DEAN J. KEREIAKES, M.D.; MARTIN J. LIPTON, M.D.
To the editor: Moser and associates (1) have drawn appropriate attention to difficulties in establishing the diagnosis of chronic thromboembolic pulmonary hypertension. Symptoms or signs of thromboembolic disease may be absent or unrecognized, and recurrent emboli may simulate pneumonia with pleuritis, chronic bronchitis, and coronary, valvular, or congenital heart disease (2). Differentiation from primary pulmonary hypertension is frequently difficult. Noninvasive evaluations often lack specificity for thromboembolic disease, and direct demonstration of pulmonary arterial thrombi has previously been achieved only by angiography.
At the University of California, San Francisco, we have used rapid sequential computed tomographic scanning during the administration of
Learn more about subscription options.
Register Now for a free account.
KEREIAKES DJ, LIPTON MJ. Diagnosis of Thromboembolic Pulmonary Hypertension. Ann Intern Med. 1983;99:880. doi: 10.7326/0003-4819-99-6-880_1
Download citation file:
Published: Ann Intern Med. 1983;99(6):880.
Copyright © 2017 American College of Physicians. All Rights Reserved.
Print ISSN: 0003-4819 | Online ISSN: 1539-3704
Conditions of Use
This PDF is available to Subscribers Only