Current Diagnostic Investigation in Pulmonary Hypertension

被引:5
作者
Bacon, Jenny Louise [1 ]
Peerbhoy, Muhammad Shahid [1 ]
Wong, Ernest [1 ]
Sharma, Rajan [2 ]
Vlahos, Ioannis [3 ]
Crerar-Gilbert, Agnieszka [4 ,5 ]
Madden, Brendan Patrick [1 ,5 ]
机构
[1] St George Hosp, Cardiothorac Med Dept, Blackshaw Rd, London SW17 OQT, England
[2] St George Hosp, Cardiol Dept, London SW17 OQT, England
[3] St George Hosp, Radiol Dept, London SW17 OQT, England
[4] St George Hosp, Anaesthet Dept, London SW17 OQT, England
[5] St George Hosp, Cardiothorac Intens Care Dept, London SW17 OQT, England
关键词
BNP; computed tomography; dual energy; echocardiography; lung function; preoperative investigation; pulmonary hypertension; right heart catheterisation;
D O I
10.2174/1573398X113099990011
中图分类号
R56 [呼吸系及胸部疾病];
学科分类号
摘要
Pulmonary hypertension refers to pathological elevation of the pulmonary arterial pressure and can be seen in a variety of clinical conditions. It is progressive and ultimately fatal if untreated. Timely recognition and accurate diagnosis are therefore paramount in providing effective management to patients so as to prevent, reduce or stabilise irreversible damage to the pulmonary vasculature, which ultimately causes right heart failure. PH is often not considered or misdiagnosed and a median time of 14 months from the onset of symptoms to diagnosis has been reported. As well as an awareness of the condition it is imperative that physicians know how to correctly interpret a range of investigations that are necessary in reaching the diagnosis.
引用
收藏
页码:79 / 100
页数:22
相关论文
共 107 条
  • [1] Pulmonary Hypertension and Right Ventricular Function Interdependence in Pathophysiology and Management
    Afifi, Sherif
    Shayan, Shahriar
    Al-Qamari, Abbas
    [J]. INTERNATIONAL ANESTHESIOLOGY CLINICS, 2009, 47 (01) : 97 - 120
  • [2] Basic Science of Pulmonary Arterial Hypertension for Clinicians New Concepts and Experimental Therapies
    Archer, Stephen L.
    Weir, E. Kenneth
    Wilkins, Martin R.
    [J]. CIRCULATION, 2010, 121 (18) : 2045 - U175
  • [3] Pulmonary hypertension secondary to left-sided heart disease: a cause for ventilation-perfusion mismatch mimicking pulmonary embolism
    Au, VWK
    Jones, DN
    Slavotinek, JP
    [J]. BRITISH JOURNAL OF RADIOLOGY, 2001, 74 (877) : 86 - 88
  • [4] CHRONIC MAJOR-VESSEL THROMBOEMBOLIC PULMONARY-ARTERY OBSTRUCTION - APPEARANCE AT ANGIOGRAPHY
    AUGER, WR
    FEDULLO, PF
    MOSER, KM
    BUCHBINDER, M
    PETERSON, KL
    [J]. RADIOLOGY, 1992, 182 (02) : 393 - 398
  • [5] Aul R, 2013, AM J RESP CRIT CARE, V187
  • [6] High probability perfusion lung scans in pulmonary venoocclusive disease
    Bailey, CL
    Channick, RN
    Auger, WR
    Fedullo, PF
    Kerr, KM
    Yung, GL
    Rubin, LJ
    [J]. AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 2000, 162 (05) : 1974 - 1978
  • [7] Baim D, 1996, CARDIAC CATHETERISAT
  • [8] Diagnosis and differential assessment of pulmonary arterial hypertension
    Barst, RJ
    McGoon, M
    Torbicki, A
    Sitbon, O
    Krowka, MJ
    Olschewski, H
    Gaine, S
    [J]. JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2004, 43 (12) : 40S - 47S
  • [9] Dual energy CT pulmonary blood volume assessment in acute pulmonary embolism - correlation with D-dimer level, right heart strain and clinical outcome
    Bauer, Ralf W.
    Frellesen, Claudia
    Renker, Matthias
    Schell, Boris
    Lehnert, Thomas
    Ackermann, Hanns
    Schoepf, U. Joseph
    Jacobi, Volkmar
    Vogl, Thomas J.
    Kerl, J. Matthias
    [J]. EUROPEAN RADIOLOGY, 2011, 21 (09) : 1914 - 1921
  • [10] The Right Ventricle Under Pressure Cellular and Molecular Mechanisms of Right-Heart Failure in Pulmonary Hypertension
    Bogaard, Harm J.
    Abe, Kohtaro
    Noordegraaf, Anton Vonk
    Voelkel, Norbert F.
    [J]. CHEST, 2009, 135 (03) : 794 - 804