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        "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p class="elsevierStyleSimplePara elsevierViewall">Although the prognostic value of syncope has not been specifically addressed&#44; it has generally been considered an indicator of poor prognosis in pulmonary embolism&#46; The objective of this study was to carry out a prospective evaluation of the risk of recurrence and&#47;or death in patients with pulmonary embolism that presents with syncope&#46;</p> <span class="elsevierStyleSectionTitle">Patients and methods</span><p class="elsevierStyleSimplePara elsevierViewall">A total of 168 patients had a confirmed diagnosis of pulmonary embolism&#46; Twelve were lost to follow up and did not enter statistical analysis&#46; The mean follow-up period was 5 months&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">The prevalence of syncope in the patients studied was 22&#37;&#46; Of the 34 patients who presented syncope&#44; objectively confirmed recurrence occurred in 2 &#40;5&#46;9&#37;&#41;&#46; In the patients who did not present syncope&#44; recurrence was confirmed in 8 &#40;6&#46;6&#37;&#59; <span class="elsevierStyleItalic">P</span> &#61; &#46;8&#41;&#46; Death occurred in 2 patients &#40;5&#46;9&#37;&#41; from the group presenting syncope and 15 &#40;12&#46;3&#37;&#41; from the remaining patients in the series &#40;<span class="elsevierStyleItalic">P</span> &#61; &#46;4&#41;&#46; The relative risk of recurrence and&#47;or death associated with presentation of syncope was 0&#46;5 &#40;95&#37; confidence interval&#44; 0&#46;2-1&#46;8&#41;&#46; A similar risk was obtained following adjustment for the presence or absence of cancer or deep vein thrombosis&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">Patients with pulmonary embolism that presents with syncope do not have an increased risk of recurrence and&#47;or death&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p class="elsevierStyleSimplePara elsevierViewall">Cl&#225;sicamente se ha considerado que el s&#237;ncope es un factor de mal pron&#243;stico en la tromboembolia de pulm&#243;n &#40;TEP&#41;&#44; aunque esta cuesti&#243;n no se ha estudiado de forma espec&#237;fica&#46; El objetivo de nuestro estudio ha sido evaluar de forma prospectiva el riesgo de recurrencia y&#47;o muerte en pacientes con s&#237;ncope como forma de presentaci&#243;n&#46;</p> <span class="elsevierStyleSectionTitle">Pacientes y m&#233;todos</span><p class="elsevierStyleSimplePara elsevierViewall">Estudiamos a 168 pacientes con diagn&#243;stico confirmado de TEP durante una media de 5 meses&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">La prevalencia de s&#237;ncope en la serie estudiada fue de un 22&#37;&#46; Entre los 34 pacientes que sufrieron un s&#237;ncope&#44; se produjo una recurrencia objetivamente confirmada en 2 pacientes &#40;5&#44;9&#37;&#41;&#46; En el resto de los pacientes se objetivaron 8 recurrencias &#40;6&#44;6&#37;&#41; &#40;p &#61; 0&#44;8&#41;&#46; Se produjeron 2 fallecimientos en el grupo de pacientes con s&#237;ncope &#40;5&#44;9&#37;&#41; y 15 &#40;12&#44;3&#37;&#41; en el resto de la serie &#40;p &#61; 0&#44;4&#41;&#46; El riesgo relativo de recurrencia y&#47;o muerte asociado al s&#237;ncope fue de 0&#44;5 &#40;intervalo de confianza del 95&#37;&#44; 0&#44;2-1&#44;8&#41;&#46; El riesgo fue similar despu&#201;s de ajustarlo a la presencia o ausencia de c&#225;ncer o de trombosis venosa profunda&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">Los pacientes con s&#237;ncope como forma de presentaci&#243;n de la TEP no tienen un riesgo aumentado de recurrencia y&#47;o muerte respecto al resto&#46;</p>"
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Original Articles
Prognostic Value of Syncope in the Presentation of Pulmonary Embolism
D. Jiméneza,
Corresponding author
djc_69_98@yahoo.com

Correspondence: Dr. D. Jiménez Castro. Servicio de Neumología. Hospital Ramón y Cajal. Departamento de Medicina. Universidad de Alcalá de Henares. Ctra. de Colmenar, Km 9,100. 28034 Madrid. España
, G. Díazb, M. Vallea, D. Martíc, C. Escobarc, R. Vidala, J. Pichera, A. Sueiroa
a Servicio de Neumología, Hospital Ramón y Cajal, Madrid, Spain
b Servicio de Neumología, Hospital de la Zarzuela, Madrid, Spain
c Servicio de Cardiología, Hospital Ramón y Cajal, Madrid, Spain
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p class="elsevierStyleSimplePara elsevierViewall">Although the prognostic value of syncope has not been specifically addressed&#44; it has generally been considered an indicator of poor prognosis in pulmonary embolism&#46; The objective of this study was to carry out a prospective evaluation of the risk of recurrence and&#47;or death in patients with pulmonary embolism that presents with syncope&#46;</p> <span class="elsevierStyleSectionTitle">Patients and methods</span><p class="elsevierStyleSimplePara elsevierViewall">A total of 168 patients had a confirmed diagnosis of pulmonary embolism&#46; Twelve were lost to follow up and did not enter statistical analysis&#46; The mean follow-up period was 5 months&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">The prevalence of syncope in the patients studied was 22&#37;&#46; Of the 34 patients who presented syncope&#44; objectively confirmed recurrence occurred in 2 &#40;5&#46;9&#37;&#41;&#46; In the patients who did not present syncope&#44; recurrence was confirmed in 8 &#40;6&#46;6&#37;&#59; <span class="elsevierStyleItalic">P</span> &#61; &#46;8&#41;&#46; Death occurred in 2 patients &#40;5&#46;9&#37;&#41; from the group presenting syncope and 15 &#40;12&#46;3&#37;&#41; from the remaining patients in the series &#40;<span class="elsevierStyleItalic">P</span> &#61; &#46;4&#41;&#46; The relative risk of recurrence and&#47;or death associated with presentation of syncope was 0&#46;5 &#40;95&#37; confidence interval&#44; 0&#46;2-1&#46;8&#41;&#46; A similar risk was obtained following adjustment for the presence or absence of cancer or deep vein thrombosis&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">Patients with pulmonary embolism that presents with syncope do not have an increased risk of recurrence and&#47;or death&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p class="elsevierStyleSimplePara elsevierViewall">Cl&#225;sicamente se ha considerado que el s&#237;ncope es un factor de mal pron&#243;stico en la tromboembolia de pulm&#243;n &#40;TEP&#41;&#44; aunque esta cuesti&#243;n no se ha estudiado de forma espec&#237;fica&#46; El objetivo de nuestro estudio ha sido evaluar de forma prospectiva el riesgo de recurrencia y&#47;o muerte en pacientes con s&#237;ncope como forma de presentaci&#243;n&#46;</p> <span class="elsevierStyleSectionTitle">Pacientes y m&#233;todos</span><p class="elsevierStyleSimplePara elsevierViewall">Estudiamos a 168 pacientes con diagn&#243;stico confirmado de TEP durante una media de 5 meses&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">La prevalencia de s&#237;ncope en la serie estudiada fue de un 22&#37;&#46; Entre los 34 pacientes que sufrieron un s&#237;ncope&#44; se produjo una recurrencia objetivamente confirmada en 2 pacientes &#40;5&#44;9&#37;&#41;&#46; En el resto de los pacientes se objetivaron 8 recurrencias &#40;6&#44;6&#37;&#41; &#40;p &#61; 0&#44;8&#41;&#46; Se produjeron 2 fallecimientos en el grupo de pacientes con s&#237;ncope &#40;5&#44;9&#37;&#41; y 15 &#40;12&#44;3&#37;&#41; en el resto de la serie &#40;p &#61; 0&#44;4&#41;&#46; El riesgo relativo de recurrencia y&#47;o muerte asociado al s&#237;ncope fue de 0&#44;5 &#40;intervalo de confianza del 95&#37;&#44; 0&#44;2-1&#44;8&#41;&#46; El riesgo fue similar despu&#201;s de ajustarlo a la presencia o ausencia de c&#225;ncer o de trombosis venosa profunda&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">Los pacientes con s&#237;ncope como forma de presentaci&#243;n de la TEP no tienen un riesgo aumentado de recurrencia y&#47;o muerte respecto al resto&#46;</p>"
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Article information
ISSN: 15792129
Original language: English
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