blood pressure is calculated and recorded according to standard criteria. The degree of hypoxia is also assessed using a pulse oximeter according to the set criteria.
Results: In this study, the mean age of patients aged 54.65 years in the age range of 18-95 years. The correlation coefficient of systolic blood pressure is directly related to pulmonary involvement, but this relationship is not statistically significant. At the age of less than 60 years, the correlation coefficient between systolic blood pressure and pulmonary involvement with age is positive and significant, but at the age of more than 60 years, this relationship is inverse and not significant. The relationship between systolic blood pressure and pulmonary involvement is direct and significant. A linear correlation coefficient was reported between systolic blood pressure and pulmonary involvement with a history of direct hypertension.
Conclusion: In the present study, the prevalence of hypertension was 19.5% and using Pearson linear correlation test, it was shown that there is a direct relationship between blood pressure correlation coefficient with pulmonary involvement, but this relationship was not statistically significant. This relationship was reported to be direct and significant for the age group under 60 years. It was also direct and significant in men.
 

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