老年人肺动脉高血压:正确的表型化方法的特殊特征和挑战
Riccardo Scagliola1,2, Claudio Brunelli2, Manrico Balbi2
1Cardiology Division, Department of Emergency, Cardinal G. Massaia Hospital, 14100 Asti, Italy.
Journal of cardiovascular development and disease
|September 27, 2023
概括
与年轻人相比,患有肺动脉高血压 (PAH) 的老年患者表现较差,治疗反应较差. 这种人口变化需要了解老年人中这种独特的PAH表型.
科学领域:
- 心脏病学 心脏病学
- 肺部病理学 肺部病理学
- 流行病学 流行病学
背景情况:
- 肺动脉高血压 (PAH) 传统上影响年轻人群.
- 流行病学转变揭示了PAH在老年人中越来越普遍,通常具有左心脏病预测因素.
- 在老年人中有一种独特的PAH表型,需要集中研究.
研究的目的:
- 系统地审查有关患有PAH的老年人的当前知识.
- 描述这一群体的流行病学,诊断方法和治疗反应.
- 提供有关老年PAH患者预后结果和治疗疗效的见解.
主要方法:
- 在PubMed,Embase和Cochrane图书馆进行系统的文献搜索.
- 包括专注于流行病学,诊断和治疗老年人PAH的出版物.
- 从最初获取的74个出版物中选择了16篇全文文章.
主要成果:
- 与年轻患者相比,老年PAH患者表现出更大的临床恶化和减弱的运动能力.
- 患有PAH的老年人表现出更差的预后结果.
- 在老年人中观察到对PAH向治疗的反应不太好,以及更高的断药率.
结论:
- 人口变化在老年患者中定义了一个独特的PAH表型.
- 这种表型的特点是心血管并发症增加,与年轻的PAH患者相比,具有明显的特征.
- 为了完善老年PAH患者的诊断标准和管理策略,需要进一步的研究.
相关概念视频
Pulmonary Hypertension: Classification and Pathogenesis
207
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...
207
Treatment for Pulmonary Arterial Hypertension: Oxygen Therapy for Respiratory Failure
249
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,...
Oxygen therapy is vital in increasing and maintaining blood oxygen levels in PAH patients. As a result, it aids in reducing fatigue,...
249
COPD: Pathogenesis and Clinical Features
327
Chronic obstructive pulmonary disease (COPD) is a group of lung conditions that progressively worsen over time, including chronic bronchitis and emphysema. This cluster of diseases collectively leads to a gradual and irreversible decline in lung function over time.
The primary cause for the onset of COPD is cigarette smoking and exposure to air pollution. These hazardous factors initiate a chain reaction within the lungs, resulting in chronic inflammation, damage to the airways, and a...
The primary cause for the onset of COPD is cigarette smoking and exposure to air pollution. These hazardous factors initiate a chain reaction within the lungs, resulting in chronic inflammation, damage to the airways, and a...
327
Treatment for Pulmonary Arterial Hypertension: Phosphodiesterase Inhibitors
177
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...
177
Treatment for Pulmonary Arterial Hypertension: Endothelin Receptor Antagonists
191
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...
ETs are synthesized through a complex sequence of enzymatic steps, primarily involving an enzyme referred to as endothelin-converting enzyme...
191
Treatment for Pulmonary Arterial Hypertension: Receptor Tyrosine Kinase Inhibitors and Calcium Channel Blockers
190
Receptor tyrosine kinase inhibitors (TKIs) and calcium channel blockers (CCBs) are two critical categories of drugs employed in the treatment of pulmonary artery hypertension (PAH). PAH is a disease that causes high blood pressure in the pulmonary arteries, resulting in chest pain, fatigue, and shortness of breath.
TKIs, such as imatinib (Gleevec), are particularly effective in tackling the growth and mitogenic factors that become upregulated in PAH patients. These factors contribute to the...
TKIs, such as imatinib (Gleevec), are particularly effective in tackling the growth and mitogenic factors that become upregulated in PAH patients. These factors contribute to the...
190


