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September 17, 2008European Respiratory JournalOpen Access

Risk factors for chronic thromboembolic pulmonary hypertension

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Key result

Thyroid replacement therapy (OR 6.10; 95% CI 2.73-15.05) and history of malignancy (OR 3.76; 95% CI 1.47-10.43) emerged as novel risk factors for chronic thromboembolic pulmonary hypertension.

Why the study?

What are the risk factors associated with chronic thromboembolic pulmonary hypertension compared to nonthromboembolic pulmonary arterial hypertension?

Population

687 patients assessed at the time of diagnosis between 1996 and 2007, comprising prevalent chronic…

Comparison

Presence of potential risk factors vs Nonthromboembolic pre-capillary pulmonary…

Design

Cohort

Authors

DBDiana BondermanHeart Failure / CardiomyopathyHWHeinrike WilkensUniversitätsklinikum des SaarlandesSWS. WakounigInstitute of Ismaili Studies

Discussion

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Implication

Identified novel CTEPH associations including thyroid replacement and malignancy; hypothesis-generating and requires prospective validation before guiding risk stratification.

Study Design

Type

Cohort (n=687)

Multicenter

Yes

Structured PICO

What are the risk factors associated with chronic thromboembolic pulmonary hypertension compared to nonthromboembolic pulmonary arterial hypertension?

P
Population
687 patients assessed at diagnosis between 1996 and 2007 to compare prevalent CTEPH cases with nonthromboembolic pre-capillary pulmonary arterial hypertension cohorts.
E
Exposure
Presence of potential risk factors (e.g., ventriculo-atrial shunts, infected pacemakers, splenectomy, previous/recurrent VTE, non-O blood group, lupus anticoagulant, thyroid replacement therapy, history of malignancy)
C
Comparator
Nonthromboembolic pre-capillary pulmonary arterial hypertension cohorts
O
Outcome
Association of risk factors with CTEPH diagnosis (measured by Odds Ratios)

Main Result

Odds Ratio: 6.1 (95% CI 2.73–15.05)

Thyroid replacement therapy and a history of malignancy are newly identified medical conditions associated with an increased risk of chronic thromboembolic pulmonary hypertension.

Cite This Study

Bonderman et al. (2008) conducted a cohort in Chronic thromboembolic pulmonary hypertension (n=687). Thyroid replacement therapy and history of malignancy vs. Patients with nonthromboembolic pre-capillary pulmonary arterial hypertension was evaluated on Association with chronic thromboembolic pulmonary hypertension (OR 6.10, 95% CI 2.73-15.05). Thyroid replacement therapy (OR 6.10; 95% CI 2.73-15.05) and history of malignancy (OR 3.76; 95% CI 1.47-10.43) emerged as novel risk factors for chronic thromboembolic pulmonary hypertension.

synapsesocial.com/papers/6a6d741fac440176ef271d8dhttps://doi.org/10.1183/09031936.00087608
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Also Consider

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