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CTEPH Signs & Symptoms

CTEPH symptoms are nonspecific.

  • They are indistinguishable from symptoms of other forms of PH.
  • They can be mistaken for respiratory diseases, including asthma and COPD.

On physical examination, initial findings consistent with CTEPH may include1:

  • A reduction in the splitting of the second heart sound (S2)
  • Accentuation of the sound of pulmonic closure (P2)
  • A palpable right ventricular heave

Subsequent findings correspond to decreasing right ventricular function1:

  • Jugular venous distention
  • Fixed splitting of S2
  • Right-sided third heart sound (S3)
  • Tricuspid regurgitation
  • Hepatomegaly, ascites, and peripheral edema

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CTEPH can be mistaken for asthma or COPD.