【左心所致肺动脉高压】。

La Revue du praticien Pub Date : 2025-01-01
Charles Fauvel, Bouchra Lamia, Nicolas Lamblin
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引用次数: 0

摘要

左心疾病引起的肺动脉高压。左心疾病引起的肺动脉高压(PH- lhd)是全球范围内导致肺动脉高压的主要原因,且与较差的短期和长期生存率相关。其诊断(平均肺动脉压> 20 mmHg,肺动脉楔压> 15 mmHg)需要静息时进行右心导管插管,然后将孤立的毛细血管后PH值(RVP低于2 WU)与合并的毛细血管前和后PH值(RVP≥2 WU)分开。肺血管扩张剂治疗不适合PH-LHD (III级),主要目标是优化左心疾病治疗(即,保留或降低射血分数的心力衰竭或瓣膜性心脏病)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Pulmonary hypertension due to left heart disease].

PULMONARY HYPERTENSION DUE TO LEFT HEART DISEASE. Pulmonary hypertension due to left heart disease (PH-LHD) is the leading cause of PH worldwide and is associated with poor short to long-term survival. Its diagnosis (mean pulmonary artery pressure > 20 mmHg with pulmonary artery wedge pressure > 15 mmHg) requires right heart catheterization at rest and afterwards, isolated post-capillary PH (RVP lower 2 WU) has to be separated from combined pre- and post-capillary PH (RVP ≥ 2 WU). Pulmonary vasodilator therapies are not indicated in PH-LHD (grade III) and the main goal is to optimize left heart disease treatment (i.e., heart failure with preserved or reduced ejection fraction or valvular heart disease).

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