Pulmonary Hypertension in General Cardiology Practice

Detalhes bibliográficos
Autor(a) principal: Calderaro,Daniela
Data de Publicação: 2019
Outros Autores: Alves Junior,José Leonidas, Fernandes,Caio Júlio César dos Santos, Souza,Rogério
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Arquivos Brasileiros de Cardiologia (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2019000900419
Resumo: Abstract The finding of pulmonary hypertension (PH) by echocardiography is common and of concern. However, echocardiography is just a suggestive and non-diagnostic assessment of PH. When direct involvement of pulmonary circulation is suspected, invasive hemodynamic monitoring is recommended to establish the diagnosis. This assessent provides, in addition to the diagnostic confirmation, the correct identification of the vascular territory predominantly involved (arterial pulmonary or postcapillary). Treatment with specific medication for PH (phosphodiesterase type 5 inhibitors, endothelin receptor antagonists and prostacyclin analogues) has been proven effective in patients with pulmonary arterial hypertension, but its use in patients with PH due to left heart disease can even be damaging. In this review, we discuss the diagnosis criteria, how etiological investigation should be carried out, the clinical classification and, finally, the therapeutic recommendations for PH.
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spelling Pulmonary Hypertension in General Cardiology PracticeHypertension, PulmonaryPulmonary Heart DiseaseEchocardiography/methodsPulmonary Disease, Chronic ObstructivePulmonary EmphysemaPulmonary FibrosisAbstract The finding of pulmonary hypertension (PH) by echocardiography is common and of concern. However, echocardiography is just a suggestive and non-diagnostic assessment of PH. When direct involvement of pulmonary circulation is suspected, invasive hemodynamic monitoring is recommended to establish the diagnosis. This assessent provides, in addition to the diagnostic confirmation, the correct identification of the vascular territory predominantly involved (arterial pulmonary or postcapillary). Treatment with specific medication for PH (phosphodiesterase type 5 inhibitors, endothelin receptor antagonists and prostacyclin analogues) has been proven effective in patients with pulmonary arterial hypertension, but its use in patients with PH due to left heart disease can even be damaging. In this review, we discuss the diagnosis criteria, how etiological investigation should be carried out, the clinical classification and, finally, the therapeutic recommendations for PH.Sociedade Brasileira de Cardiologia - SBC2019-09-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2019000900419Arquivos Brasileiros de Cardiologia v.113 n.3 2019reponame:Arquivos Brasileiros de Cardiologia (Online)instname:Sociedade Brasileira de Cardiologia (SBC)instacron:SBC10.5935/abc.20190188info:eu-repo/semantics/openAccessCalderaro,DanielaAlves Junior,José LeonidasFernandes,Caio Júlio César dos SantosSouza,Rogérioeng2019-10-08T00:00:00Zoai:scielo:S0066-782X2019000900419Revistahttp://www.arquivosonline.com.br/https://old.scielo.br/oai/scielo-oai.php||arquivos@cardiol.br1678-41700066-782Xopendoar:2019-10-08T00:00Arquivos Brasileiros de Cardiologia (Online) - Sociedade Brasileira de Cardiologia (SBC)false
dc.title.none.fl_str_mv Pulmonary Hypertension in General Cardiology Practice
title Pulmonary Hypertension in General Cardiology Practice
spellingShingle Pulmonary Hypertension in General Cardiology Practice
Calderaro,Daniela
Hypertension, Pulmonary
Pulmonary Heart Disease
Echocardiography/methods
Pulmonary Disease, Chronic Obstructive
Pulmonary Emphysema
Pulmonary Fibrosis
title_short Pulmonary Hypertension in General Cardiology Practice
title_full Pulmonary Hypertension in General Cardiology Practice
title_fullStr Pulmonary Hypertension in General Cardiology Practice
title_full_unstemmed Pulmonary Hypertension in General Cardiology Practice
title_sort Pulmonary Hypertension in General Cardiology Practice
author Calderaro,Daniela
author_facet Calderaro,Daniela
Alves Junior,José Leonidas
Fernandes,Caio Júlio César dos Santos
Souza,Rogério
author_role author
author2 Alves Junior,José Leonidas
Fernandes,Caio Júlio César dos Santos
Souza,Rogério
author2_role author
author
author
dc.contributor.author.fl_str_mv Calderaro,Daniela
Alves Junior,José Leonidas
Fernandes,Caio Júlio César dos Santos
Souza,Rogério
dc.subject.por.fl_str_mv Hypertension, Pulmonary
Pulmonary Heart Disease
Echocardiography/methods
Pulmonary Disease, Chronic Obstructive
Pulmonary Emphysema
Pulmonary Fibrosis
topic Hypertension, Pulmonary
Pulmonary Heart Disease
Echocardiography/methods
Pulmonary Disease, Chronic Obstructive
Pulmonary Emphysema
Pulmonary Fibrosis
description Abstract The finding of pulmonary hypertension (PH) by echocardiography is common and of concern. However, echocardiography is just a suggestive and non-diagnostic assessment of PH. When direct involvement of pulmonary circulation is suspected, invasive hemodynamic monitoring is recommended to establish the diagnosis. This assessent provides, in addition to the diagnostic confirmation, the correct identification of the vascular territory predominantly involved (arterial pulmonary or postcapillary). Treatment with specific medication for PH (phosphodiesterase type 5 inhibitors, endothelin receptor antagonists and prostacyclin analogues) has been proven effective in patients with pulmonary arterial hypertension, but its use in patients with PH due to left heart disease can even be damaging. In this review, we discuss the diagnosis criteria, how etiological investigation should be carried out, the clinical classification and, finally, the therapeutic recommendations for PH.
publishDate 2019
dc.date.none.fl_str_mv 2019-09-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2019000900419
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2019000900419
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.5935/abc.20190188
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Sociedade Brasileira de Cardiologia - SBC
publisher.none.fl_str_mv Sociedade Brasileira de Cardiologia - SBC
dc.source.none.fl_str_mv Arquivos Brasileiros de Cardiologia v.113 n.3 2019
reponame:Arquivos Brasileiros de Cardiologia (Online)
instname:Sociedade Brasileira de Cardiologia (SBC)
instacron:SBC
instname_str Sociedade Brasileira de Cardiologia (SBC)
instacron_str SBC
institution SBC
reponame_str Arquivos Brasileiros de Cardiologia (Online)
collection Arquivos Brasileiros de Cardiologia (Online)
repository.name.fl_str_mv Arquivos Brasileiros de Cardiologia (Online) - Sociedade Brasileira de Cardiologia (SBC)
repository.mail.fl_str_mv ||arquivos@cardiol.br
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