在肺高血压中缺铁
Arif Albulushi1,2, Masoud Kashoub3, Khalid Al-Saidi2
1Division of Cardiovascular Medicine, University of Nebraska Medical Center.
International heart journal
|July 15, 2024
概括
缺铁在肺高血压 (PH) 中很常见,并且与更糟糕的结果有关. 虽然补充铁可以帮助一些PH患者,但其有效性各不相同,需要更多的研究以获得明确的指导方针.
科学领域:
- 心血管医学 心血管医学
- 肺部医学 肺部医学
- 血液学 血液学 血液学
背景情况:
- 肺高血压 (PH) 是一种严重的疾病,患病率和死亡率很高.
- 缺铁是PH病理生理学中普遍存在且经常被忽视的因素.
- 缺铁与PH患者的运动能力下降和心脏功能受损有关.
研究的目的:
- 审查PH中缺铁的流行率和影响.
- 分析解决PH中缺铁问题的治疗潜力.
- 讨论铁代谢和补充在PH管理中的复杂性.
主要方法:
- 对最近的临床试验和关于在PH中补充铁的研究进行了批判性分析.
- 对口服和静脉注射铁补充的证据的审查.
- 讨论与缺铁和PH相关联的病理生理机制.
主要成果:
- 铁缺乏症在PH患者中很大一部分人中很普遍.
- 补充铁对PH的运动能力和血液动力学有不同的影响.
- 在这种人群中诊断和治疗缺铁存在挑战.
结论:
- 对PH患者来说,识别和管理铁缺乏症至关重要.
- 需要进一步的研究,以建立基于证据的铁补充在PH的指导方针.
- 个性化治疗方法对于改善PH的结果至关重要.
相关概念视频
Pulmonary Hypertension: Classification and Pathogenesis
167
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...
167
Treatment for Pulmonary Arterial Hypertension: Oxygen Therapy for Respiratory Failure
195
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,...
195
Treatment for Pulmonary Arterial Hypertension: Receptor Tyrosine Kinase Inhibitors and Calcium Channel Blockers
156
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...
156
Acute Respiratory Failure-II
200
Type I Respiratory Failure, or hypoxemic respiratory failure, occurs when the partial pressure of oxygen (PaO2) in arterial blood falls below 60 mmHg while breathing room air without a corresponding increase in arterial carbon dioxide levels (PaCO2). This condition highlights a significant impairment in the lungs' capacity to oxygenate the blood.
The underlying physiological abnormalities that contribute to hypoxemic respiratory failure include:
The underlying physiological abnormalities that contribute to hypoxemic respiratory failure include:
200
Treatment for Pulmonary Arterial Hypertension: Phosphodiesterase Inhibitors
144
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...
144
Pneumothorax-I
190
A pneumothorax is a condition where air builds up in the space between the lung and the chest wall, causing the lung to collapse. This condition arises when air enters the space between the parietal and visceral pleura, disrupting the negative pressure essential for lung inflation. This can lead to a partial or complete collapse of the lung.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
190


