Home > Cardiology > ISTH 2020 > What’s New in Venous Thromboembolism > Less diagnostic delay in CTEPH diagnosis with novel algorithm

Less diagnostic delay in CTEPH diagnosis with novel algorithm

Presented By
Dr Gudula Boon, Leiden University Medical Center, the Netherlands
Conference
ISTH 2020
Trial
InSHAPE II
In the prospective, international InSHAPE II study, a non-invasive strategy for early identification of chronic thromboembolic pulmonary hypertension (CTEPH) after acute pulmonary embolism (PE) proved both accurate and cost-saving [1]. The diagnostic delay of CTEPH after acute PE is over 1 year and associated with increased mortality. Dr Gudula Boon (Leiden University Medical Center, the Netherlands) and her colleagues developed a non-invasive screening strategy comprising a 'CTEPH prediction score' and 'CTEPH rule-out criteria' aimed at diagnosing CTEPH earlier and limiting the number of required echocardiograms. “Six predictors [e.g. unprovoked PE, hypothyroidism, and diagnostic delay >2 weeks] have been identified that are highly probable for CTEPH and we included them in our score,” Dr Boon explained. The CTEPH ru...


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