肺动脉高血压与心肺共同疾病:这是一个独特的表型吗?
Meng Zhang1, Xueran Guo1,2, Wei Guo1
1Department of Pulmonary and Critical Care Medicine, Beijing Anzhen Hospital, Capital Medical University, Beijing Institute of Heart, Lung and Blood Vessel Diseases, Beijing, 100029, China.
BMC pulmonary medicine
|July 22, 2025
概括
肺动脉高血压 (PAH) 患有心肺并发症的患者具有独特的临床表现和较差的治疗反应. 伴随性疾病的数量与疾病严重程度和治疗结果相关.
科学领域:
- 心脏病学 心脏病学
- 肺部病理学 肺部病理学
- 内部医学 内部医学
背景情况:
- 肺动脉高血压 (PAH) 在患有心肺并发症的患者中越来越普遍.
- 关于这些特定PAH人群的临床特征和治疗反应的数据有限.
研究的目的:
- 为了比较临床数据,PAH向策略和PAH患者与无心肺并发症之间的治疗反应.
- 分析并发症的数量和类型对PAH治疗结果的影响.
主要方法:
- 对RHC确诊的PAH患者的回顾性研究 (2021年10月至2023年3月).
- 患者分为"并发症"和"非并发症"组.
- 临床数据,治疗策略和反应的比较,包括对并发症影响的分析.
主要成果:
- 一半的PAH患者患有心肺并发症,表现为年长的男性,6MWD较短,mPAP较低.
- 非并发症组显示改善了WHO-FC和风险评估.
- 伴随性疾病组表现出血动力学改善,但未反映在临床状态中,更多的伴随性疾病与更糟糕的结果相关.
结论:
- 患有心肺并发症的PAH患者代表了一个独特的表型.
- 与典型的PAH相比,这些患者的临床表现和治疗反应不同.
- 从基线到随访期间,血液动力学和功能状态之间的不一致性被注意到.
相关概念视频
Pulmonary Hypertension: Classification and Pathogenesis
291
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...
291
Cardiomyopathy III: Hypertrophic Cardiomyopathy
52
Hypertrophic cardiomyopathy, or HCM, is an autosomal dominant genetic disorder characterized by asymmetric left ventricular hypertrophy without ventricular dilation. It is more common in men and is typically diagnosed in young, athletic adults.EtiologyHCM is primarily genetic and is caused by mutations in genes encoding sarcomeric proteins. Researchers have identified over 1400 mutations across at least 11 different genes. Among these, the most frequently occurring mutations are found in the...
52
Cardiomyopathy I: Introduction and Classification
60
Cardiomyopathy, or CMP, is a group of diseases affecting the myocardial structure, impairing its ability to pump blood effectively. This condition can lead to arrhythmias, heart failure, or sudden cardiac death.Cardiomyopathies are classified into primary and secondary categories:Primary Cardiomyopathy refers to conditions involving only the heart muscle that are often idiopathic (of unknown cause) or genetic. They primarily affect the myocardium without the involvement of other systemic...
60
Chronic Obstructive Pulmonary Disease-III: Symptoms and Complications.
2.9K
Understanding the variety of primary symptoms and systemic complications that characterize chronic obstructive pulmonary disease (COPD) is crucial for healthcare professionals.
Symptoms of COPD can be classified as primary or systemic. Primary symptoms relate to reduced airflow, while systemic or extrapulmonary symptoms relate to COPD's broader impact on the body.
Primary Symptoms of COPD:
Symptoms of COPD can be classified as primary or systemic. Primary symptoms relate to reduced airflow, while systemic or extrapulmonary symptoms relate to COPD's broader impact on the body.
Primary Symptoms of COPD:
2.9K
COPD: Pathogenesis and Clinical Features
529
Chronic obstructive pulmonary disease (COPD) is a group of lung conditions that progressively worsen over time, including chronic bronchitis and emphysema. This cluster of diseases collectively leads to a gradual and irreversible decline in lung function over time.
The primary cause for the onset of COPD is cigarette smoking and exposure to air pollution. These hazardous factors initiate a chain reaction within the lungs, resulting in chronic inflammation, damage to the airways, and a...
The primary cause for the onset of COPD is cigarette smoking and exposure to air pollution. These hazardous factors initiate a chain reaction within the lungs, resulting in chronic inflammation, damage to the airways, and a...
529
Cardiomyopathy IV: Restrictive Cardiomyopathy
35
Restrictive cardiomyopathy (RCM) is a rare heart muscle disease characterized by impaired ventricular filling due to stiffened ventricular walls, leading to significant diastolic dysfunction.EtiologyRestrictive cardiomyopathy can arise from both inherited and acquired diseases, many of which are systemic. It is categorized into four main types: infiltrative, storage, non-infiltrative, and endomyocardial diseases.Infiltrative diseases, such as amyloidosis, lead to RCM by depositing amyloid...
35


