肺高血压与肺部疾病相关
Oksana A Shlobin1, Yochai Adir2, Joan A Barbera3
1Advanced Lung Disease and Transplant Program, Inova Schar Heart and Vascular Institute, Inova Fairfax Hospital, Falls Church, VA, USA.
The European respiratory journal
|August 29, 2024
概括
慢性肺病 (CLD) 中的肺高血压 (PH) 恶化了结果. 鉴定CLD和PH的表型对于诊断和管理至关重要,指导量身定制的治疗策略,以改善患者的预后.
科学领域:
- 心脏病学和肺病学.
- 呼吸系统医学 呼吸系统医学
- 肺血管疾病 肺血管疾病
背景情况:
- 肺高血压 (PH) 在慢性肺病 (CLD) 中很常见,并且与较差的患者结局有关.
- 了解CLD-PH的异质性需要详细的肺部疾病和PH的严重程度的表型.
- 目前的CLD-PH的诊断和管理策略需要改进,因为患者群体和治疗反应各不相同.
研究的目的:
- 总结当前关于慢性肺病如COPD和ILD的PH的数据.
- 为分类CLD-PH表型提供建议.
- 概述一种用于诊断和管理患有CLD-PH的患者的方法.
主要方法:
- 系统审查和综合现有的流行病学和临床试验数据.
- 对无控研究和一项3期随机对照试验的分析.
- 专注于特定的CLD表型,包括COPD和间歇性肺病 (ILD).
主要成果:
- 在CLD中,PH与更糟糕的预后有关,因此需要准确的表型.
- 建议在纤维性ILD中治疗CLD中的PH的好处,但在COPD-PH中可能产生不良结果.
- CLD-PH的异质性强调了对表型特异性管理的需要.
结论:
- 在CLD患者怀疑PH时,建议采用系统的诊断方法.
- 鉴于肺动脉高血压的治疗选择不断扩大,开发表型特定的治疗算法至关重要.
- 针对不同的CLD-PH表型需要量身定制的管理策略,以改善患者的治疗结果.
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