Simple alert may uncover missed lung disease in clot survivors
NCT ID NCT03729544
First seen Jun 26, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tested whether a pop-up alert in the electronic health record could remind doctors to screen for a rare but serious lung condition called chronic thromboembolic pulmonary hypertension (CTEPH) in patients who previously had a blood clot in the lungs. The trial involved 400 adults at one hospital who had symptoms like shortness of breath or fatigue. Half of the doctors saw the alert; the other half did not. The goal was to see if the alert increased the number of heart ultrasound tests ordered and CTEPH diagnoses made within three months.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- What this could lead to
- If successful, this alert system could help doctors catch a treatable lung condition earlier in patients who have had a pulmonary embolism.
- What could go wrong
- This is a small, single-center study testing a computer alert, not a new drug or treatment. The alert may not change how often doctors order tests or lead to more diagnoses.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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400 people
The number who actually took part.
- Started
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Mar 2019
- Finished
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Dec 2025
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * BWH outpatient * At least 18 years of age * Evaluated in Primary Care or Cardiovascular Medicine Clinic * Persistent or new symptoms/signs suggestive of pulmonary hypertension \[syncope, malaise and fatigue, dyspnea, exercise intolerance, hemoptysis, chest pain, dizziness/vertigo, gait abnormality, cardiomegaly, ascites, and peripheral edema\] OR recent pulmonary testing (pulmonary function tests \[PFTs\], chest X-ray, or chest CT) suggesting unexplained respiratory symptoms at least 6 months from the diagnosis of PE * Have not undergone echocardiography within the prior 6 months Exclusion Criteria: * Absence of persistent or new symptoms/signs suggestive of pulmonary hypertension OR recent pulmonary testing (pulmonary function tests \[PFTs\], chest X-ray, or chest CT) suggesting unexplained respiratory symptoms * PE within the last 6 months * Echocardiogram or invasive hemodynamic assessment with the prior 6 months
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Brigham and Women's Hospital
Boston, Massachusetts, 02115, United States
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