McLaughlin Vallerie V, Rich Stuart
United Therapeutics.
Curr Probl Cardiol. 2004 Oct;29(10):575-634. doi: 10.1016/j.cpcardiol.2004.04.001.
Pulmonary hypertension, in its simplest sense, is elevation of the pulmonary artery pressure above normal. A multitude of diseases may increase the pulmonary artery pressure and result in right ventricular dysfunction. The treatments of pulmonary hypertension are as varied as its causes. The past decade has realized remarkable growth in knowledge of the mechanisms of pulmonary arterial hypertension and, concurrently, therapies for this once uniformly fatal disease. In addition to continuous intravenous epoprostenol, subcutaneous treprostinil and oral bosentan are now FDA approved for the treatment of pulmonary arterial hypertension. Other forms of pulmonary hypertension, such as pulmonary venous hypertension, pulmonary hypertension related to diseases of the respiratory system, and thromboembolic pulmonary hypertension will be discussed.
从最基本的意义上讲,肺动脉高压是指肺动脉压力高于正常水平。多种疾病可能会增加肺动脉压力并导致右心室功能障碍。肺动脉高压的治疗方法与其病因一样多种多样。在过去十年中,人们对肺动脉高压的发病机制以及这种曾经普遍致命疾病的治疗方法的认识有了显著增长。除了持续静脉注射依前列醇外,皮下注射曲前列尼尔和口服波生坦现已获得美国食品药品监督管理局(FDA)批准用于治疗肺动脉高压。其他形式的肺动脉高压,如肺静脉高压、与呼吸系统疾病相关的肺动脉高压以及血栓栓塞性肺动脉高压也将进行讨论。