Post-Pulmonary Embolism Syndrome: Clinical Challenges and Management Strategies

被引:0
作者
Rosenzveig, Akiva [1 ]
Sul, Lidiya [1 ]
Lee, Matthew [1 ]
Tefera, Leben [1 ]
机构
[1] Cleveland Clin, Vasc & Thorac Inst, Robert & Suzanne Tomsich Dept Cardiovasc Med, Sydell & Arnold Miller Family Heart, 9500 Euclid Ave,J3-5, Cleveland, OH 44106 USA
关键词
Pulmonary embolism; Post-PE syndrome; Chronic thromboembolic pulmonary hypertension; Chronic thromboembolic dysfunction; Shortness of breath; QUALITY-OF-LIFE; RISK-FACTORS; FOLLOW-UP; HYPERTENSION; ANGIOPLASTY; MULTICENTER; ENDARTERECTOMY; EXPERIENCE; THROMBOSIS; RIOCIGUAT;
D O I
10.1007/s11936-024-01065-z
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Purpose of the Review The goal of this manuscript is to provide an overview of post-pulmonary embolism syndrome (PPES). Herein, we describe the pathophysiology, diagnosis, and management of PPES. Key concepts identified include distinguishing PPES from other post-PE complications and determining optimal treatment and diagnostic strategies. Recent Findings Recent studies highlight that nearly 25 to 50% of patients will develop PPES following diagnosis and treatment of a PE. Recent improvements in imaging modalities have led to improved diagnosis and identification of PPES. Despite this, treatment and identification of patients who would benefit from pharmacologic and interventional therapies remain difficult. Summary Early identification of PPES is essential in symptomatic patients following diagnosis and treatment of PE. Individual treatment plans are crucial for improving the outcomes of patients suffering from PPES. Recent advancements are promising, although additional research is needed to further refine optimal treatments for long-term care of PPES patients.
引用
收藏
页数:7
相关论文
共 56 条
  • [1] Aggarwal Vikas, 2023, J Soc Cardiovasc Angiogr Interv, V2, P101063, DOI 10.1016/j.jscai.2023.101063
  • [2] Status and Future Directions for Balloon Pulmonary Angioplasty in Chronic Thromboembolic Pulmonary Disease With and Without Pulmonary Hypertension: A Scientific Statement From the American Heart Association
    Aggarwal, Vikas
    Giri, Jay
    Visovatti, Scott H.
    Mahmud, Ehtisham
    Matsubara, Hiromi
    Madani, Michael
    Rogers, Frances
    Gopalan, Deepa
    Rosenfield, Kenneth
    McLaughlin, Vallerie V.
    [J]. CIRCULATION, 2024, 149 (15) : e1090 - e1107
  • [3] Risk factors for chronic thromboembolic pulmonary hypertension
    Bonderman, D.
    Wilkens, H.
    Wakounig, S.
    Schaefers, H-J.
    Jansa, P.
    Lindner, J.
    Simkova, I.
    Martischnig, A. M.
    Dudczak, J.
    Sadushi, R.
    Skoro-Sajer, N.
    Klepietko, W.
    Lang, I. M.
    [J]. EUROPEAN RESPIRATORY JOURNAL, 2009, 33 (02) : 325 - 331
  • [4] French experience of balloon pulmonary angioplasty for chronic thromboembolic pulmonary hypertension
    Brenot, Philippe
    Jais, Xavier
    Taniguchi, Yu
    Alonso, Carlos Garcia
    Gerardin, Benoit
    Mussot, Sacha
    Mercier, Olaf
    Fabre, Dominique
    Parent, Florence
    Jevnikar, Mitja
    Montani, David
    Savale, Laurent
    Sitbon, Olivier
    Fadel, Elie
    Humbert, Marc
    Simonneau, Gerald
    [J]. EUROPEAN RESPIRATORY JOURNAL, 2019, 53 (05)
  • [5] ERS statement on chronic thromboembolic pulmonary hypertension
    Delcroix, Marion
    Torbicki, Adam
    Gopalan, Deepa
    Sitbon, Olivier
    Klok, Frederikus A.
    Lang, Irene
    Jenkins, David
    Kim, Nick H.
    Humbert, Marc
    Jais, Xavier
    Noordegraaf, Anton Vonk
    Pepke-Zaba, Joanna
    Brenot, Philippe
    Dorfmuller, Peter
    Fadel, Elie
    Ghofrani, Hossein-Ardeschir
    Hoeper, Marius M.
    Jansa, Pavel
    Madani, Michael
    Matsubara, Hiromi
    Ogo, Takeshi
    Gruenig, Ekkehard
    D'Armini, Andrea
    Galie, Nazzareno
    Meyer, Bernhard
    Corkery, Patrick
    Meszaros, Gergely
    Mayer, Eckhard
    Simonneau, Gerald
    [J]. EUROPEAN RESPIRATORY JOURNAL, 2021, 57 (06)
  • [6] Long-Term Outcome of Patients With Chronic Thromboembolic Pulmonary Hypertension Results From an International Prospective Registry
    Delcroix, Marion
    Lang, Irene
    Pepke-Zaba, Joanna
    Jansa, Pavel
    D'Armini, Andrea M.
    Snijder, Repke
    Bresser, Paul
    Torbicki, Adam
    Mellemkjaer, Soren
    Lewczuk, Jerzy
    Simkova, Iveta
    Barbera, Joan A.
    de Perrot, Marc
    Hoeper, Marius M.
    Gaine, Sean
    Speich, Rudolf
    Gomez-Sanchez, Miguel A.
    Kovacs, Gabor
    Jais, Xavier
    Ambroz, David
    Treacy, Carmen
    Morsolini, Marco
    Jenkins, David
    Lindner, Jaroslav
    Dartevelle, Philippe
    Mayer, Eckhard
    Simonneau, Gerald
    [J]. CIRCULATION, 2016, 133 (09) : 859 - 871
  • [7] Functional capacity and dyspnea during follow-up after acute pulmonary embolism
    Farmakis, Ioannis T.
    Valerio, Luca
    Barco, Stefano
    Christodoulou, Konstantinos C.
    Ewert, Ralf
    Giannakoulas, George
    Held, Matthias
    Hobohm, Lukas
    Keller, Karsten
    Wilkens, Heinrike
    Rosenkranz, Stephan
    Konstantinides, Stavros, V
    [J]. JOURNAL OF THROMBOSIS AND HAEMOSTASIS, 2024, 22 (01) : 163 - 171
  • [8] Feinstein JA, 2001, CIRCULATION, V103, P10
  • [9] Macitentan for the treatment of inoperable chronic thromboembolic pulmonary hypertension (MERIT-1) results from the multicentre, phase 2, randomised, double-blind, placebo-controlled study
    Ghofrani, Hossein -Ardeschir
    Simonneau, Gerald
    D'Armini, Andrea M.
    Fedullo, Peter
    Howard, Luke S.
    Jais, Xavier
    Jenkins, David P.
    Jing, Zhi-Cheng
    Madani, Michael M.
    Martin, Nicolas
    Mayer, Eckhard
    Papadakis, Kelly
    Richard, Dominik
    Kim, Nick H.
    [J]. LANCET RESPIRATORY MEDICINE, 2024, 12 (04) : e21 - e30
  • [10] Riociguat for the Treatment of Chronic Thromboembolic Pulmonary Hypertension
    Ghofrani, Hossein-Ardeschir
    D'Armini, Andrea M.
    Grimminger, Friedrich
    Hoeper, Marius M.
    Jansa, Pavel
    Kim, Nick H.
    Mayer, Eckhard
    Simonneau, Gerald
    Wilkins, Martin R.
    Fritsch, Arno
    Neuser, Dieter
    Weimann, Gerrit
    Wang, Chen
    [J]. NEW ENGLAND JOURNAL OF MEDICINE, 2013, 369 (04) : 319 - 329