Chronic Thromboembolic Pulmonary Hypertension Quiz

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Osler Jay Justo Guzon

Osler Jay Justo Guzon, MD (Cardiology)

Dr. Guzon graduated from the University of Missouri-Kansas City School of Medicine with a BLA and MD. He then completed his Internal Medicine Residency at St. Louis University before a fellowship in Cardiovascular Diseases at the University of Missouri-Columbia. He has since working as an invasive cardiologist with a particular interest in preventative medicine and cardiometabolic disease. Over the past several years, Dr. Guzon has served on the speaker bureaus of AstraZeneca, Lilly, Boehringer-Ingelheim, and Aralez.

Eisaku Kamakura

Eisaku Kamakura, MD (Respiratory medicine)

Dr. Kamakura graduated from the Tokyo Medical and Dental University, School of Dentistry, and the Niigata University School of Medicine. He trained at Yokosuka Kyosai Hospital and held positions in the Respiratory Medicine departments at Yokosuka Kyosai Hospital, Tokyo Medical and Dental University, Ome City General Hospital, and Musashino Red Cross Hospital. In 2021, he became the specially appointed assistant professor at the Department of General Medicine, Niigata University School of Medicine.

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People with these symptoms also use Ubie's symptom checker to find possible causes

  • Suddenly gaining weight and not knowing the reason

  • Gained a lot of weight over the last month

  • Gained weight without trying

  • Shortness of breath when lying down

  • Swelling face

  • Gained weight too fast

  • I gained more than 5% of my weight in one month

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Learn more about Chronic thromboembolic pulmonary hypertension

Content updated on Sep 20, 2022

What is chronic thromboembolic pulmonary hypertension?

Chronic thromboembolic pulmonary hypertension (CTEPH) is a rare and progressive type of pulmonary hypertension that occurs due to blood clots in the pulmonary arteries (which carry blood from the right side of the heart to the lungs), causing blockage. Risk factors include cancer, blood diseases, or inflammatory diseases.

Symptoms of chronic thromboembolic pulmonary hypertension

  • Unintentional weight gain of more than 2 kg/month

  • Swelling of any body part

  • Feeling breathless

  • Losing consciousness

  • Swollen legs / fluid retention in the legs

Questions your doctor may ask to check for chronic thromboembolic pulmonary hypertension

Your doctor may ask these questions to diagnose chronic thromboembolic pulmonary hypertension

  • Do you have unintentional weight gain of more than 2 kgs in one month?

  • Do you have any swelling in any part of your body?

  • Are you breathless or having hard time breathing?

  • Have you currently regained consciousness after temporarily losing consciousness?

  • Do you have swollen legs?

Treatment for chronic thromboembolic pulmonary hypertension

Surgery to remove the clot can potentially cure CTEPH with excellent long-term survival rates. However, lifelong medication is needed to thin the blood and prevent clots, diuretics (to remove salt and water), and oxygen (as needed).

View the symptoms of Chronic thromboembolic pulmonary hypertension

References

  • Mullin CJ, Klinger JR. Chronic Thromboembolic Pulmonary Hypertension. Heart Fail Clin. 2018 Jul;14(3):339-351. doi: 10.1016/j.hfc.2018.02.009. PMID: 29966632.

    https://www.sciencedirect.com/science/article/abs/pii/S1551713618300230?via%3Dihub

  • Papamatheakis DG, Poch DS, Fernandes TM, Kerr KM, Kim NH, Fedullo PF. Chronic Thromboembolic Pulmonary Hypertension: JACC Focus Seminar. J Am Coll Cardiol. 2020 Nov 3;76(18):2155-2169. doi: 10.1016/j.jacc.2020.08.074. PMID: 33121723.

    https://www.sciencedirect.com/science/article/pii/S0735109720365943?via%3Dihub

  • Alba GA, Atri D, Darbha S, Singh I, Tapson VF, Lewis MI, Chun HJ, Yu YR, Maron BA, Rajagopal S. Chronic Thromboembolic Pulmonary Hypertension: the Bench. Curr Cardiol Rep. 2021 Aug 19;23(10):141. doi: 10.1007/s11886-021-01572-6. PMID: 34410515.

    https://link.springer.com/article/10.1007/s11886-021-01572-6

  • Nossent EJ, Meijboom LJ, Bogaard HJ, Klok FA. Chronic thromboembolic pulmonary hypertension anno 2021. Curr Opin Cardiol. 2021 Nov 1;36(6):711-719. doi: 10.1097/HCO.0000000000000907. PMID: 34433194.

    https://journals.lww.com/co-cardiology/Fulltext/2021/11000/Chronic_thromboembolic_pulmonary_hypertension_anno.6.aspx

  • Lang IM, Campean IA, Sadushi-Kolici R, Badr-Eslam R, Gerges C, Skoro-Sajer N. Chronic Thromboembolic Disease and Chronic Thromboembolic Pulmonary Hypertension. Clin Chest Med. 2021 Mar;42(1):81-90. doi: 10.1016/j.ccm.2020.11.014. Epub 2021 Jan 12. PMID: 33541619.

    https://www.sciencedirect.com/science/article/pii/S027252312030126X?via%3Dihub

User testimonials

Reviewed By:

Osler Jay Justo Guzon

Osler Jay Justo Guzon, MD (Cardiology)

Dr. Guzon graduated from the University of Missouri-Kansas City School of Medicine with a BLA and MD. He then completed his Internal Medicine Residency at St. Louis University before a fellowship in Cardiovascular Diseases at the University of Missouri-Columbia. He has since working as an invasive cardiologist with a particular interest in preventative medicine and cardiometabolic disease. Over the past several years, Dr. Guzon has served on the speaker bureaus of AstraZeneca, Lilly, Boehringer-Ingelheim, and Aralez.

Eisaku Kamakura

Eisaku Kamakura, MD (Respiratory medicine)

Dr. Kamakura graduated from the Tokyo Medical and Dental University, School of Dentistry, and the Niigata University School of Medicine. He trained at Yokosuka Kyosai Hospital and held positions in the Respiratory Medicine departments at Yokosuka Kyosai Hospital, Tokyo Medical and Dental University, Ome City General Hospital, and Musashino Red Cross Hospital. In 2021, he became the specially appointed assistant professor at the Department of General Medicine, Niigata University School of Medicine.

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