肺动脉高压的新诊断标准和当前问题

IF 2.4 Q2 RESPIRATORY SYSTEM
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引用次数: 0

摘要

2022 年,欧洲心脏病学会(ESC)和欧洲呼吸学会(ERS)提出了新的肺动脉高压(PH)诊断标准。这些标准包括对肺血流动力学指标定义的重大改变。具体来说,平均肺动脉压(mPAP)的阈值从≥25 mmHg 降为 20 mmHg,肺血管阻力(PVR)的阈值从≥3 伍德单位(WU)调整为 2 WU。此外,还重新引入了运动诱发 PH 的诊断标准。为了区分与肺部疾病相关的非重度 PH 和重度 PH,建议将 PVR 的鉴别阈值定为 5 WU。但是,平均肺动脉楔压(PAWP)的阈值保持不变。虽然这些新标准可以为临床实践提供更精细的方法,但也可能会引起临床对 PH 诊断和管理的关注和疑问。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
New diagnostic criteria and current issues for pulmonary hypertension

In 2022, the European Society of Cardiology (ESC) and the European Respiratory Society (ERS) proposed new diagnostic criteria for pulmonary hypertension (PH). These criteria include significant changes to the definitions of pulmonary hemodynamic indices. Specifically, the threshold for mean pulmonary artery pressure (mPAP) has been lowered from ≥25 mmHg to >20 mmHg, and the threshold for pulmonary vascular resistance (PVR) has been adjusted from ≥3 Wood units (WU) to >2 WU. Additionally, the diagnostic criterion for exercise-induced PH has been reintroduced. To differentiate between non-severe and severe PH associated with lung disease, a differential threshold of 5 WU for PVR has been proposed. However, the threshold for mean pulmonary artery wedge pressure (PAWP) remains unchanged. While these new criteria could provide a more refined approach to clinical practice, they may also raise clinical concerns and questions regarding the diagnosis and management of PH.

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来源期刊
Respiratory investigation
Respiratory investigation RESPIRATORY SYSTEM-
CiteScore
4.90
自引率
6.50%
发文量
114
审稿时长
64 days
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