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Can a Multidisciplinary Team Change the Course of Chronic Thromboembolic Pulmonary Hypertension? Changes in Time to
Matías Almeida Souto1, Milagros Báez2, Marcella Perri1
1Department of Pulmonology, Hospital Británico de Buenos Aires, Buenos Aires, Argentina.
Abstract:
Chronic thromboembolic pulmonary hypertension (CTEPH) is a potentially curable form of pulmonary hypertension, yet diagnostic delay remains a major barrier to timely treatment. Pulmonary embolism response teams (PERT) have emerged as a strategy to optimize follow-up after acute pulmonary embolism (APE), but local evidence on their impact on CTEPH diagnostic timing is scant. We conducted a single-center, retrospective cohort study comparing patients diagnosed with CTEPH before and after PERT implementation in a general hospital in Argentina. Among 29 patients, those diagnosed after PERT implementation had a significantly shorter time from APE to CTEPH diagnosis (median 43 vs. 256 weeks, p = 0.0369) and a non-significant trend toward lower-risk profiles at diagnosis. These findings support the role of structured multidisciplinary follow-up in accelerating CTEPH recognition outside specialized referral centers.
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