Chronic thromboembolic pulmonary hypertension (CTPH) is associated with considerable morbidity and mortality. Its incidence after pulmonary embolism and associated risk factors are not well documented in Chinese population. We conducted a prospective, long-term, follow-up study to assess the incidence of symptomatic CTPH in consecutive patients with an acute episode of pulmonary embolism but without prior venous thromboembolism. Patients with unexplained persistent dyspnea during follow-up underwent transthoracic echocardiography and, if supportive findings were present, ventilation-perfusion lung scanning and pulmonary angiography. CTPH was considered to be present if systolic and mean pulmonary-artery pressures exceeded 40 mm Hg and 25 mm Hg, respectively; pulmonary-capillary wedge pressure was normal; and there was angiographic evidence of disease.
Study Type
OBSERVATIONAL
Enrollment
400
Tangdu hospital
Xi'an, Shaanxi, China
RECRUITINGXijing hospital
Xi'an, Shaanxi, China
RECRUITINGThe cumulative incidence of symptomatic CTEPH
Time frame: 2 years
Risk factors for Recurrent VTE and CTEPH
Time frame: 2 years
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