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Published in: Current Cardiology Reports 10/2021

01-10-2021 | Endarterectomy | Heart Failure (HJ Eisen, Section Editor)

Chronic Thromboembolic Pulmonary Hypertension: the Bedside

Authors: Yuri Matusov, Inderjit Singh, Yen-Rei Yu, Hyung J. Chun, Bradley A. Maron, Victor F. Tapson, Michael I. Lewis, Sudarshan Rajagopal

Published in: Current Cardiology Reports | Issue 10/2021

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Abstract

Purpose of Review

Chronic thromboembolic pulmonary hypertension (CTEPH), included in group 4 PH, is an uncommon complication of acute pulmonary embolism (PE), in which emboli in the pulmonary vasculature do not resolve but rather form into an organized scar-like obstruction which can result in right ventricular (RV) failure. Here we provide an overview of current diagnosis and management of CTEPH.

Recent Findings

CTEPH management is complex with treatments that range from surgery, percutaneous interventions, to medical therapies. Current CTEPH medical therapies have largely been repurposed from pulmonary arterial hypertension (PAH).

Summary

The diagnosis of CTEPH can be challenging, requiring a multimodality approach to differentiate from disease mimics. While these treatments improve symptoms, they may not reverse the underlying pathology of CTEPH.
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Metadata
Title
Chronic Thromboembolic Pulmonary Hypertension: the Bedside
Authors
Yuri Matusov
Inderjit Singh
Yen-Rei Yu
Hyung J. Chun
Bradley A. Maron
Victor F. Tapson
Michael I. Lewis
Sudarshan Rajagopal
Publication date
01-10-2021
Publisher
Springer US
Published in
Current Cardiology Reports / Issue 10/2021
Print ISSN: 1523-3782
Electronic ISSN: 1534-3170
DOI
https://doi.org/10.1007/s11886-021-01573-5

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