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
CTEPH can be mistaken for asthma or COPD.
Adapted from Piazza and Goldhaber.1