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Pulmonary Hypertension in General Cardiology Practice

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...

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Autores principales: Calderaro, Daniela, Alves Junior, José Leonidas, Fernandes, Caio Júlio César dos Santos, Souza, Rogério
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Sociedade Brasileira de Cardiologia - SBC 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6882397/
https://www.ncbi.nlm.nih.gov/pubmed/31621783
http://dx.doi.org/10.5935/abc.20190188
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author Calderaro, Daniela
Alves Junior, José Leonidas
Fernandes, Caio Júlio César dos Santos
Souza, Rogério
author_facet Calderaro, Daniela
Alves Junior, José Leonidas
Fernandes, Caio Júlio César dos Santos
Souza, Rogério
author_sort Calderaro, Daniela
collection PubMed
description 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 pubmed-68823972019-12-03 Pulmonary Hypertension in General Cardiology Practice Calderaro, Daniela Alves Junior, José Leonidas Fernandes, Caio Júlio César dos Santos Souza, Rogério Arq Bras Cardiol Review Article 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 - SBC 2019-09 /pmc/articles/PMC6882397/ /pubmed/31621783 http://dx.doi.org/10.5935/abc.20190188 Text en http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Review Article
Calderaro, Daniela
Alves Junior, José Leonidas
Fernandes, Caio Júlio César dos Santos
Souza, Rogério
Pulmonary Hypertension in General Cardiology Practice
title 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_short Pulmonary Hypertension in General Cardiology Practice
title_sort pulmonary hypertension in general cardiology practice
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6882397/
https://www.ncbi.nlm.nih.gov/pubmed/31621783
http://dx.doi.org/10.5935/abc.20190188
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