Caveat medicus! Pulmonary hypertension in the elderly: a word of caution

被引:37
作者
Boilson, Barry A. [1 ]
Schirger, John A. [1 ]
Borlaug, Barry A. [1 ]
机构
[1] Mayo Clin Rochester, Dept Med, Div Cardiovasc Dis, Rochester, MN 55905 USA
关键词
Heart failure with preserved ejection fraction; Pulmonary hypertension; Diagnosis; INHALED NITRIC-OXIDE; SYSTOLIC HEART-FAILURE; CARDIOMYOPATHY; PRESSURE;
D O I
10.1093/eurjhf/hfp171
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Heart failure with preserved ejection fraction (HFpEF) is a common but under-recognized cause of pulmonary hypertension (PH), particularly among the elderly. While elevated pulmonary artery pressures are clearly associated with increased mortality in HFpEF, it remains unknown whether or how pulmonary vascular disease in HFpEF should be treated. This case emphasizes the importance of maintaining a high index of suspicion for HFpEF in elderly patients presenting with PH and illustrates potential hazards associated with selective pulmonary vasodilation in this growing population.
引用
收藏
页码:89 / 93
页数:5
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