Arterial pulmonary hypertension in noncardiac intensive care unit

摘要: Pulmonary artery pressure elevation complicates the course of many complex disorders treated in a noncardiac intensive care unit. Acute pulmonary hypertension, however, remains underdiagnosed and its treatment frequently begins only after serious complications have developed. Signifi cant pathophysiologic differences between acute chronic hypertension make current classifi cation recommendations for barely applicable to hypertension. In order clarify terminology distinguish it from we provide according underlying mechanisms, clinical features, natural history, response treatment. Based on available data, therapy arterial should generally be aimed at acutely relieving right ventricular (RV) overload preventing RV dysfunction. Cases severe complicated by failure systemic hypotension are real challenges requiring tight hemodynamic monitoring aggressive including combinations vasodilators, inotropic agents vasoconstrictors. The choice vasopressor inotropes patients with take into consideration their effects vascular resistance cardiac output when used alone or other agents, must individualized based patient response.