Victor F. Tapson, MD, David M. Platt, MD, Fang Xia, PhD, Simon A

Slides:

Advertisements

Similar presentations

Low-Dose Aspirin in Patients with Stable Cardiovascular Disease: A Meta-analysis Jeffrey S. Berger, MD, MS, David L. Brown, MD, Richard C. Becker, MD The.

Advertisements

An Unusual Electrocardiogram in a Heart Transplant Recipient Hamish I. MacLachlan, BSc, MBBS, Jonathan R. Dalzell, MD, MRCP The American Journal of Medicine.

Pierre Charbel Atallah, MD, Pierre Atallah, MD, Vikram Kashyap, MD

Severe Tuberculosis Sepsis in an Immunocompetent Patient

Pierre Loulergue, MD, MSc, Agnès Guerre, MD

The Diabetes Shared Care Program and Risks of Cardiovascular Events in Type 2 Diabetes Edy Kornelius, MD, Jeng-Yuan Chiou, PhD, Yi-Sun Yang, PhD, MD,

An Unusual Cause of Leg Ulcerations

Richard V. Milani, MD, Carl J. Lavie, MD, Robert M

A Pain in the Neck: Thyroid Abscess

Atypical Vasculitis Mimicking Chronic Thromboembolic Pulmonary Hypertension Jérémie Dion, MD, Benjamin Terrier, MD, PhD, Xavier Jaïs, MD, Anas Mehdaoui,

Pierre Loulergue, MD, MSc, Agnès Guerre, MD

Trends in Comorbidity, Disability, and Polypharmacy in Heart Failure

David R. Curran, MD, Terence K

Impact of Hyponatremia Correction on the Risk for 30-Day Readmission and Death in Patients with Congestive Heart Failure Jacques D. Donzé, MD, MSc, Patrick.

Unilateral transudative pleural effusion: An exceptional cause

Medically Unexplained Neurologic Symptoms: A Primer for Physicians Who Make the Initial Encounter Ashley Evens, BS, Lindsay Vendetta, BS, Kaitlin Krebs,

CHA2DS2-VASc Score Is Directly Associated with the Risk of Pulmonary Embolism in Patients with Atrial Fibrillation Walid Saliba, MD, MPH, Gad Rennert,

Venous Thromboembolism with Chronic Liver Disease

Incidence and Mortality Rates of Syncope in the United States

Paul D. Stein, MD, Afzal Beemath, MD, Frederick A

Epidemiology of Myelodysplastic Syndromes

Pulmonary Embolism with Right Ventricular Dysfunction: Who Should Receive Thrombolytic Agents? Hem Desai, MD, MPH, Bhupinder Natt, MD, Christian Bime,

Baffling Tachycardia The American Journal of Medicine

Robert Goulden, MBBS, MSc, MPhil, MA The American Journal of Medicine

Jonathan D. Davis, MD, MPHS, Margaret A

Bo Xu, MB BS (Hons), Wael Jaber, MD, Serge Harb, MD, Brian Griffin, MD

Tumor Emboli: A Rare Cause of Acute Pulmonary Hypertension

Painless Horner's Syndrome Through Occupational Exposure

An Uncommon Cause of Recurrent Venous Thromboembolism

Paul D. Stein, MD, Pamela K. Woodard, MD, John G. Weg, MD, Thomas W

Luciano M. Prevedello, MD, MPH, Ali S. Raja, MD, MBA, MPH, Ivan K

The Reply The American Journal of Medicine

Jessica L. Lee, MD, MS, Esther S. Oh, MD, Rebecca W. Lee, MD, Thomas E

TIA for the Internist The American Journal of Medicine

Neurogenic Pulmonary Edema Following Non-status Epileptic Seizure

Disseminated Mycobacterium avium-intracellulare Complex Infection

Papillary Fibroelastoma of the Subvalvular Apparatus of the Mitral Valve Found on Echocardiography after the Clinical Presentation of Embolic CVA Henry.

Gout in African Americans

Are We Missing Diagnosis of Large Vessel Vasculitis

Treatment of hepatitis C

Atul B. Shinagare, MD, Stuart G. Silverman, MD, Esteban F

Carlos Aguilar, MD, Valentin del Villar, MD

Jonathan D. Davis, MD, MPHS, Margaret A

An Unusual Cause of Abdominal Pain: Lupus Enteritis

A Case of Atypical Retrosternal Chest Pain

Resistant Hypertension and the Pivotal Role for Mineralocorticoid Receptor Antagonists: A Clinical Update 2016 Murray Epstein, MD, Daniel A. Duprez,

Familial Chronic Thromboembolic Pulmonary Hypertension

Operability assessment in CTEPH: Lessons from the CHEST-1 study

Symptoms Are More Useful Than Echocardiography in Patient Selection for Pulmonary Endarterectomy Laura Donahoe, MD, Rachel Vanderlaan, MD, John Thenganatt,

The Malnourished Heart: An Unusual Case of Heart Failure

Pulmonary Langerhans' Cell Histiocytosis

Does Methylphenidate Reduce the Symptoms of Chronic Fatigue Syndrome?

Seizure with Acute Pulmonary Infiltrates

Insomnia in the Elderly: Cause, Approach, and Treatment

Vertebral Fractures: Clinical Importance and Management

Purnema Madahar, MD, Cristina M. Gonzalez, MD, MEd

Ajay Major, MD, MBA, Mel Anderson, MD The American Journal of Medicine

Purple Urinary Bag Syndrome

A Post-cure Complication

Unexpected Etiology of Atypical Chest Pain

Aorta–Aorta Fistula: Another Uncommon Cause of Heart Failure

An Unexpected Pneumonitis

Falls in Older Adults: Risk Assessment, Management and Prevention

A Twisted Tale: Chronic Abdominal Pain Caused by Gastric Volvulus

Paul D. Stein, MD, Fadi Matta, MD The American Journal of Medicine

Diagnostic algorithm for chronic thromboembolic pulmonary hypertension

David Tian, MD, Ram Jhingan Mohan, MD, Gary Stallings, MD

Frédéric Michard, MD, PhD, Apurva Badheka, MD

Hypophosphatemia: Diagnostic Significance in Legionnaires’ Disease

Spontaneous Bacterial Peritonitis in a Patient with Anorexia Nervosa with Profound Zinc and Iron Deficiency Anna Mattinson, MB, ChB, Anthony J. Pelosi,

Presentation transcript:

Monitoring for Pulmonary Hypertension Following Pulmonary Embolism: The INFORM Study Victor F. Tapson, MD, David M. Platt, MD, Fang Xia, PhD, Simon A. Teal, BSc, Margarita de la Orden, MSc, Christine H. Divers, PhD, Carol A. Satler, MD, PhD, Vijay N. Joish, PhD, Richard N. Channick, MD The American Journal of Medicine Volume 129, Issue 9, Pages 978-985.e2 (September 2016) DOI: 10.1016/j.amjmed.2016.03.006 Copyright © 2016 Elsevier Inc. Terms and Conditions

Figure 1 Stepwise process for the diagnosis of chronic thromboembolic pulmonary hypertension. CTA = computed tomographic angiography; CTEPH = chronic thromboembolic pulmonary embolism; MRA = magnetic resonance angiogram. Reproduced with permission; Kim et al.24 The American Journal of Medicine 2016 129, 978-985.e2DOI: (10.1016/j.amjmed.2016.03.006) Copyright © 2016 Elsevier Inc. Terms and Conditions

Figure 2 Selection of patients with incident pulmonary embolism between July 1, 2010 and September 30, 2011. ICD-9-CM = International Classification of Disease, Ninth Revision, Clinical Modification; PE = pulmonary embolism. The American Journal of Medicine 2016 129, 978-985.e2DOI: (10.1016/j.amjmed.2016.03.006) Copyright © 2016 Elsevier Inc. Terms and Conditions

Figure 3 Disease monitoring in the 2-year period following the incident pulmonary embolism event. CTA = computed tomographic angiography; ECHO = echocardiogram; ICD-9-CM = International Classification of Disease, Ninth Revision, Clinical Modification; PAG = pulmonary angiography; PH = pulmonary hypertension; RHC = right heart catheterization; VQ = ventilation/perfusion scan. *The 10 prespecified PH symptoms (with ICD-9-CM codes in parenthesis) include syncope (780.2), malaise and fatigue (780.7), dyspnea (786.0), hemoptysis (786.3), chest pain (786.5), dizziness/ vertigo (780.4), gait abnormality (781.2), cardiomegaly (429.3), ascites (789.3), and peripheral edema (782.3). The American Journal of Medicine 2016 129, 978-985.e2DOI: (10.1016/j.amjmed.2016.03.006) Copyright © 2016 Elsevier Inc. Terms and Conditions

Figure 4 Disease monitoring post index pulmonary embolism in patients with a diagnosis of pulmonary hypertension on or after index event. n = 538 patients with a diagnosis of pulmonary hypertension (ICD-9-CM codes 416.0 or 416.8). CTA = computed tomographic angiography; ECHO = echocardiogram; ICD-9-CM = International Classification of Disease, Ninth Revision, Clinical Modification; PAG = pulmonary angiography; RHC = right heart catheterization; VQ = ventilation perfusion. The American Journal of Medicine 2016 129, 978-985.e2DOI: (10.1016/j.amjmed.2016.03.006) Copyright © 2016 Elsevier Inc. Terms and Conditions