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[Pulmonary hypertension and cor pulmonale]
C B Henk1, H Gabriel, D Fleischmann
1Klinische Abteilung Radiodiagnostik für konservative Fächer, Universitätsklinik für Radiodiagnostik, Wien.
Der Radiologe
|May 1, 1997
Summary
Pulmonary hypertension, a severe lung circulation disorder, leads to right heart failure. Modern imaging like CT and MRT aids in diagnosing and managing this condition and its underlying lung diseases.
Area of Science:
- Cardiology
- Radiology
- Pulmonology
Context:
- Pulmonary hypertension (PH) is a critical disorder affecting pulmonary circulation, often linked to vascular and parenchymal lung diseases.
- It causes right ventricular overload, potentially leading to right heart failure.
- Diseases like chronic pulmonary embolism drastically increase pulmonary vascular resistance, elevating pulmonary artery pressures.
Purpose:
- To highlight the role of modern imaging techniques in diagnosing and managing pulmonary hypertension.
- To assess right ventricular and pulmonary artery morphology and function.
- To evaluate and follow up on underlying vascular or parenchymal lung disorders contributing to PH.
Summary:
- Traditionally diagnosed via echocardiography and right heart catheterization, PH diagnosis now benefits from advanced imaging.
- Spiral CT, electron-beam CT, and MRT enable accurate diagnosis, differential diagnosis, and monitoring of PH.
- These techniques allow for quantification of right ventricular function and calculation of pulmonary hemodynamic parameters.
Impact:
- Enhanced diagnostic capabilities for pulmonary hypertension and associated lung conditions.
- Improved assessment of right heart function in patients with PH.
- Facilitation of personalized treatment strategies through detailed hemodynamic and functional evaluation.