TY  - JOUR
TI  - Raising the bar to ultradisciplinary collaborations in management of
chronic thromboembolic pulmonary hypertension
AB  - 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
AU  - AKAR, Ahmet Rüçhan
AU  - Yanartas, Mehmed
AU  - Kervan, Umit
AU  - BİÇER, Murat
AU  - İSPİR, Selim
AU  - AKAY, Tankut
AU  - ORHAN, Gökçen
AU  - Gultekin, Bahadir
AU  - YAĞDI, Tahir
AU  - DOĞAN, Rıza
AU  - TAŞ, Serpil Gezer
AU  - KAYMAZ, Cihangir
AU  - ŞIRLAK, Mustafa
DO  - 10.5606/tgkdc.dergisi.2021.21284
PY  - 2021
JO  - Türk Göğüs Kalp Damar Cerrahisi Dergisi
VL  - 29
IS  - 3
SN  - 1301-5680
SP  - 417
EP  - 731
DB  - TRDizin
UR  - http://search/yayin/detay/510672
ER  -