Authors

• Alen Džubur — Clinical Center University of Sarajevo, Sarajevo, Bosnia and Herzegovina — ORCID: 0000-0003-1198-540X
• Edin Begić — General Hospital “Prim.dr. Abdulah Nakaš”, Sarajevo, Bosnia and Herzegovina — ORCID: 0000-0001-6842-262X
• Alden Begić — Clinical Center University of Sarajevo, Sarajevo, Bosnia and Herzegovina — ORCID: 0000-0002-5374-0892
• Mirza Babić — Cantonal Hospital Bihać, Bihać, Bosnia and Herzegovina — ORCID: 0000-0001-7240-7940
• Azra Durak-Nalbantić — Clinical Center University of Sarajevo, Sarajevo, Bosnia and Herzegovina — ORCID: 0000-0002-5175-8941

Abstract

**Aim**: To connect the values of systolic and diastolic blood pressure at the admission of a patient with a diagnosis of pulmonary embolism (PE) with the values of the degree of pulmonary artery obstruction index (PAOI score). **Patients and Methods**: Patients were hospitalized under a diagnosis of pulmonary embolism, which was confirmed on the basis of the following criteria: clinical picture, changes in the electrocardiogram (ECG), serum D-dimer values and computed tomography (CT) angiography with contrast. The PAOI score was determined according to CT findings. On admission, systolic, diastolic and pulse pressure were measured. **Results**: The mean systolic blood pressure was 124.4 ± 27.75 mmHg, and there was a statistically significant correlation between the PAOI score and the systolic blood pressure (p = 0.004), with a significant negative correlation between the values of the PAOI score and the values of systolic blood pressure (r = -0.328, p = 0.018) (**Figure 1**). The mean value of diastolic blood pressure was 78.5 ± 14.06 mmHg. A statistically non-nsignificant negative correlation between PAOI score and diastolic blood pressure value was verified (r = -0.149, p = 0.293). The mean value of pulse pressure was 45.21 ± 19.09 mmHg, with statistical significance between PAOI score and the value of pulse pressure (p = 0.001). A statistically significant negative correlation between PAOI score and pulse pressure value was verified (r = -0.366, p = 0.008). FIGURE 1. Systolic blood pressure values and pulmonary artery obstruction index score. **Conclusion**: Lower systolic blood pressure values are associated with more extensive pulmonary embolism. (1)

Keywords

pulmonary embolism, blood pressure, acute cardiology

DOI

Literature

1. Faghihi Langroudi T, Sheikh M, Naderian M, Sanei Taheri M, Ashraf-Ganjouei A, Khaheshi I. The Association between the Pulmonary Arterial Obstruction Index and Atrial Size in Patients with Acute Pulmonary Embolism. Radiol Res Pract. 2019 June 2;2019:6025931. https://doi.org/10.1155/2019/6025931