Diagnosis and Hemodynamic Assessment of Pulmonary Arterial Hypertension

被引：10

作者：

Saggar, Rajan ^{[1
]}

Saggar, Rajeev ^{[1
]}

Aboulhosn, Jamil ^{[1
]}

Belperio, John A. ^{[1
]}

Zisman, David A. ^{[1
]}

Lynch, Joseph P., III ^{[1
]}

机构：

[1] Univ Calif Los Angeles, Dept Med, Div Pulm Crit Care Med & Hospitalists, David Geffen Sch Med, 18033 Conte Ave,37-131 CHS, Los Angeles, CA 90095 USA

来源：

SEMINARS IN RESPIRATORY AND CRITICAL CARE MEDICINE | 2009年 / 30卷 / 04期

关键词：

Pulmonary hypertension; hemodynamic; echocardiogram; diagnosis; right heart catheterization; BRAIN NATRIURETIC PEPTIDE; RIGHT ATRIAL PRESSURE; TRICUSPID REGURGITATION VELOCITY; RIGHT HEART CATHETERIZATION; RIGHT-VENTRICULAR STRUCTURE; CALCIUM-CHANNEL BLOCKERS; 6-MINUTE WALK TEST; SERUM URIC-ACID; NONINVASIVE ESTIMATION; DOPPLER-ECHOCARDIOGRAPHY;

D O I：

10.1055/s-0029-1233309

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Pulmonary hypertension (PH) can occur as either a primary or a secondary process, and in general, its presence increases overall morbidity and mortality. Importantly, the majority of prior studies have been in the setting of idiopathic pulmonary arterial hypertension (IPAH); thus the following discussion focuses on IPAH. Because the ma jority of available diagnostic strategies lack sensitivity and speclificity, the physician must maintain a high index of suspicion in considering PAH. This article provides an overview of the available diagnostic studies for PAH with a particular focus oil hemodynamic assessment. Novel approaches to the often delayed diagnosis of PAH are being studied and are also discussed here.

引用

页码：399 / 410

页数：12

共 162 条

[1] A simple method for noninvasive estimation of pulmonary vascular resistance [J].