左心室膜疾病中的肺高血压:病理生理学和预后价值的综合性审查
Nikolaos Velidakis1, Elina Khattab1, Evangelia Gkougkoudi1
1Medical School, University of Cyprus, Palaios Dromos Lefkosias Lemesou No. 215/62029 Aglantzia, P.O. Box 20537 1678, Nicosia 2024, Cyprus.
Life (Basel, Switzerland)
|September 28, 2023
概括
左心室膜疾病通常会导致肺高血压 (PH). 在PH发展之前的早期干预为患有严重LV膜病变的患者提供了更好的结果.
科学领域:
- 心脏病学 心脏病学
- 肺部医学 肺部医学
- 血管生物学 血管生物学
背景情况:
- 左心室 (LV) 膜疾病是肺高血压 (PH) 的常见原因.
- 没有完全理解PH对LV膜疾病患者的预后的确切影响.
- 了解PH的病理生理机制和预后影响对于患者管理至关重要.
研究的目的:
- 在LV膜疾病中对PH的病理生理机制进行全面的审查.
- 在接受干预治疗的患者中评估基线和干预后PH的预后价值.
- 突出早期检测和干预严重的LV膜病变的重要性.
主要方法:
- 文献综述侧重于PH的病理生理学机制.
- 分析与基线和干预后PH相关的预后数据.
- 关于PH对LV膜疾病干预治疗后结果的影响的综合证据.
主要成果:
- 在LV膜疾病中的PH是由于左心室填充量升高和传递到肺循环的心房压力.
- 长期升高的肺动脉静脉压 (PASP) 会导致肺血管结构的变化和抵抗力的增加.
- 虽然干预改善了PASP,但手术前的PH与更高的术后死亡率有关.
结论:
- 在PH发育之前早期检测严重的LV膜疾病至关重要.
- 干预治疗在休息或运动引起的PH开始之前进行时最有效.
- 在患有LV膜病变的患者及时干预可以最大限度地提高预后效益并降低死亡风险.
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
Mitral Stenosis I: Introduction
15
Mitral Valve Stenosis (MVS) is a heart condition where the mitral valve narrows, impeding blood circulation from the left atrium to the left ventricle. The etiology and pathophysiology of this condition are multifaceted, leading to a cascade of cardiovascular complications.Causes of Mitral Valve StenosisRheumatic Heart Disease: It is the main cause of mitral valve stenosis, particularly in developing nations. This condition arises from rheumatic fever, an inflammatory illness resulting from...
15
Pathophysiology of Heart Failure
1.6K
Heart failure (HF) is a progressive syndrome involving ventricles that leads to inadequate cardiac output. It can be classified based on location and output or ejection fraction. Ejection fraction (EF) is an essential measurement in the diagnosis and surveillance of HF. Reduced EF corresponds to systolic heart failure (HFrEF). However, HF with preserved ejection fraction (HFpEF) is becoming increasingly prevalent. Also known as diastolic HF, this form of HF is related to aging. The...
1.6K
Mitral Regurgitation I: Introduction
15
Mitral regurgitation is characterized by the backward circulation of blood from the left ventricle to the left atrium during systole, a phase of the cardiac cycle when the heart contracts and pumps blood out of the chambers. This abnormal flow occurs primarily due to the dysfunction of the mitral valve or its supporting structures, which include the mitral leaflets, chordae tendineae, annulus, and papillary muscles.Etiology and Mechanisms:Primary Mitral Regurgitation: This type arises from...
15
Mitral Valve Prolapse I: Introduction
21
IntroductionThe mitral valve, one of the heart's four valves, regulates blood flow. These valves have flaps that open and close to direct blood properly through the heart and body. During each heartbeat, the flaps open for blood to pass through and seal shut to prevent backflow. Specifically, the mitral valve opens to allow blood flow from the heart's upper left chamber to the lower left chamber. It then closes securely as the lower left chamber contracts to pump blood to the body, preventing...
21
Heart Failure II: Pathophysiology
14
Systolic Heart Failure and Compensatory MechanismsSystolic heart failure (also termed HFrEF, Heart Failure with Reduced Ejection Fraction) is the most prevalent type of heart filure. It results in a decreased volume of blood being pumped from the ventricle. The aortic arch and carotid sinuses have baroreceptors that detect reduced blood pressure, triggering the sympathetic nervous system (SNS) to release epinephrine and norepinephrine. Initially, this response aims to boost heart rate and...
14


