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(609) 336-7518

09AM to 05PM EST

A Complete Guide about Chronic Thromboembolic Disease

Breathing is usually straightforward, but it becomes a constant struggle for people with chronic thromboembolic disease. They have to fight against hidden blood clots that threaten to take away their breath and ruin their lives.

Chronic thromboembolic disease arises when clots of blood form in the legs and migrate to the lungs. These clots can block lung blood vessels, causing difficulty breathing and other health problems.

CTED occurs when the chronic clot in an artery blocks the blood flow to the lungs. It usually happens during the course of physical activity that requires exertion, says Science Direct. As a result people with this condition find it difficult to engage in exercises.

CTED is crucial because it can produce long-term signs for people suffering from it. It can become a severe and sometimes fatal condition if not treated promptly. 

Understanding Chronic thromboembolic disease is vital for both patient and physician to guarantee timely diagnosis and treatment.

Today, we will bring to light the symptoms, causes, and treatment options for CTED in detail.

So, Continue reading!

What are the Symptoms of CTED?

Understanding the signs of Chronic thromboembolic disease helps with early diagnosis and management. This condition doesn’t show apparent symptoms. However, a few symptoms that a person may show involve,

Shortness of Breath

People with CTED frequently struggle to breathe, even while doing basic activities like walking. It occurs because of the lungs’ difficulty in delivering proper oxygen to the blood.


CTED may cause you to feel highly weary all the time. It happens because the heart has to work hard to pump blood to arteries, causing weariness

Chest Discomfort

Some CTED patients report chest discomfort. It is usually a dull or intense pain in the chest.


You may feel conscious all of a sudden. Heart strain and a shortage of oxygen usually occur in this case.

Chronic Thromboembolic Disease

What are the Risk Factors of CTED?

Chronic thromboembolic disease may occur because of various factors. A typical cause is a sudden blockage in the blood arteries of the lungs. The risk factors of CTED involve the following,

Prior Pulmonary Embolism

People with a past pulmonary embolism are more likely to acquire CTED.


The long periods of inactivity can encourage the formation of blood clots, leading to CTED.

Deep Vein Thrombosis

A history of clots in the deep vein of the leg or pelvis is also a significant risk.

Chronic Thromboembolic Disease

Surgery or Trauma

Major surgeries, particularly those involving the lower limb or traumatic injury, raise the risk of CTED.


Smoking is also a significant cause contributing to blood clot formation. The blood clot formation gives rise to CTED.

Certain Medications

Using birth control or hormone replacement medications may raise the risk of clotting.

How to Diagnose Chronic Thromboembolic Disease?

In CTED, finding recurring blood clots in the veins and arteries of the lungs is critical. Doctors employ various tests and imaging procedures to ensure proper diagnosis.

Medical History and Physical Exam

It usually begins with a discussion of your symptoms and any risk factors. The doctor will examine your chest, measure your oxygen level, and search for indications such as leg swelling.

Blood Tests

Blood testing can rule out other illnesses and determine how well your blood clots.

Ventilation Perfusion V/Q Scan

Consider it a lung matchmaker. Doctors inject a small amount of radioactive material into your circulation during this process.

You will breathe in a safe gas while a special camera takes pictures of your lungs. This test finds areas where air and blood don’t mix well, showing problems.

Pulmonary Angiography

It is a detailed map of your lungs’ circulatory system. In this procedure, the doctor infuses contrast dye into your pulmonary artery.

After that, doctors perform X-rays and CT scans to identify the location and severity of clot blockage.

Chronic Thromboembolic Disease

CT Pulmonary Angiography

Computed tomography works like a high-track scanner, producing detailed photos of your lungs. Physicians frequently use it with other tests to rule out the presence of clots.

Cardiopulmonary Exercise Testing

Doctors employ CPET to determine how efficiently the body uses oxygen and creates CO2. It indicates the presence and severity of pulmonary and cardiac defects.

What are the Treatments for CTED?

There are various treatments available to eliminate those persistent clots. Let us dissect them,




These medications aid in the prevention of new clot formation. They do not dissolve existing clots but lessen the likelihood of new clots forming in your lungs.


CTED can lead to fluid buildup and swelling in the lungs. Diuretics drain extra fluid from your body, thereby reducing symptoms.

Balloon Pulmonary Angioplasty (BPA)

This treatment is similar to unclogging a pipe. During BPA, the doctor introduces a small balloon to the clot spot in the blood artery of the lungs.

The balloon inflates, allowing blood to flow freely through the restricted channel.

Chronic Thromboembolic Disease

Pulmonary Endarterectomy (PEA)

Consider it as a massive roadwork in your lungs. PEA is a surgical procedure doctors use to remove clots from pulmonary arteries.

It is the most effective CTED treatment and can improve symptoms. Remember, it is a complicated process that may only be appropriate for some, says NCBI.

Oxygen Therapy

Chronic thromboembolic disease may result in low oxygen demand. In this case, physicians deliver supplemental oxygen through a nasal tube or mask to help you breathe better.

How can you Manage Chronic Thromboembolic Disease?

You may take steps to manage CTED and improve your quality of life. Here are some helpful suggestions,

1. Stay Active

Gentle exercises can be advantageous in CTED. Walking, swimming, and chair workouts all help you stay fit. Consult your healthcare professional for a safe workout program that suits your needs.

2. Consume a Well-Balanced Diet

Choose a diet high in whole grains, fruits, lean proteins, and vegetables. Also, limit salt intake to control fluid retention, which is a typical problem with CTED.

3. Keep Yourself Hydrated

Stay hydrated! But also, keep a close look at your fluid intake, mainly if you are using diuretics. Discuss it with your doctor if you need help finding the correct water balance.

4. Avoid Risk Factors

Smoking may worsen CTED symptoms and increase the risk of clot development. Also, avoid prolonged periods of immobility, such as during traveling. Remember to keep your legs moving throughout the day.

Chronic Thromboembolic Disease

5. Medication Adherence

Take your drugs as told by your physician. Take note of your drug regimen and inform your doctor of any adverse effects you are experiencing.

6. Emotional Well-Being

Don’t be afraid to seek help from friends, family, or a therapist. Tackling a chronic illness can be difficult and emotionally draining. They will help you gain confidence and support you in every matter.

7. Regular Follow Ups

Remember to visit your doctor for follow-ups, even if you are feeling well. Follow-up sessions allow your doctor to monitor your status, alter your treatment, and prevent complications.

8. Educate Yourself

Know your illness, its symptoms, and treatment. Knowledge enables you to manage CTED efficiently.

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Are you looking for a one-stop cure for your chronic illnesses?

At Prime Health of New Jersey, our experts have been helping individuals fight chronic diseases for years. Explore our comprehensive chronic disease management services. You can also book an appointment with us by clicking the link below.

Trust us with coping with your disease and embark on a journey to improved well-being. Your health matters!

Key Takeaways

  • CTED is a chronic disorder where blood clot forms in the arteries, causing breathing difficulties.
  • While CTED doesn’t show apparent symptoms, some people may experience shortness of breath and fatigue, among other symptoms.
  • Standard diagnostic tests involve a V/Q scan and pulmonary angiography.
  • Mild exercise, a healthy diet, and avoiding risks all help manage CTED.
  • Follow-ups with physicians are crucial to monitor the progress of the disease.
  • CTED can impact daily life, but finding and treating it early can remove risk and enhance quality of life.

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Dr. Farhan Malik Primary Care Physician
Dr. Shoaib Malik Primary Care Physician

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