作者: Vallerie V. McLaughlin , Sanjiv J. Shah , Rogerio Souza , Marc Humbert
DOI: 10.1016/J.JACC.2015.03.540
关键词:
摘要: Pulmonary hypertension (PH) is common and may result from a number of disorders, including left heart disease, lung chronic thromboembolic disease. arterial (PAH) an uncommon disease characterized by progressive remodeling the distal pulmonary arteries, resulting in elevated vascular resistance and, eventually, right ventricular failure. Over past decades, knowledge basic pathobiology PAH its natural history, prognostic indicators, therapeutic options has exploded. A thorough evaluation patient critical to correctly characterize PH. Cardiac studies, echocardiography catheterization, are key elements assessment. Given multitude treatment currently available for PAH, assessment risk response therapy long-term management. This review also underscores unique situations, perioperative management, intensive care unit pregnancy, highlights importance collaborative through multidisciplinary approach.