Hamostaseologie. 2018 Feb;38(1):22-32. doi: 10.5482/HAMO-17-06-0020. Epub 2018 Feb 26.
In addition to among others major bleeding from anticoagulant therapy and recurrent venous thromboembolism (VTE), patients who survived acute pulmonary embolism (PE) face an increased risk of chronic functional limitations and decreased quality of life. In recent years, this latter complications have been better framed within the evolving definition of "post-PE syndrome" of which chronic thromboembolic pulmonary hypertension (CTEPH) represents the most extreme presentation. The post-PE syndrome in all its aspects is a frequent and clinically relevant long-term complication of PE but -except for CTEPH- has been largely understudied. There is great need to better define and understand the natural course of acute PE, to predict the development of the post-PE syndrome and to evaluate the potential benefits evolving treatments such as cardiopulmonary rehabilitation.
除了抗凝治疗引起的大出血和复发性静脉血栓栓塞症 (VTE) 等主要并发症外,急性肺栓塞 (PE) 幸存患者还面临慢性功能障碍和生活质量下降风险增加的问题。近年来,这些并发症在不断发展的“PE 后综合征”定义中得到了更好的阐述,其中慢性血栓栓塞性肺动脉高压 (CTEPH) 是最极端的表现。PE 后综合征的所有方面都是 PE 的一种常见且具有临床意义的长期并发症,但除了 CTEPH 之外,它在很大程度上还没有得到充分研究。人们迫切需要更好地定义和理解急性 PE 的自然病程,预测 PE 后综合征的发展,并评估心肺康复等新兴治疗方法的潜在获益。