Nonspecific symptoms and delayed manifestations of CTEPH make early diagnosis challenging. A unique finding in CTEPH that is not heard in other forms of pulmonary hypertension is the presence of a pulmonary flow murmur, which is a high-pitched, blowing bruit accentuated with inspiration. Many of the classic signs of pulmonary hypertension are also present in patients with CTEPH: S4 gallop, tricuspid regurgitation, and right ventricular heave.
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Cite this: Vikramjit Khangoora. Fast Five Quiz: Chronic Thromboembolic Pulmonary Hypertension - Medscape - May 17, 2022.