Hipertensión pulmonar

M.A. Sanromán Guerrero, E. Hernández Sánchez, J.L. Zamorano Gómez
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引用次数: 0

Abstract

Pulmonary hypertension is a rare, underdiagnosed disease characterized by highly nonspecific clinical manifestations and an estimated latency period of at least two years from symptoms onset to diagnostic confirmation. Therefore, a high degree of clinical suspicion is necessary to facilitate early detection, provide the patient with appropriate treatment, and improve prognosis. Its definitive confirmation requires a right heart catheterization. The primary goal of treatment is always to achieve low risk. If this cannot be attained through pharmacological measures, alternative options such as lung transplantation can be considered for eligible patients. New molecular pathways, such as the activin/BMPR axis, have been studied with a novel emerging drug called sotatercept.
肺高血压
肺动脉高压是一种罕见的未被诊断的疾病,其特点是临床表现高度非特异性,从症状发作到诊断确认的潜伏期估计至少为2年。因此,临床高度怀疑是必要的,便于早期发现,为患者提供适当的治疗,改善预后。确诊需行右心导管检查。治疗的首要目标始终是实现低风险。如果不能通过药物治疗达到这一目的,可以考虑对符合条件的患者进行肺移植等替代方案。新的分子途径,如激活素/BMPR轴,已经用一种新的新兴药物sotaterept进行了研究。
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CiteScore
0.30
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