肝脊髓性石斯托索米亚症的心肺表现
Monica Lapa1, Bruno Dias, Carlos Jardim
1Pulmonary Hypertension Group, Pulmonary Department, Heart Institute, University of Sao Paulo Medical School, Sao Paulo, Brazil.
Circulation
|March 11, 2009
概括
肝硬化性杆杆菌病是全球肺高血压的常见原因之一. 心声图是一个有用的查工具,但诊断需要右心导管.
科学领域:
- 热带医学 热带医学
- 心脏病学 心脏病学
- 传染性疾病 传染性疾病
背景情况:
- 全球有超过2亿人患有istosomiasis.
- 肺高血压是已知的杆杆菌病的并发症,尤其是肝形状.
- 在这个特定的患者群体中,肺高血压的患病率需要进一步调查.
研究的目的:
- 为了确定肺高血压的患病率在患有肝骨性类病的患者中.
主要方法:
- 心声图被用于查肺高血压 (静缩性肺动脉压>40 mm Hg).
- 读数升高的患者接受了右心导管治疗,以进行侵入性血液动力学评估.
- 计算了心性肺动脉压升高和确诊的肺高血压的患病率.
主要成果:
- 心声扫描显示,在18.5%的患者中,缩性肺动脉压力升高.
- 在7.7%的患者中,右心导管检查证实了肺高血压.
- 在研究队列中,4.6%的人被诊断出心血管前 (动脉) 肺高血压.
结论:
- 心声学作为一个有效的查工具用于肺高血压在杆菌病患者.
- 侵入性血液动力学监测对于准确的诊断至关重要.
- 肝平板血病是全球肺高血压负担的重要贡献者,因此需要进一步研究向治疗方法.
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