Meet Cassie
Cassie
Cassie
Persistent/
recurrent CTEPH

60 years old

WHO FC II

6MWD of 360 m

PVR 618 dyn-sec-cm-5

NT-proBNP 1508 ng/l

A year ago, Cassie was diagnosed with CTEPH and underwent PTE surgery. Her assessments improved initially after surgery. However, she recently noticed that she is out of breath when hosting cookouts with friends. Before her guests arrive, she feels out of breath and fatigued. She has decided to schedule a visit to her pulmonologist this week.

CASSIE’S GOAL:

Host another cookout with her friends

Use a goal-oriented approach when assessing patients like Cassie

Cassie has been monitored since her PTE surgery, but at her 12-month follow-up, you give her a right-heart catheterization. The result reveals that her mPAP increased to >30 mm Hg.

Today’s visit: A V/Q scan confirmed small vessel disease, indicating persistent/recurrent CTEPH.

YOUR GOAL:

Improve Cassie’s PVR and WHO functional class

6MWD=6-minute walk distance; CTEPH=chronic thromboembolic pulmonary hypertension; FC=functional class; mPAP=mean pulmonary arterial pressure; NT-proBNP=N-terminal pro-brain natriuretic peptide; PTE=pulmonary thromboendarterectomy; PVR=pulmonary vascular resistance; V/Q=ventilation/perfusion; WHO=World Health Organization

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HELP CASSIE HOST ANOTHER COOKOUT WITH HER FRIENDS

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