The Division of Cardiovascular Diseases, Department of Medicine, Mayo Clinic Rochester, Rochester, MN 55905, USA.
Eur J Heart Fail. 2010 Jan;12(1):89-93. doi: 10.1093/eurjhf/hfp171.
Heart failure with preserved ejection fraction (HFpEF) is a common but under-recognized cause of pulmonary hypertension (PH), particularly among the elderly. While elevated pulmonary artery pressures are clearly associated with increased mortality in HFpEF, it remains unknown whether or how pulmonary vascular disease in HFpEF should be treated. This case emphasizes the importance of maintaining a high index of suspicion for HFpEF in elderly patients presenting with PH and illustrates potential hazards associated with selective pulmonary vasodilation in this growing population.
射血分数保留的心衰（HFpEF）是一种常见但未被充分认识的肺动脉高压（PH）病因，尤其在老年人中。虽然肺动脉高压升高与 HFpEF 患者死亡率增加明显相关，但仍不清楚 HFpEF 中的肺血管疾病是否需要治疗以及如何治疗。本病例强调了在出现 PH 的老年患者中保持对 HFpEF 的高度怀疑指数的重要性，并说明了在这一不断增长的人群中选择性肺血管扩张的潜在危害。
