Exercise Testing in Patients with Pulmonary Hypertension

被引：2

作者：

Vaidy, Anika ^{[1
]}

Vahdatpour, Cyrus A. ^{[2
]}

Mazurek, Jeremy ^{[1
]}

机构：

[1] Univ Penn, Sch Med, Div Cardiol, Philadelphia, PA 19104 USA

[2] Univ Penn, Sch Med, Div Pulm Med, Philadelphia, PA 19104 USA

来源：

JOURNAL OF CLINICAL MEDICINE | 2024年 / 13卷 / 03期

关键词：

pulmonary hypertension; cardiopulmonary exercise testing; hemodynamics; heart failure with preserved ejection fraction; exercise-induced pulmonary hypertension; HEART-FAILURE; HEMODYNAMICS; DIAGNOSIS; DYSPNEA;

D O I：

10.3390/jcm13030795

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Pulmonary hypertension (PH), defined by a mean pulmonary artery pressure of >20 mm Hg, often presents with non-specific symptoms such as dyspnea and exercise intolerance, making it difficult to diagnose early before the onset of right heart dysfunction. Therefore, exercise testing can be of great utility for clinicians who are evaluating patients with an unclear etiology of exercise intolerance by helping identify the underlying mechanisms of their disease. The presence of PH is associated with adverse clinical outcomes, with distinct differences and patterns in the cardiovascular and ventilatory responses to exercise across various PH phenotypes. We discuss the role of exercise-invasive hemodynamic testing, cardiopulmonary exercise testing, and exercise stress echocardiography modalities across the spectrum of PH.

引用

页数：9

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