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Thorax 64:869-875 doi:10.1136/thx.2008.110965
  • Pulmonary embolism

Natriuretic peptides and troponins in pulmonary embolism: a meta-analysis

Table 2

Increased cardiac troponins in patients with positive natriuretic peptides: results of the meta-analysis

Outcome No of studies References Proportion of events (95% CI) Pooled OR (95% CI) Homogeneity
p value I2 (%)
All-cause mortality 6 15, 19, 28, 32, 33, 35 (+): 37/97, 38.1% (28.4% to 47.9%) 8.0 (3.0 to 21.4) 0.72 0.0
(−): 7/119, 5.9% (1.7% to 10.1%)
APE-related mortality 4 15, 28, 33, 35 (+): 13/74, 17.6% (8.8% to 26.3%) 8.6 (2.2 to 34.1) 0.57 0.0
(−): 2/79, 2.5% (0.0% to 5.9%)
Serious adverse outcome 4 15, 19, 28, 32 (+): 27/79, 34.2% (23.7% to 44.7%) 13.3 (2.4 to 74.2) 0.83 0.0
(−): 8/49, 16.3% (5.8% to 26.8%)
Right ventricular dysfunction 2 15, 28 (+): 44/50, 88.0% (78.9% to 97.1%) 1.67 (0.4 to 6.6) NA NA
(−): 12/17, 70.6% (50.8% to 90.3%)
  • APE, acute pulmonary embolism; CI, confidence interval; NA, not applicable; OR, odds ratio.

  • (+) indicates the proportion of patients with the outcome of interest among those with both positive troponins and natriuretic peptides; (−) indicates the proportion of patients with the outcome of interest among those with negative troponins and positive natriuretic peptides.


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