从PAH患者的角度来看
Daniel A Jeffery1, Wendy Gin-Sing2, Radwa Bedair3
1Morriston Cardiac Centre, Swansea Bay University Healthboard, Swansea, SA6 6NL, UK.
概括
与先天性心脏病 (PAH-CHD) 相关的肺动脉高血压带来了重大挑战. 患者经历身体,情绪和社会影响,影响日常生活和人际关系.
科学领域:
- 心脏病学 心脏病学
- 肺部病理学 肺部病理学
- 患者倡导 患者倡导
背景情况:
- 肺高血压 (PH) 是患有先天性心脏病 (CHD) 的成年人的严重疾病.
- 心血管疾病治疗的进步使患者的寿命更长,增加了PH相关疾病的患病率.
- 与先天性心脏病 (PAH-CHD) 相关的肺动脉高血压带来了独特的挑战.
研究的目的:
- 探索PAH-CHD患者所面临的多方面的问题.
- 突出PAH-CHD的身体,情感,社会和财务影响.
- 提供患者对这种复杂疾病生活的看法.
主要方法:
- 定性研究涉及采访两名被诊断患有PAH-CHD的患者.
- 探索患者与诊断,身体限制,心理健康,人际关系,财务和计划生育相关的经验.
主要成果:
- 患有PAH-CHD的患者会遇到严重的身体限制和心理困扰,包括抑郁和焦虑.
- 这种情况会影响社会互动,家庭动态,财务稳定和生殖选择.
- 患有PAH-CHD的生活需要全面的管理策略,以解决各种患者需求.
结论:
- PAH-CHD对患者的生活质量造成了相当大的负担.
- 解决PAH-CHD患者的整体需求对于改善结果至关重要.
- 进一步的研究和患者支持对于有效管理PAH-CHD至关重要.
相关概念视频
Pulmonary Hypertension: Classification and Pathogenesis
297
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...
297
Treatment for Pulmonary Arterial Hypertension: Oxygen Therapy for Respiratory Failure
327
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,...
327
Treatment for Pulmonary Arterial Hypertension: Prostacyclin Receptor Agonists
260
Prostacyclin receptor agonists are a class of therapeutic agents integral to managing pulmonary arterial hypertension (PAH). These drugs operate by mimicking the action of prostaglandin I2, or PGI2, a naturally occurring compound in the body.
These agonists bind to the IPR receptor situated on the plasma membrane of the pulmonary artery smooth muscle cells. This binding triggers a cascade of reactions known as the GS-AC-cAMP-PKA pathway. This pathway results in the relaxation of smooth muscle...
These agonists bind to the IPR receptor situated on the plasma membrane of the pulmonary artery smooth muscle cells. This binding triggers a cascade of reactions known as the GS-AC-cAMP-PKA pathway. This pathway results in the relaxation of smooth muscle...
260
Treatment for Pulmonary Arterial Hypertension: Endothelin Receptor Antagonists
228
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...
228
Treatment for Pulmonary Arterial Hypertension: Phosphodiesterase Inhibitors
256
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...
256
Treatment for Pulmonary Arterial Hypertension: Receptor Tyrosine Kinase Inhibitors and Calcium Channel Blockers
263
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...
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