[与肺部疾病相关的肺高血压]
Athiththan Yogeswaran1, Dirk Skowasch2, Vasile Foris3,4
1Department of Internal Medicine, Universities of Gießen and Marburg Lung Center (UGMLC), Member of the German Center for Lung Research (DZL), Gießen (Germany), Institute for Lung Health (ILH), Cardio-Pulmonary Institute (CPI), Gießen, Deutschland.
慢性肺部疾病 (PH-CLD) 中的肺高血压是常见的和低诊断的,影响患者的预后. 本声明提供了基于更新的WSPH建议的PH-CLD的实用诊断和治疗指南.
科学领域:
- 心脏病学 心脏病学
- 肺部病理学 肺部病理学
- 呼吸系统医学 呼吸系统医学
背景情况:
- 与慢性肺病相关的肺高血压 (PH-CLD) 是一种普遍且经常被误诊的疾病.
- PH-CLD显著恶化患者的预后和生活质量.
- 患者的异质性强调了需要量身定制的诊断和治疗策略.
研究的目的:
- 总结第七届肺高血压世界研讨会 (WSPH) 致力于PH-CLD的特别工作组的主要建议.
- 对PH-CLD的诊断和治疗方法的现有证据进行批判性评估.
- 提出用于管理PH-CLD患者的实际算法.
主要方法:
- 审查和综合第七届世卫组织第十一届工作组报告.
- 对关于PH-CLD的当前科学文献进行批判性评估.
- 分析与原始 WSPH 建议的偏差.
主要成果:
- 强调系统诊断和PH-CLD的详细表型.
- 突出了针对PH的向疗法的治疗结果的变化,特别是在COPD中.
- 确定预后的关键决定因素,包括肺病类型和PH严重程度.
结论:
- 需要为PH-CLD提供标准化诊断途径.
- 建议在某些慢性肺部疾病中对PH向治疗采取谨慎措施.
- 开发实用的临床算法对于最佳的患者管理至关重要.
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