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Gender Differences in the Incidence of Chronic Thromboembolic Pulmonary Hypertension After Acute Pulmonary Embolism: A Meta-analysis

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Specialty General Medicine
Date 2024 Jan 19
PMID 38241593
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Abstract

Background: To explore the role of gender in the incidence of chronic thromboembolic pulmonary hypertension after acute pulmonary embolism.

Methods: Two researchers search the PubMed Database, Embase Database and Cochrane Library Database from their establishment to October 2022, using Endnote software for document management and RevMan5.3 software for the meta-analysis of the included literature. A total of 11 studies are selected, including 5788 acute pulmonary embolism events and 391 patients (179 males and 212 females) with chronic thromboembolic pulmonary hypertension (CTEPH) under the stated conditions. The results show that there is no statistically significant difference in the incidence of CTEPH between males and females after PE (P = .28), with combined OR of 0.89 and 95% CI 0.72-1.10.

Results And Conclusions: Gender is found to be absent as a factor in the incidence of CTEPH after acute pulmonary embolism. This may indicate that gender is not a risk factor for CTEPH and that female patients are not necessarily more likely to have a higher incidence than male patients. As such, accurate judgments should be made on the possible complications of all patients after acute pulmonary embolism, which will be conducive to early detection and intervention in the treatment of CTEPH.

References
1.
Klok F, Tesche C, Rappold L, Dellas C, Hasenfuss G, Huisman M . External validation of a simple non-invasive algorithm to rule out chronic thromboembolic pulmonary hypertension after acute pulmonary embolism. Thromb Res. 2015; 135(5):796-801. DOI: 10.1016/j.thromres.2014.12.009. View

2.
Otero R, Oribe M, Ballaz A, Jimenez D, Uresandi F, Nauffal D . Echocardiographic assessment of pulmonary arterial pressure in the follow-up of patients with pulmonary embolism. Thromb Res. 2011; 127(4):303-8. DOI: 10.1016/j.thromres.2010.12.010. View

3.
Marti D, Gomez V, Escobar C, Wagner C, Zamarro C, Sanchez D . [Incidence of symptomatic and asymptomatic chronic thromboembolic pulmonary hypertension]. Arch Bronconeumol. 2010; 46(12):628-33. DOI: 10.1016/j.arbres.2010.07.012. View

4.
Rashidi F, Parvizi R, Bilejani E, Mahmoodian B, Rahimi F, Koohi A . Evaluation of the Incidence of Chronic Thromboembolic Pulmonary Hypertension 1 Year After First Episode of Acute Pulmonary Embolism: A Cohort Study. Lung. 2020; 198(1):59-64. DOI: 10.1007/s00408-019-00315-3. View

5.
Hoeper M, Mayer E, Simonneau G, Rubin L . Chronic thromboembolic pulmonary hypertension. Circulation. 2006; 113(16):2011-20. DOI: 10.1161/CIRCULATIONAHA.105.602565. View