Table 4. Risk factors and predisposing conditions for CTEPH.
Findings related to the acute PE eventa | Concomitant chronic diseases and conditions predisposing to CTEPHc |
---|---|
Previous episodes of PE or DVT | Ventriculo-atrial shunts |
Large pulmonary arterial thrombi on CTPA | Infected chronic i.v. lines or pacemakers |
Echocardiographic signs of PH/RV dysfunction | History of splenectomy |
CTPA findings suggestive of CTEPDb | Thrombophilic disorders, particularly antiphospholipid antibody syndrome and high coagulation factor VIII levels |
Non-O blood group | |
Hypothyroidism treated with thyroid hormones | |
History of cancer | |
Myeloproliferative disorders | |
Inflammatory bowel disease | |
Chronic osteomyelitis |
a, obtained at PE diagnosis; b, see Table 2; c, documented at PE diagnosis or at 3–6 months follow-up. Reproduced from (12) with permission. CTEPH, chronic thromboembolic pulmonary hypertension; PE, pulmonary embolism; DVT, deep vein thrombosis; CTPA, computed tomography pulmonary angiography; PH, pulmonary hypertension; RV, right ventricular; CTEPD, chronic thromboembolic pulmonary disease.