Chronic Thromboembolic Pulmonary Hypertension
To the Editor: Pengo et al. (May 27 issue) 1 report an incidence of chronic thromboembolic pulmonary hypertension (CTPH) of approximately 3 percent (diagnosed in 7 of 223 patients) after a first episode of pulmonary embolism. We believe that the angiographic criteria used by the authors to diagnose...
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| Veröffentlicht in: | The New England journal of medicine 2004-10, Vol.351 (16), p.1693-1693 |
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| container_title | The New England journal of medicine |
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| creator | Paño-Pardo, José R Fernández-Capitán, Carmen Arnalich, Francisco |
| description | To the Editor:
Pengo et al. (May 27 issue)
1
report an incidence of chronic thromboembolic pulmonary hypertension (CTPH) of approximately 3 percent (diagnosed in 7 of 223 patients) after a first episode of pulmonary embolism. We believe that the angiographic criteria used by the authors to diagnose CTPH may underestimate the real incidence of CTPH after pulmonary embolism. Because Pengo et al. focus on large-vessel CTPH, they could have missed cases of CTPH that were caused by small-vessel chronic thromboembolism. At our institution, 15 percent of cases of CTPH are secondary to small-vessel chronic thromboembolism. The diagnosis of CTPH may . . . |
| doi_str_mv | 10.1056/NEJM200410143511625 |
| format | Article |
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Pengo et al. (May 27 issue)
1
report an incidence of chronic thromboembolic pulmonary hypertension (CTPH) of approximately 3 percent (diagnosed in 7 of 223 patients) after a first episode of pulmonary embolism. We believe that the angiographic criteria used by the authors to diagnose CTPH may underestimate the real incidence of CTPH after pulmonary embolism. Because Pengo et al. focus on large-vessel CTPH, they could have missed cases of CTPH that were caused by small-vessel chronic thromboembolism. At our institution, 15 percent of cases of CTPH are secondary to small-vessel chronic thromboembolism. The diagnosis of CTPH may . . .</description><identifier>ISSN: 0028-4793</identifier><identifier>EISSN: 1533-4406</identifier><identifier>DOI: 10.1056/NEJM200410143511625</identifier><identifier>PMID: 15483295</identifier><language>eng</language><publisher>United States: Massachusetts Medical Society</publisher><subject>Chronic Disease ; Diagnostic Errors ; Humans ; Hypertension, Pulmonary - diagnosis ; Hypertension, Pulmonary - epidemiology ; Hypertension, Pulmonary - etiology ; Incidence ; Pulmonary Embolism - complications ; Recurrence ; Thromboembolism - complications</subject><ispartof>The New England journal of medicine, 2004-10, Vol.351 (16), p.1693-1693</ispartof><rights>Copyright © 2004 Massachusetts Medical Society. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c378t-93b1375b0e9f8df427e0982ff37c125aab7fe34ba88eff4f2b7dcbdb43a05c3c3</citedby><cites>FETCH-LOGICAL-c378t-93b1375b0e9f8df427e0982ff37c125aab7fe34ba88eff4f2b7dcbdb43a05c3c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.nejm.org/doi/pdf/10.1056/NEJM200410143511625$$EPDF$$P50$$Gmms$$H</linktopdf><linktohtml>$$Uhttps://www.nejm.org/doi/full/10.1056/NEJM200410143511625$$EHTML$$P50$$Gmms$$H</linktohtml><link.rule.ids>314,780,784,2759,2760,26103,27924,27925,52382,54064,64387</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15483295$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Paño-Pardo, José R</creatorcontrib><creatorcontrib>Fernández-Capitán, Carmen</creatorcontrib><creatorcontrib>Arnalich, Francisco</creatorcontrib><title>Chronic Thromboembolic Pulmonary Hypertension</title><title>The New England journal of medicine</title><addtitle>N Engl J Med</addtitle><description>To the Editor:
Pengo et al. (May 27 issue)
1
report an incidence of chronic thromboembolic pulmonary hypertension (CTPH) of approximately 3 percent (diagnosed in 7 of 223 patients) after a first episode of pulmonary embolism. We believe that the angiographic criteria used by the authors to diagnose CTPH may underestimate the real incidence of CTPH after pulmonary embolism. Because Pengo et al. focus on large-vessel CTPH, they could have missed cases of CTPH that were caused by small-vessel chronic thromboembolism. At our institution, 15 percent of cases of CTPH are secondary to small-vessel chronic thromboembolism. The diagnosis of CTPH may . . .</description><subject>Chronic Disease</subject><subject>Diagnostic Errors</subject><subject>Humans</subject><subject>Hypertension, Pulmonary - diagnosis</subject><subject>Hypertension, Pulmonary - epidemiology</subject><subject>Hypertension, Pulmonary - etiology</subject><subject>Incidence</subject><subject>Pulmonary Embolism - complications</subject><subject>Recurrence</subject><subject>Thromboembolism - complications</subject><issn>0028-4793</issn><issn>1533-4406</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9UE1LAzEUDKLYWv0FgvTkRVbzuUmOUqpV6sehnkOSTXDLZlOT7qH_3kgLXsQHj-HBzDBvALhE8BZBVt-9zp9fMIQUQUQJQ6jG7AiMESOkohTWx2AMIRYV5ZKMwFnOa1gGUXkKRohRQbBkY1DNPlPsWztdFQwmurJdOd-HLsRep910sdu4tHV9bmN_Dk687rK7OOAEfDzMV7NFtXx7fJrdLytLuNhWkhhEODPQSS8aTzF3UArsPeEWYaa14d4RarQQznvqseGNNY2hRENmiSUTcL333aT4Nbi8VaHN1nWd7l0csqprWUtYHpsAsifaFHNOzqtNakOJrRBUPy2pP1oqqquD_WCCa341h1oK4WZPCCGr3q3Dv3bfJYJuzg</recordid><startdate>20041014</startdate><enddate>20041014</enddate><creator>Paño-Pardo, José R</creator><creator>Fernández-Capitán, Carmen</creator><creator>Arnalich, Francisco</creator><general>Massachusetts Medical Society</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20041014</creationdate><title>Chronic Thromboembolic Pulmonary Hypertension</title><author>Paño-Pardo, José R ; Fernández-Capitán, Carmen ; Arnalich, Francisco</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c378t-93b1375b0e9f8df427e0982ff37c125aab7fe34ba88eff4f2b7dcbdb43a05c3c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Chronic Disease</topic><topic>Diagnostic Errors</topic><topic>Humans</topic><topic>Hypertension, Pulmonary - diagnosis</topic><topic>Hypertension, Pulmonary - epidemiology</topic><topic>Hypertension, Pulmonary - etiology</topic><topic>Incidence</topic><topic>Pulmonary Embolism - complications</topic><topic>Recurrence</topic><topic>Thromboembolism - complications</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Paño-Pardo, José R</creatorcontrib><creatorcontrib>Fernández-Capitán, Carmen</creatorcontrib><creatorcontrib>Arnalich, Francisco</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The New England journal of medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Paño-Pardo, José R</au><au>Fernández-Capitán, Carmen</au><au>Arnalich, Francisco</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Chronic Thromboembolic Pulmonary Hypertension</atitle><jtitle>The New England journal of medicine</jtitle><addtitle>N Engl J Med</addtitle><date>2004-10-14</date><risdate>2004</risdate><volume>351</volume><issue>16</issue><spage>1693</spage><epage>1693</epage><pages>1693-1693</pages><issn>0028-4793</issn><eissn>1533-4406</eissn><abstract>To the Editor:
Pengo et al. (May 27 issue)
1
report an incidence of chronic thromboembolic pulmonary hypertension (CTPH) of approximately 3 percent (diagnosed in 7 of 223 patients) after a first episode of pulmonary embolism. We believe that the angiographic criteria used by the authors to diagnose CTPH may underestimate the real incidence of CTPH after pulmonary embolism. Because Pengo et al. focus on large-vessel CTPH, they could have missed cases of CTPH that were caused by small-vessel chronic thromboembolism. At our institution, 15 percent of cases of CTPH are secondary to small-vessel chronic thromboembolism. The diagnosis of CTPH may . . .</abstract><cop>United States</cop><pub>Massachusetts Medical Society</pub><pmid>15483295</pmid><doi>10.1056/NEJM200410143511625</doi><tpages>1</tpages></addata></record> |
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| ispartof | The New England journal of medicine, 2004-10, Vol.351 (16), p.1693-1693 |
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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; ProQuest Central UK/Ireland; New England Journal of Medicine |
| subjects | Chronic Disease Diagnostic Errors Humans Hypertension, Pulmonary - diagnosis Hypertension, Pulmonary - epidemiology Hypertension, Pulmonary - etiology Incidence Pulmonary Embolism - complications Recurrence Thromboembolism - complications |
| title | Chronic Thromboembolic Pulmonary Hypertension |
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