Key result
CTEPH management centers on a four-stage diagnostic algorithm alongside multimodal surgical, interventional, and medical therapies.
Why the study?
Current diagnostic and treatment approaches for chronic thromboembolic pulmonary hypertension (CTEPH) require comprehensive review to guide clinical practice.
This review summarizes current diagnostic algorithms and treatment strategies for chronic thromboembolic pulmonary hypertension, including insights from the Russian Pulmonary Hypertension Registry.
Answers are grounded in this paper and cite their sources.
Outlines staged CTEPH diagnostics and multimodal therapy options; leaves open optimal selection for evolving interventions in prospective studies.
The article reviews current approaches to diagnosing and treating chronic thromboembolic pulmonary hypertension (CTEPH). The definition of the CTEPH is given, and its main risk factors are described. It is shown that the modern algorithm of diagnostic search includes four stages; the examination methods used at each stage are characterized. The most rational approach to CTEPH therapy is provided; the possibilities and limitations of pulmonary endarterectomy, transluminal balloon angioplasty of the pulmonary arteries, and specific therapy of pulmonary hypertension in such patients are described. The clinical presentation and treatment of CTEPH according to the Russian Pulmonary Hypertension Registry are reviewed.
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Irina Evgen'evna Chazova (2023) conducted a review in Chronic thromboembolic pulmonary hypertension. Diagnostic and treatment algorithms was evaluated. Current management of chronic thromboembolic pulmonary hypertension relies on a four-stage diagnostic algorithm and treatments including pulmonary endarterectomy, balloon angioplasty, and targeted medical therapies.
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