Chronic thromboembolic pulmonary hypertension (CTPH) is believedto result from single or recurrent pulmonary thromboemboli arisingfrom sites of venous thrombosis. The occurrence of CTPH aftera diagnosis of acute pulmonary embolism has been consideredto be rare. A recent article in the Journal estimated that CTPHoccurs in 0.1 to 0.5 percent of cases of acute, nonfatal pulmonarythromboemboli.1 The natural history of pulmonary thromboemboliincludes total resolution or resolution with minimal residuaand restoration of normal pulmonary hemodynamics within 30 daysin more than 90 percent of patients. Repeated catheterizationafter acute pulmonary embolism has led to the . . . [Full Text of this Article]
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From the Division of Cardiology, Medical University of Vienna, Vienna.
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