Pulmonary Divison, Carmel Medical Center, Faculty of Medicine, Technion, Institute of Technology, 7 Michal St., Haifa, Israel.
Eur Respir J. 2010 Jun;35(6):1396-406. doi: 10.1183/09031936.00175909.
Pulmonary hypertension (PH) is a severe haemodynamic disorder in which the pulmonary artery pressure is persistently elevated, leading to right-sided heart failure and death. Recently, chronic myeloproliferative diseases associated with pulmonary hypertension were included in the group 5 category, corresponding to PH for which the aetiology is unclear and/or multifactorial. In this review we will describe the distinct forms of PH in the context of the myeloproliferative diseases chronic thromboembolic pulmonary hypertension and pre-capillary PH mimicking pulmonary arterial hypertension. The epidemiology, mechanisms and treatment approaches will be discussed.
肺动脉高压(PH)是一种严重的血流动力学紊乱,其中肺动脉压力持续升高,导致右心衰竭和死亡。最近,与肺动脉高压相关的慢性骨髓增生性疾病被归入第 5 组,对应病因不明和/或多因素的 PH。在这篇综述中,我们将描述骨髓增生性疾病相关 PH 的不同形式,包括慢性血栓栓塞性肺动脉高压和类似肺动脉高压的毛细血管前 PH。我们将讨论其流行病学、机制和治疗方法。