Current Aspects of Definition and Diagnosis of Pulmonary Hypertension

被引：3

作者：

Lange, T. J. ^{[1
]}

Borst, M. ^{[2
]}

Ewert, R. ^{[3
]}

Halank, M. ^{[4
]}

Klose, H. ^{[5
]}

Leuchte, H. ^{[6
]}

Meyer, F. J. ^{[7
]}

Seyfarth, H. -J. ^{[8
]}

Skowasch, D. ^{[9
]}

Wilkens, H. ^{[10
]}

Held, M. ^{[11
]}

机构：

[1] Uniklin Regensburg, Klin Innere Med 2, Bereich Pneumol, D-93042 Regensburg, Germany

[2] Caritas Krankenhaus, Med Klin 1, Bad Mergentheim, Germany

[3] Uniklin Greifswald, Pneumol, Greifwald, Germany

[4] Univ Klinikum Carl Gustav Carus, Med Klin 1, Bereich Pneumol, Dresden, Germany

[5] Univ Klinikum Hamburg Eppendorf, Abt Pneumol, Hamburg, Germany

[6] LMU Munchen, Klin Barmherzigen Schwestern, Krankenhaus Neuwittelsbach, Lehrkrankenhaus, Munich, Germany

[7] Munchen Klin gGmbH, Lungenzentrum Munchen Bogenhausen Harlaching, Munich, Germany

[8] Univ Klinikum Leipzig, Bereich Pneumol, Leipzig, Germany

[9] Univ Klinikum Bonn, Med Klin 2, Sekt Pneumol, Bonn, Germany

[10] Univ Klinikum Saarlandes, Klin Innere Med 5, Homburg, Germany

[11] Klinikum Wurzburg Mitte, Med Klin Schwerpunkt Pneumol & Beatmungsmed, Standort Missioklin, Wurzburg, Germany

来源：

PNEUMOLOGIE | 2020年 / 74卷 / 12期

关键词：

RIGHT HEART CATHETERIZATION; 6-MINUTE WALK DISTANCE; LUNG PERFUSION MRI; ARTERIAL-HYPERTENSION; COMPUTED-TOMOGRAPHY; STRESS ECHOCARDIOGRAPHY; SYSTEMIC-SCLEROSIS; EXERCISE CAPACITY; PROGNOSTIC VALUE; CARDIAC-OUTPUT;

D O I：

10.1055/a-1199-1548

中图分类号：

R56 [呼吸系及胸部疾病];

学科分类号：

摘要：

At the 6th World Symposium on Pulmonary Hypertension (WSPH), which took place from February 27 until March 1, 2018 in Nice, scientific progress over the past 5 years in the field of pulmonary hypertension (PH) was presented by 13 working groups. The results of the discussion were published as proceedings towards the end of 2018.One of the major changes suggested by the WSPH was the lowering of the diagnostic threshold for PH from >= 25 to >20mmHg mean pulmonary arterial pressure, measured by right heart catheterization at rest. In addition, the pulmonary vascular resistance was introduced into the definition of PH, which underlines the importance of cardiac output determination at the diagnostic right heart catheterization. In this article, we discuss the rationale and possible consequences of a changed PH definition in the context of the current literature. Further, we provide a current overview on non-invasive and invasive methods for diagnosis, differential diagnosis, and prognosis of PH, including exercise tests.

引用

页码：847 / 863

页数：17

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