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KMID : 0365420110300010021
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Journal of the KLIMA
2011 Volume.30 No. 1 p.21 ~ p.23
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Medical Risk Selection of chronic thromboembolic pulmonary hypertension
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Lee Sin-Hyung
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Abstract
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Chronic thromboembolic pulmonary hypertension(CTEPH) is known as class IV pulmonary hypertension. Unlike other subtype of pulmonary hypertension, surgical treatment such as pulmonary endarterectomy is well known therapeutic strategy. Also there’s oral disease-modifying drug which is developed lately. According to recent article, the prognosis of CTEPH is markedly improved. If prognosis of certain disease is improved, insurance rating should be altered. Whether rating change is necessary or not, mortality analysis of CTEPH was performed from recently published source article, Estimated extra-risks are MR of 525% and EDR of 37‰. In conclusion, the extra-risks of CTEPH are still very high.
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KEYWORD
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pulmonary hypertension, chronic thromboembolic pulmonary hypertension, mortality, insurance risk, underwriting
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