Meteorological parameters and severity of acute pulmonary embolism episodes.
More details
Hide details
Department of Human Anatomy, Medical University of Lublin, Lublin, Poland
I Department of Radiology, Medical University of Lublin, Lublin, Poland
Department of Cardiology, Medical University of Lublin, Lublin, Poland
Faculty of Electrical Engineering and Computer Science, Lublin University of Technology, Lublin, Poland
Corresponding author
Grzegorz Staskiewicz   

Department of Human Anatomy, Medical University of Lublin, Lublin, Poland
Ann Agric Environ Med. 2011;18(1):127-130
Frequency of acute pulmonary embolism episodes has been previously shown to correlate significantly with meteorological factors in the period preceding their occurrence. The purpose of the study was to analyze the relation of meteorological factors and the severity of acute pulmonary embolism, expressed by the CT-based pulmonary obstruction score. A retrospective analysis of medical data of 182 consecutive patients with acute pulmonary embolism diagnosed with CT pulmonary angiography was performed. Severity of pulmonary obstruction was assessed by analysis of CT pulmonary angiography examinations, and defined with pulmonary obstruction score by Qanadli et al. The study group was divided into low (L group, 95 patients) and high PE severity (H group, 87 patients), with a cutoff value of 50 percent of maximum pulmonary obstruction score. Meteorological data collected for the relevant time period were: air temperature, humidity, atmospheric pressure, visibility, wind speed and precipitation. No significant differences in seasonal distribution of pulmonary embolism episodes were observed. Episodes of more severe pulmonary embolism were preceded by periods of lower atmospheric pressure (1,016.35 hPA for group H, vs. 1,016.35 hPa for group L, p = 0.022). No significant relations between other meteorological factors and severity of PE were observed. The reported finding shows the need of further research on the nature of meteorological factors influence on the course of pulmonary embolism, which should be analyzed not ony regarding the frequency, but also severity of PE episodes.
Bazeed MF, Saad A, Sultan A, Ghanem MA, Khalil DM: Prediction of pulmonary embolism outcome and severity by computed tomography. Acta Radiol 2010, 51, 271–276.
Brown HK, Simpson AJ, Murchison JT: The infl uence of meteorological variables on the development of deep venous thrombosis. Thromb Haemost 2009, 102, 676–682.
Collomb D, Paramelle PJ, Calaque O, Bosson JL, Vanzetto G, Barnoud D, Pison C, Coulomb M, Ferretti G: Severity assessment of acute pulmonary embolism: evaluation using helical CT. Eur Radiol 2003, 13, 1508–1514.
Dawson J, Weir C, Wright F, Bryden C, Aslanyan S, Lees K, Bird W, Walters M: Associations between meteorological variables and acute stroke hospital admissions in the west of Scotland. Acta Neurol Scand 2007, 117, 85–89.
de Takats G, Mayne A, Petersen WF: The meteorological factor in pulmonary embolism. Surgery 1940, 7, 819–827.
Ghanima W, Abdelnoor M, Holmen LO, Nielssen BE, Ross S, Sandset PM: D-dimer level is associated with the extent of pulmonary embolism. Thromb Res 2007, 120, 281–288.
Ghaye B, Ghuysen A, Willems V, Lambermont B, Gerard P, D’Orio V, Gevenois PA, Dondelinger RF: Severe pulmonary embolism: Pulmonary artery clot load scores and cardiovascular parameters as predictors of mortality. Radiology 2006, 239, 884–891.
Gurney JW: No fooling around: direct visualization of pulmonary embolism. Radiology 1993, 188, 618–619.
Houck PD, Lethen JE, Riggs MW, Gantt DS, Dehmer GJ: Relation of atmospheric pressure changes and the occurrences of acute myocardial infarction and stroke. Am J Cardiol 2005 , 96, 45–51.
Masotti L, Ceccarelli E, Forconi S, Cappelli R: Seasonal variations of pulmonary embolism in hospitalized patients. Resp Med 2005, 99, 1469–1473.
Meral M, Mirici A, Asian S, Akgun M, Kaynar H, Saglam L, Gorguner M: Barometric pressure and the incidence of pulmonary embolism. Chest 2005, 128, 2190–2194.
Metafratzi ZM, Vassiliou MP, Maglaras GC, Katzioti FG, Constantopoulos SH, Katsaraki A, Efremidis SC: Acute pulmonary embolism: correlation of CT pulmonary artery obstruction index with blood gas values. Am J Roentgenol 2006 , 186, 213–219.
Őzpolat B, Gözübüyük A, Koçer B, Yazkan R, Dural K, Genç O:Meteorological conditions related to the onset of spontaneous pneumothorax. Tohoku J Exp Med 2009, 217, 329–334.
Őztuna F, Őzsu S, Topbaş M, Bülbül Y, Koşucu P, Őzlü T: Meteorological parameters and seasonal variations in pulmonary thromboembolism. Am J Emerg Med 2008, 26, 1035–1041.
Pech M, Wieners G, Dul P, Fischbach F, Dudeck O, Lopez Hänninen E, Ricke J: Computed tomography pulmonary embolism index for the assessment of survival in patients with pulmonary embolism. Eur Radiol 2007, 17, 1954–1959.
Piekut K, Kulesza-Brończyk BE, Piechocka DI, Terlikowski SJ:The role of education in venous thromboembolism prevention in obstetrics. Zdr Publ 2009, 119, 442–445.
Qanadli SD, El Hajjam M, Vieillard-Baron A, Joseph T, Mesurolle B, Oliva VL, Barré O, Bruckert F, Dubourg O, Lacombe P: New CT index to quantify arterial obstruction in pulmonary embolism: comparison with angiographic index and echocardiography. Am J Roentgenol 2001, 176, 1415–1420.
Smith RA, Edwards PR, Da Silva AF: Are periods of low atmospheric pressure associated with an increased risk of abdominal aortic aneurysm rupture? Ann R Coll Surg Engl 2008, 90, 389–393.
Staskiewicz G, Torres K, Czekajska-Chehab E, Pachowicz M, Torres A, Radej S, Opielak G, Maciejewski R, Drop A: Low atmospheric pressure and humidity are related with more frequent pulmonary embolism episodes in male patients. Ann Agric Environ Med 2010, 17, 163–167.
Staskiewicz G, Czekajska-Chehab E, Torres K, Chrościcki T, Radej S, Maciejewski R, Drop A: Acute pulmonary embolism diagnosed at the emergency department. Zdr Publ 2010, 120, 278–280.
Stein PD, Kayali F, Olson RE: Analysis of occurrence of venous thromboembolic disease in the four seasons. Am J Cardiol 2004, 93, 511–513.
Subramaniam RM, Mandrekar J, Chang C, Blair D, Gilbert K, Peller PJ, Sleigh J, Karalus N: Pulmonary embolism outcome: a prospective evaluation of CT pulmonary angiographic clot burden score and ECG score. Am J Roentgenol 2008, 190, 1599–1604.
van der Meer RW, Pattynama PMT, van Strijen MJL: Right ventricular dysfunction and pulmonary obstruction index at helical CT: Prediction of clinical outcome during 3-month follow-up in patients with acute pulmonary embolism. Radiology 2005, 235, 798–803.
van Erkel AR, van Rossum AB, Bloem JL, Kievit J, Pattynama PM: Spiral CT angiography for suspected pulmonary embolism: a costeffectiveness analysis. Radiology 1996, 201, 29–36.
Wu AS, Pezzullo JA, Cronan JJ, Hou DD, Mayo-Smith WW: CT pulmonary angiography: quantifi cation of pulmonary embolus as a predictor of patient outcome – initial experience. Radiology 2004, 230, 831–835.
Journals System - logo
Scroll to top