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Raising the bar to ultradisciplinary collaborations in management of chronic thromboembolic pulmonary hypertension

Chronic thromboembolic pulmonary hypertension is an underdiagnosed and potentially fatal subgroup of pulmonary hypertension, if left untreated. Clinical signs include exertional dyspnea and non-specific symptoms. Diagnosis requires multimodality imaging and heart catheterization. Pulmonary endartere...

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Autores principales: Akay, Tankut, Kaymaz, Cihangir, Rüçhan Akar, Ahmet, Orhan, Gökçen, Yanartaş, Mehmed, Gültekin, Bahadır, Şırlak, Mustafa, Kervan, Ümit, Gezer Taş, Serpil, Biçer, Murat, Yağdı, Tahir, İspir, Selim, Doğan, Rıza
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Bayçınar Medical Publishing 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8462103/
https://www.ncbi.nlm.nih.gov/pubmed/34589266
http://dx.doi.org/10.5606/tgkdc.dergisi.2021.21284
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author Akay, Tankut
Kaymaz, Cihangir
Rüçhan Akar, Ahmet
Orhan, Gökçen
Yanartaş, Mehmed
Gültekin, Bahadır
Şırlak, Mustafa
Kervan, Ümit
Gezer Taş, Serpil
Biçer, Murat
Yağdı, Tahir
İspir, Selim
Doğan, Rıza
author_facet Akay, Tankut
Kaymaz, Cihangir
Rüçhan Akar, Ahmet
Orhan, Gökçen
Yanartaş, Mehmed
Gültekin, Bahadır
Şırlak, Mustafa
Kervan, Ümit
Gezer Taş, Serpil
Biçer, Murat
Yağdı, Tahir
İspir, Selim
Doğan, Rıza
author_sort Akay, Tankut
collection PubMed
description Chronic thromboembolic pulmonary hypertension is an underdiagnosed and potentially fatal subgroup of pulmonary hypertension, if left untreated. Clinical signs include exertional dyspnea and non-specific symptoms. Diagnosis requires multimodality imaging and heart catheterization. Pulmonary endarterectomy, an open heart surgery, is the gold standard treatment of choice in selected patients in specialized centers. Targeted medical therapy and balloon pulmonary angioplasty can be effective in high-risk patients with significant comorbidities, distal pulmonary vascular obstructions, or recurrent/persistent pulmonary hypertension after pulmonary endarterectomy. Currently, there is a limited number of data regarding novel coronavirus-2019 infection in patients with chronic thromboembolic pulmonary hypertension and the changing spectrum of the disease during the pandemic. Challenging times during this outbreak due to healthcare crisis and relatively higher case-fatality rates require convergence; that is an ultradisciplinary collaboration, which crosses disciplinary and sectorial boundaries to develop integrated knowledge and new paradigms. Management strategies for the "new normal" such as virtual care, preparedness for further threats, redesigned standards and working conditions, reevaluation of specific recommendations, and online collaborations for optimal decisions for chronic thromboembolic pulmonary hypertension patients may change the poor outcomes.
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spelling pubmed-84621032021-09-28 Raising the bar to ultradisciplinary collaborations in management of chronic thromboembolic pulmonary hypertension Akay, Tankut Kaymaz, Cihangir Rüçhan Akar, Ahmet Orhan, Gökçen Yanartaş, Mehmed Gültekin, Bahadır Şırlak, Mustafa Kervan, Ümit Gezer Taş, Serpil Biçer, Murat Yağdı, Tahir İspir, Selim Doğan, Rıza Turk Gogus Kalp Damar Cerrahisi Derg Review Article Chronic thromboembolic pulmonary hypertension is an underdiagnosed and potentially fatal subgroup of pulmonary hypertension, if left untreated. Clinical signs include exertional dyspnea and non-specific symptoms. Diagnosis requires multimodality imaging and heart catheterization. Pulmonary endarterectomy, an open heart surgery, is the gold standard treatment of choice in selected patients in specialized centers. Targeted medical therapy and balloon pulmonary angioplasty can be effective in high-risk patients with significant comorbidities, distal pulmonary vascular obstructions, or recurrent/persistent pulmonary hypertension after pulmonary endarterectomy. Currently, there is a limited number of data regarding novel coronavirus-2019 infection in patients with chronic thromboembolic pulmonary hypertension and the changing spectrum of the disease during the pandemic. Challenging times during this outbreak due to healthcare crisis and relatively higher case-fatality rates require convergence; that is an ultradisciplinary collaboration, which crosses disciplinary and sectorial boundaries to develop integrated knowledge and new paradigms. Management strategies for the "new normal" such as virtual care, preparedness for further threats, redesigned standards and working conditions, reevaluation of specific recommendations, and online collaborations for optimal decisions for chronic thromboembolic pulmonary hypertension patients may change the poor outcomes. Bayçınar Medical Publishing 2021-07-26 /pmc/articles/PMC8462103/ /pubmed/34589266 http://dx.doi.org/10.5606/tgkdc.dergisi.2021.21284 Text en Copyright © 2021, Turkish Society of Cardiovascular Surgery https://creativecommons.org/licenses/by-nc/4.0/This is an open access article under the terms of the Creative Commons Attribution-NonCommercial License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
spellingShingle Review Article
Akay, Tankut
Kaymaz, Cihangir
Rüçhan Akar, Ahmet
Orhan, Gökçen
Yanartaş, Mehmed
Gültekin, Bahadır
Şırlak, Mustafa
Kervan, Ümit
Gezer Taş, Serpil
Biçer, Murat
Yağdı, Tahir
İspir, Selim
Doğan, Rıza
Raising the bar to ultradisciplinary collaborations in management of chronic thromboembolic pulmonary hypertension
title Raising the bar to ultradisciplinary collaborations in management of chronic thromboembolic pulmonary hypertension
title_full Raising the bar to ultradisciplinary collaborations in management of chronic thromboembolic pulmonary hypertension
title_fullStr Raising the bar to ultradisciplinary collaborations in management of chronic thromboembolic pulmonary hypertension
title_full_unstemmed Raising the bar to ultradisciplinary collaborations in management of chronic thromboembolic pulmonary hypertension
title_short Raising the bar to ultradisciplinary collaborations in management of chronic thromboembolic pulmonary hypertension
title_sort raising the bar to ultradisciplinary collaborations in management of chronic thromboembolic pulmonary hypertension
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8462103/
https://www.ncbi.nlm.nih.gov/pubmed/34589266
http://dx.doi.org/10.5606/tgkdc.dergisi.2021.21284
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