An expert opinion of the Polish Cardiac Society Working Group on Pulmonary Circulation on screening for chronic thromboembolic pulmonary hypertension patients after acute pulmonary embolism : update

2022
journal article
review article
8
dc.abstract.enChronic thromboembolic pulmonary hypertension (CTEPH) is a rare complication of acute pulmonary embolism (APE). Both pharmacological and invasive treatments for CTEPH are available in Poland, and awareness of the disease among physicians is growing. It has been suggested that the COVID-19 pandemic may increase the incidence of CTEPH and facilitate disease detection during more advanced stages of the illness. Thus, the Polish Cardiac Society’s Working Group on Pulmonary Circulation, in cooperation with independent experts in this field, launched the updated statement on the algorithm to guide a CTEPH diagnosis in patients with previous APE. CTEPH should be suspected in individuals after APE with dyspnea, despite at least 3 months of effective anticoagulation, particularly when specific risk factors are present. Echocardiography is the main screening tool for CTEPH. A diagnostic workup of patients with significant clinical suspicion of CTEPH and right ventricular overload evident on echocardiography should be performed in reference centers. Pulmonary scintigraphy is a safe and highly sensitive screening test for CTEPH. Computed tomography pulmonary angiography with precise detection of thromboembolic residues in the pulmonary circulation is important for the planning of a pulmonary thromboendarterectomy. Right heart catheterization definitively confirms the presence of pulmonary hypertension and direct pulmonary angiography allows for the identification of lesions suitable for thromboendarterectomy or balloon pulmonary angioplasty. In this document, we propose a diagnostic algorithm for patients with suspected CTEPH. With an individualized and sequential diagnostic strategy, each patient can be provided with suitable and tailored therapy provided by a dedicated CTEPH Heart Team.
dc.affiliationWydział Lekarski : Instytut Kardiologiipl
dc.cm.date2022-07-21T03:12:13Z
dc.cm.id108840pl
dc.cm.idOmegaUJCM04efa94c2e8a4ceaad90e809c8834f56pl
dc.contributor.authorCiurzyński, Michałpl
dc.contributor.authorKurzyna, Marcinpl
dc.contributor.authorKopeć, Grzegorz - 255144 pl
dc.contributor.authorBłaszczak, Piotrpl
dc.contributor.authorChrzanowski, Łukaszpl
dc.contributor.authorKamiński, Karolpl
dc.contributor.authorMizia-Stec, Katarzynapl
dc.contributor.authorMularek-Kubzdela, Tatianapl
dc.contributor.authorBiederman, Andrzejpl
dc.contributor.authorZieliński, Dariuszpl
dc.contributor.authorPruszczyk, Piotrpl
dc.contributor.authorTorbicki, Adampl
dc.contributor.authorMroczek, Ewapl
dc.date.accession2022-07-20pl
dc.date.accessioned2022-07-21T03:12:13Z
dc.date.available2022-07-21T03:12:13Z
dc.date.issued2022pl
dc.date.openaccess0
dc.description.accesstimew momencie opublikowania
dc.description.number6pl
dc.description.physical723-732pl
dc.description.versionostateczna wersja wydawcy
dc.description.volume80pl
dc.identifier.doi10.33963/KP.a2022.0141pl
dc.identifier.eissn1897-4279pl
dc.identifier.issn0022-9032pl
dc.identifier.urihttps://ruj.uj.edu.pl/xmlui/handle/item/297656
dc.identifier.weblinkhttps://journals.viamedica.pl/kardiologia_polska/article/view/90401pl
dc.languageengpl
dc.language.containerpolpl
dc.pbn.affiliationDziedzina nauk medycznych i nauk o zdrowiu : nauki medyczne
dc.rightsUdzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Bez utworów zależnych 4.0 Międzynarodowa
dc.rights.licenceCC-BY-NC-ND
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/legalcode.pl
dc.share.typeOtwarte czasopismo
dc.subject.enchronic thromboembolic pulmonary hypertension
dc.subject.enacute pulmonary embolism
dc.subject.enechocardiography
dc.subject.endiagnostic algorithm computed tomography pulmonary angiography
dc.subtypeReviewArticlepl
dc.titleAn expert opinion of the Polish Cardiac Society Working Group on Pulmonary Circulation on screening for chronic thromboembolic pulmonary hypertension patients after acute pulmonary embolism : updatepl
dc.title.journalKardiologia Polskapl
dc.typeJournalArticlepl
dspace.entity.typePublication
dc.abstract.en
Chronic thromboembolic pulmonary hypertension (CTEPH) is a rare complication of acute pulmonary embolism (APE). Both pharmacological and invasive treatments for CTEPH are available in Poland, and awareness of the disease among physicians is growing. It has been suggested that the COVID-19 pandemic may increase the incidence of CTEPH and facilitate disease detection during more advanced stages of the illness. Thus, the Polish Cardiac Society’s Working Group on Pulmonary Circulation, in cooperation with independent experts in this field, launched the updated statement on the algorithm to guide a CTEPH diagnosis in patients with previous APE. CTEPH should be suspected in individuals after APE with dyspnea, despite at least 3 months of effective anticoagulation, particularly when specific risk factors are present. Echocardiography is the main screening tool for CTEPH. A diagnostic workup of patients with significant clinical suspicion of CTEPH and right ventricular overload evident on echocardiography should be performed in reference centers. Pulmonary scintigraphy is a safe and highly sensitive screening test for CTEPH. Computed tomography pulmonary angiography with precise detection of thromboembolic residues in the pulmonary circulation is important for the planning of a pulmonary thromboendarterectomy. Right heart catheterization definitively confirms the presence of pulmonary hypertension and direct pulmonary angiography allows for the identification of lesions suitable for thromboendarterectomy or balloon pulmonary angioplasty. In this document, we propose a diagnostic algorithm for patients with suspected CTEPH. With an individualized and sequential diagnostic strategy, each patient can be provided with suitable and tailored therapy provided by a dedicated CTEPH Heart Team.
dc.affiliationpl
Wydział Lekarski : Instytut Kardiologii
dc.cm.date
2022-07-21T03:12:13Z
dc.cm.idpl
108840
dc.cm.idOmegapl
UJCM04efa94c2e8a4ceaad90e809c8834f56
dc.contributor.authorpl
Ciurzyński, Michał
dc.contributor.authorpl
Kurzyna, Marcin
dc.contributor.authorpl
Kopeć, Grzegorz - 255144
dc.contributor.authorpl
Błaszczak, Piotr
dc.contributor.authorpl
Chrzanowski, Łukasz
dc.contributor.authorpl
Kamiński, Karol
dc.contributor.authorpl
Mizia-Stec, Katarzyna
dc.contributor.authorpl
Mularek-Kubzdela, Tatiana
dc.contributor.authorpl
Biederman, Andrzej
dc.contributor.authorpl
Zieliński, Dariusz
dc.contributor.authorpl
Pruszczyk, Piotr
dc.contributor.authorpl
Torbicki, Adam
dc.contributor.authorpl
Mroczek, Ewa
dc.date.accessionpl
2022-07-20
dc.date.accessioned
2022-07-21T03:12:13Z
dc.date.available
2022-07-21T03:12:13Z
dc.date.issuedpl
2022
dc.date.openaccess
0
dc.description.accesstime
w momencie opublikowania
dc.description.numberpl
6
dc.description.physicalpl
723-732
dc.description.version
ostateczna wersja wydawcy
dc.description.volumepl
80
dc.identifier.doipl
10.33963/KP.a2022.0141
dc.identifier.eissnpl
1897-4279
dc.identifier.issnpl
0022-9032
dc.identifier.uri
https://ruj.uj.edu.pl/xmlui/handle/item/297656
dc.identifier.weblinkpl
https://journals.viamedica.pl/kardiologia_polska/article/view/90401
dc.languagepl
eng
dc.language.containerpl
pol
dc.pbn.affiliation
Dziedzina nauk medycznych i nauk o zdrowiu : nauki medyczne
dc.rights
Udzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Bez utworów zależnych 4.0 Międzynarodowa
dc.rights.licence
CC-BY-NC-ND
dc.rights.uri
http://creativecommons.org/licenses/by-nc-nd/4.0/legalcode.pl
dc.share.type
Otwarte czasopismo
dc.subject.en
chronic thromboembolic pulmonary hypertension
dc.subject.en
acute pulmonary embolism
dc.subject.en
echocardiography
dc.subject.en
diagnostic algorithm computed tomography pulmonary angiography
dc.subtypepl
ReviewArticle
dc.titlepl
An expert opinion of the Polish Cardiac Society Working Group on Pulmonary Circulation on screening for chronic thromboembolic pulmonary hypertension patients after acute pulmonary embolism : update
dc.title.journalpl
Kardiologia Polska
dc.typepl
JournalArticle
dspace.entity.type
Publication
Affiliations

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