Diagnosis and treatment of chronic thromboembolic pulmonary hypertension in Denmark

Chronic thromboembolic pulmonary hypertension (CTEPH) is an important differential diagnosis in patients with unexplained dyspnoea. CTEPH is under-recognized and carries a poor prognosis without treatment. Surgical pulmonary endarterectomy is the preferred treatment for the majority of patients. Adv...

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Bibliographic Details
Published inUgeskrift for læger Vol. 178; no. 50
Main Authors Pedersen, Charles Marinus, Mellemkjær, Søren, Nielsen-Kudsk, Jens Erik, Korsholm, Kasper, Andersen, Gratien, Ilkjær, Lars Bo
Format Journal Article
LanguageDanish
Published Denmark 12.12.2016
Subjects
Angiography, Digital Subtraction
Chronic Disease
Denmark
Endarterectomy
Humans
Hypertension, Pulmonary - diagnosis
Hypertension, Pulmonary - diagnostic imaging
Hypertension, Pulmonary - etiology
Hypertension, Pulmonary - surgery
Pulmonary Embolism - complications
Pulmonary Embolism - diagnosis
Pulmonary Embolism - diagnostic imaging
Pulmonary Embolism - surgery
Tomography, X-Ray Computed
Treatment Outcome
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Summary:Chronic thromboembolic pulmonary hypertension (CTEPH) is an important differential diagnosis in patients with unexplained dyspnoea. CTEPH is under-recognized and carries a poor prognosis without treatment. Surgical pulmonary endarterectomy is the preferred treatment for the majority of patients. Advances in surgical and anaesthetic techniques and post-operative intensive treatment have reduced perioperative morbidity and mortality. Pulmonary endarterectomy results in major improvement of haemodynamics and clinical status and offers excellent long-term survival. It is most often a curative treatment. The surgical treatment of CTEPH in Denmark is centralized at Aarhus University Hospital. Pulmonary vasodilators and pulmonary balloon angioplasty are supplementary treatment options in this patient group.
ISSN:1603-6824