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检测与间歇性肺病相关的肺高血压的非侵入性诊断方式和预测模型:叙述性综述

Alexandra Arvanitaki^1,2,3, Gerhard Paul Diller^4,5, Michael A Gatzoulis⁴

¹National Pulmonary Hypertension Service, Royal Brompton Hospital, London, UK.

European respiratory review : an official journal of the European Respiratory Society

|October 9, 2024

概括

在间歇性肺病 (ILD) 中的肺高血压 (PH) 需要更好的非侵入性查. 目前的方法缺乏准确性,但心声回声和验证的得分显示出在ILD患者中早期检测PH的希望.

科学领域:

肺部医学肺部医学
心脏病学心脏病学
放射学放射学是一门学科.

背景情况:

肺高血压 (PH) 在间歇性肺病 (ILD) 中很常见,并增加了患者的死亡率.
需要有效的非侵入性查,以确定患有PH风险的ILD患者.

研究的目的:

对ILD患者的PH进行非侵入性诊断工具和预测模型的审查和评估.
讨论在这个人群中及时诊断PH的未来方向.

主要方法:

在PubMed和Scopus进行了系统的文献搜索.
分析了符合纳入标准的39篇文章,以寻找ILD非侵入性PH检测的证据.

主要成果:

没有单一的非侵入性测试可以准确地检测ILD中的PH.
通过心声学估计的右心室缩压 (RVSP) 是最具预测性的因素,尽管通常很难获得.
两个验证的得分 (心声和功能) 显示了在ILD中准确预测PH的潜力.

结论:

目前在ILD中检测PH的非侵入性方法存在局限性.
经过验证的评分系统和心声回声学显示出早期PH识别的前景.
人工智能可能在未来为ILD的PH诊断提供量身定制的方法.

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