Department of Internal Medicine, Jacobi Medical Center/Albert Einstein College of Medicine, 1400 Pelham Parkway S, Bronx, NY 10461, USA.
Division of Cardiology, Montefiore Medical Center, Albert Einstein College of Medicine, 111 E 210th St, Bronx, NY 10467, USA.
Future Cardiol. 2024;20(10):571-580. doi: 10.1080/14796678.2024.2385872. Epub 2024 Aug 19.
Chronic thromboembolic pulmonary hypertension (CTEPH) is an underdiagnosed sequela of acute pulmonary embolism with varied clinical presentation causing significant morbidity among the affected population. There exist important differences in the occurrence, clinical features and diagnosis of CTEPH between men and women, with women carrying a greater predisposition for the disease. Ongoing studies have also pointed out variations among men and women, in the treatment offered and long-term outcomes including mortality. This focused review article highlights important sex-associated differences in multiple aspects of CTEPH including its epidemiology, clinical features, diagnosis, treatment and outcomes as reported in current literature and highlights the need for future research to facilitate a clearer understanding of these differences.
慢性血栓栓塞性肺动脉高压(CTEPH)是急性肺栓塞的一种被低估的后遗症,其临床表现多样,在受影响人群中导致了显著的发病率。CTEPH 在男性和女性中的发生、临床特征和诊断存在重要差异,女性患病的倾向更大。正在进行的研究也指出了男性和女性在治疗方法和长期结果(包括死亡率)方面的差异。本文重点综述了当前文献中报道的 CTEPH 的多个方面的重要与性别相关的差异,包括其流行病学、临床特征、诊断、治疗和结局,并强调需要进一步的研究来促进对这些差异的更清楚的理解。