The Challenge in Diagnosis and Current Treatment of Chronic Thromboembolic Pulmonary Hypertension
Abstract: Chronic
thromboembolic pulmonary hypertension (CTEPH) is currently underdiagnosis and
consequently undertreatment in the clinical practice. A deficient in diagnostic
modality and treatment availability especially in developing countries makes
the CTEPH diagnosis unlikely to confirm. However, high index of clinical
suspicion of CTEPH will lead to proper diagnosis and correct treatment with significant reduction in morbidity and
mortality. Left untreated, the mean survival time is 6.8 years and the three
year mortality rate may be as high as 90 %. The pathophysiology, diagnosis and
treatment of CTEPH are necessary to be shared among internists and primary care
physicians, in order to improve the overall outcome of the patients.
Keywords: chronic thromboembolic
pulmonary hypertension; diagnosis; pulmonary hypertension
Author: Anggoro Budi Hartopo,
Lucida Kris Dinarti, Abdul S Wahab
Journal Code: jpkedokterangg170329
