Refer a Patient to the Toronto CTEPH

Who should be referred to us?

• All patients with a history of pulmonary emboli who remain symptomatic with dyspnea despite 3 months of therapeutic anticoagulation should undergo a ventilation-perfusion scan (V/Q scan). If the ventilation-perfusion scan shows mismatched perfusion defects, patients should undergo a right-sided focus echocardiogram and be referred to our center for definitive evaluation and treatment.
• Considering that a proportion of patients with CTEPH do not have a history of pulmonary emboli, the presence of dyspnea with mismatch perfusion defects on V/Q scan should also warrant referral to our center for further evaluation.
• To refer your patient to the CTEPH program, please include:
  1. A letter of referral
  2. Clinical notes
  3. Reports of investigations (V/Q scan, CT thorax, echocardiogram, etc.)
• Please fax referrals to 416 340 3610

Minimum requirements (must be complete prior to sending referral)

• Detailed Medical Consult Note (complete patient demographics)
• Current Medications (anticoagulation)
• V/Q Scan
• Echocardiogram (within the last 6 months)

If possible, include

• CTPA Scan
• Pulmonary Function testing (within the last 6 months)
• 6-minute Walk test (within 3 months)

In addition, also include

• Right Heart Angiogram (+ Left Heart Angiogram if >40 years)
• All CD copies of imaging (CT, angiogram, V/Q scan, etc.), mailed to our office

Next Steps

New referrals are usually seen in 2-4 weeks. The patient will be contacted directly with their appointment time. Patients from other provinces or living remotely within Ontario can be seen by Virtual Care.

Investigations