Acute Thromboembolic Pulmonary Hypertension

نویسندگان

  • Jean M. Elwing
  • Ralph J. Panos
چکیده

Acute pulmonary thromboembolism is a common and life-threatening condition that requires prompt evaluation and management to improve outcomes. In severe cases, acute pulmonary thromboembolism causes a rapid rise in pulmonary pressures precipitating compromised right ventricular (RV) function. Acute elevation in pulmonary pressures with RV failure is associated with poor outcome. When pulmonary thromboembolic disease is detected, further assessment of its impact on cardiac function is required for risk stratification and to determine appropriate therapy. This evaluation requires appropriate diagnosis of pulmonary throm‐ boembolic disease as well as assessment of hemodynamics and RV function with electrocar‐ diograms (ECG), echocardiography and commonly available biomarkers (Tapson 2012).

برای دانلود رایگان متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Drug Therapy in Patients with Chronic Thromboembolic Pulmonary Hypertension

Background: Chronic Thromboembolic Pulmonary Hypertension (CTEPH) results from the obstruction of predominantly major pulmonary vessels by organized blood clots and is one of the causes of pulmonary hypertension. The disease is still underdiagnosed and the true prevalence is not clear. The objective of this study was to determine the clinical characteristics and current management of patients w...

متن کامل

گزارش یک مورد از هیپرتانسیون ترومبوآمبولیک پولمونر در جریان سندروم آنتی فسفولیپید اولیه

While pulmonary thromboembolism is common, thromboembolic pulmonary hypertension is very rare. The present case is a 35 year old woman with chronic thromboembolic pulmonary hypertension, who presented with severe dyspnea and leg edema, following an earlier thrombotic event of 10 years earlier, after her her second childbearing. She also had a history of the first childbearing complicated with c...

متن کامل

Chronic thromboembolic pulmonary hypertension.

Copyright © 2011 Massachusetts Medical Society. Chronic thromboembolic pulmonary hypertension is defined as mean pulmonary-artery pressure greater than 25 mm Hg that persists 6 months after pulmonary embolism is diagnosed. The 2008 World Symposium on Pulmonary Hypertension1 emphasized the importance of chronic thromboembolic pulmonary hypertension, which occurs in 2 to 4% of patients after acut...

متن کامل

Prospective cardiopulmonary screening program to detect chronic thromboembolic pulmonary hypertension in patients after acute pulmonary embolism.

BACKGROUND Chronic thromboembolic pulmonary hypertension after pulmonary embolism is associated with high morbidity and mortality. Understanding the incidence of chronic thromboembolic pulmonary hypertension after pulmonary embolism is important for evaluating the need for screening but is also a subject of debate because of different inclusion criteria among previous studies. We determined the...

متن کامل

Pulmonary Thromboendarterectomy for Chronic Thromboembolic Pulmonary Hypertension

1255 May 2014 C HRONIC thromboembolic pulmonary disease is an important cause of severe pulmonary hypertension and is associated with significant morbidity and mortality. At 2-yr follow-up, 3.8% of survivors of an acute pulmonary embolic event develop chronic thromboembolic pulmonary hypertension (CTEPH) defined as a persistent mean pulmonary arterial pressure greater than 25 mmHg for 6 months ...

متن کامل

Successful staged operation for acute aortic dissection and chronic thromboembolic pulmonary hypertension.

We describe surgical treatment for a patient with chronic thromboembolic pulmonary hypertension who developed acute type A aortic dissection. Acute aortic dissection is a life-threatening disease and must be operated emergently, and chronic thromboembolic pulmonary hypertension can be treated only by pulmonary endarterectomy. We performed a staged procedure consisting of hemiarch replacement wi...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

عنوان ژورنال:

دوره   شماره 

صفحات  -

تاریخ انتشار 2017