Pulmonary hypertension: clinical manifestations, classification and diagnosis

被引:12
作者
Hegewald, M. J. [1 ]
Markewitz, B. [1 ]
Elliott, C. G. [1 ]
机构
[1] Univ Utah, Sch Med, Intermt Med Ctr, Salt Lake City, UT 84112 USA
关键词
D O I
10.1111/j.1742-1241.2007.01479.x
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Dyspnoea on exertion is the most common presenting symptom of pulmonary hypertension (PH), often a progressive and ultimately fatal condition. However, the presenting manifestations are protean, and more subtle features such hoarseness (caused by compression of the left recurrent laryngeal nerve) challenge master clinicians. Clinician scientists have refined the clinical classification in a manner that aids in accurate diagnosis and facilitates communication among healthcare providers and research investigators. Diagnostic algorithms emphasize confirmation and characterization of PH by catheterisation as well as differentiating between the current classes based upon essential and contingent diagnostic tests.
引用
收藏
页码:5 / 14
页数:10
相关论文
共 48 条
[1]   Echocardiographic assessment of pulmonary hypertension in patients with advanced lung disease [J].
Arcasoy, SM ;
Christie, JD ;
Ferrari, VA ;
Sutton, MS ;
Zisman, DA ;
Blumenthal, NP ;
Pochettino, A ;
Kotloff, RM .
AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 2003, 167 (05) :735-740
[2]   Pulmonary artery hypertension and sleep-disordered breathing - ACCP evidence-based clinical practice guidelines [J].
Atwood, CW ;
McCrory, D ;
Garcia, JGN ;
Abman, SH ;
Ahearn, GS .
CHEST, 2004, 126 (01) :72S-77S
[3]   Chronic thromboembolic pulmonary hypertension [J].
Auger, William R. ;
Kim, Nick H. ;
Kerr, Kim M. ;
Test, Victor J. ;
Fedullo, Peter F. .
CLINICS IN CHEST MEDICINE, 2007, 28 (01) :255-+
[4]   Medical therapy for pulmonary arterial hypertension - ACCP evidence-based clinical practice guidelines [J].
Badesch, DB ;
Abman, SH ;
Ahearn, GS ;
Barst, RJ ;
McCrory, DC ;
Simonneau, G ;
McLaughlin, VV .
CHEST, 2004, 126 (01) :35S-62S
[5]   Diagnosis and differential assessment of pulmonary arterial hypertension [J].
Barst, RJ ;
McGoon, M ;
Torbicki, A ;
Sitbon, O ;
Krowka, MJ ;
Olschewski, H ;
Gaine, S .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2004, 43 (12) :40S-47S
[6]  
Borgeson D D, 1996, J Am Soc Echocardiogr, V9, P832, DOI 10.1016/S0894-7317(96)90475-7
[7]  
BRECKER SJD, 1994, BRIT HEART J, V72, P384
[8]   ACC/AHA/ASE 2003 guideline update for the clinical application of echocardiography: Summary article - A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (ACC/AHA/ASE committee to update the 1997 guidelines for the clinical application of echocardiography) [J].
Cheitlin, MD ;
Armstrong, WF ;
Aurigemma, GP ;
Beller, GA ;
Bierman, FZ ;
Davis, JL ;
Douglas, PS ;
Faxon, DP ;
Gillam, LD ;
Kimball, TR ;
Kussmaul, WG ;
Pearlman, AS ;
Philbrick, JT ;
Rakowski, H ;
Thys, DM ;
Antman, EM ;
Smith, SC ;
Alpert, JS ;
Gregoratos, G ;
Anderson, JL ;
Hiratzka, LF ;
Faxon, DP ;
Hunt, SA ;
Fuster, V ;
Jacobs, AK ;
Gibbons, RJ ;
Russell, RO .
CIRCULATION, 2003, 108 (09) :1146-1162
[9]   DETECTION OF CARDIOVASCULAR SHUNTS BY TRANSESOPHAGEAL ECHOCARDIOGRAPHY IN PATIENTS WITH PULMONARY-HYPERTENSION OF UNEXPLAINED CAUSE [J].
CHEN, WJ ;
CHEN, JJ ;
LIN, SC ;
HUANG, JJ ;
LIEN, WP .
CHEST, 1995, 107 (01) :8-13
[10]   High frequency of BMPR2 exonic deletions/duplications in familial pulmonary arterial hypertension [J].
Cogan, Joy D. ;
Pauciulo, Michael W. ;
Batchman, Amy P. ;
Prince, Melissa A. ;
Robbins, Ivan M. ;
Hedges, Lora K. ;
Stanton, Krista C. ;
Wheeler, Lisa A. ;
Phillips, John A., III ;
Loyd, James E. ;
Nichols, William C. .
AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 2006, 174 (05) :590-598