Pharmacologic Management of Perioperative Pulmonary Hypertension

被引:12
作者
Cheng, Julie W. [1 ]
Tonelli, Adriano R. [2 ]
Pettersson, Gosta [3 ]
Krasuski, Richard A. [4 ]
机构
[1] Case Western Reserve Univ, Sch Med, Cleveland, OH USA
[2] Cleveland Clin, Dept Pulm Allergy & Crit Care Med, Cleveland, OH 44106 USA
[3] Cleveland Clin, Dept Thorac & Cardiovasc Surg, Cleveland, OH 44106 USA
[4] Cleveland Clin, Inst Heart & Vasc, Dept Cardiovasc Med, Cleveland, OH 44195 USA
基金
美国国家卫生研究院;
关键词
perioperative care; pulmonary hypertension; pulmonary vasodilators; INHALED NITRIC-OXIDE; ORAL SILDENAFIL CITRATE; RIGHT-HEART-FAILURE; CARDIAC-SURGERY; AEROSOLIZED ILOPROST; NITROGLYCERIN INHALATION; CARDIOPULMONARY BYPASS; ARTERIAL-HYPERTENSION; SYSTEMIC HEMODYNAMICS; VASCULAR-RESISTANCE;
D O I
10.1097/FJC.0000000000000050
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Perioperative pulmonary hypertension can originate from an established disease or acutely develop within the surgical setting. Patients with increased pulmonary vascular resistance are consequently at greater risk for complications. Despite the various specific therapies available, the ideal therapeutic approach in this patient population is not currently clear. This article describes the basic principles of perioperative pulmonary hypertension and reviews the different classes of agents used to promote pulmonary vasodilation in the surgical setting.
引用
收藏
页码:375 / 384
页数:10
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