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在健康的幼儿中严重的肺动脉高血压:单一中心经验
Shrikiran Aroor1, Koushik Handattu2, Suneel C Mundkur1
1Department of Paediatrics, Kasturba Medical College (Manipal Academy of Higher Education), Manipal, Karnataka.
Indian pediatrics
|June 1, 2023
概括
在患有肺动脉高血压 (PAH) 的婴儿中,支持性护理和血管扩张剂是有效的. 在这项研究中,胺补充剂对恢复或死亡率没有显示出额外的益处.
科学领域:
- 儿科 儿科 儿科
- 心脏病学 心脏病学
- 新生儿科学 新生儿科学
背景情况:
- 肺动脉高血压 (PAH) 在健康的婴儿中可以突然发生.
- 婴儿PAH的管理策略对于改善结果至关重要.
研究的目的:
- 研究婴儿急性PAH的临床表现和管理.
- 评估胺疗法作为婴儿PAH的辅助治疗的疗效.
主要方法:
- 对56名被诊断患有PAH的6个月以下婴儿的医院记录进行了回顾性审查.
- 接受标准护理加血管扩展剂的婴儿和同时接受胺补充剂的婴儿之间的结果比较.
主要成果:
- 80%的婴儿通过支持性护理和血管扩展剂完全康复.
- 死亡的婴儿患有明显更严重的酸性化症,乳糖水平较高,心室功能障碍和休克.
- 在接受胺和不接受胺的婴儿之间,没有观察到康复率或死亡率的显著差异.
结论:
- 支持性治疗和肺血管扩张器治疗对婴儿PAH有效.
- 胺补充剂似乎不会在这种人群中为治疗急性PAH提供额外的益处.
相关概念视频
Pulmonary Hypertension: Classification and Pathogenesis
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Pulmonary hypertension (PH) is a severe health condition in which the mean pulmonary arterial pressure increases to 25 mmHg or more, even when the body is at rest. This high pressure in the blood vessels that transport blood from the heart to the lungs can cause various symptoms, including shortness of breath, can lead to right heart failure, and significantly affect the overall quality of life.
There are various classifications for PH, each relating to different underlying causes and also...
There are various classifications for PH, each relating to different underlying causes and also...
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Treatment for Pulmonary Arterial Hypertension: Oxygen Therapy for Respiratory Failure
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Oxygen therapy has emerged as a significant tool in enhancing the quality of life for patients suffering from pulmonary arterial hypertension (PAH). While this therapy has principally been studied on patients with significant hypoxemia, this therapeutic approach helps prevent potential organ damage and can be administered in the comfort of one's home.
Oxygen therapy is vital in increasing and maintaining blood oxygen levels in PAH patients. As a result, it aids in reducing fatigue,...
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Treatment for Pulmonary Arterial Hypertension: Endothelin Receptor Antagonists
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Endothelins (ETs) are potent vasoactive peptides critical in the human body's various physiological and pathological processes. One of the most promising therapeutic strategies for treating pulmonary arterial hypertension (PAH) involves counteracting the effects of these endothelins using a class of drugs known as endothelin receptor antagonists.
ETs are synthesized through a complex sequence of enzymatic steps, primarily involving an enzyme referred to as endothelin-converting enzyme...
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Treatment for Pulmonary Arterial Hypertension: Phosphodiesterase Inhibitors
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Phosphodiesterase 5 (PDE5) inhibitors are potent enzymes that function to hydrolyze cyclic nucleotides to their corresponding 5' monophosphates. Their unique biochemical properties have been applied in treating Pulmonary Arterial Hypertension (PAH).
Among the PDE5 inhibitors, sildenafil (Revatio) stands out as a competitive and selective inhibitor. It operates by elevating cellular levels of cGMP and augmenting signaling through the cGMP-PKG pathway, promoting vasodilation. Upon oral...
Among the PDE5 inhibitors, sildenafil (Revatio) stands out as a competitive and selective inhibitor. It operates by elevating cellular levels of cGMP and augmenting signaling through the cGMP-PKG pathway, promoting vasodilation. Upon oral...
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