Karakurt Zuhal
Süreyyapaşa Göğüs Hastaliklari ve Göğüs Cerrahisi Eğitim ve Araştirma Hastanesi, Göğüs Hastaliklari Bölümü, Istanbul, Türkiye.
Anadolu Kardiyol Derg. 2010 Aug;10 Suppl 1:63-8. doi: 10.5152/akd.2010.121.
Idiopathic pulmonary arterial hypertension (PAH) is included in Group 1 of PAH classification, while pulmonary veno-occlusive disease (PVOD), pulmonary capillary hemangiomatosis (PCH), portopulmonary hypertension (PoPH) and HIV-associated PAH constitute the subgroups of Group I PAH disorders. PVOD has similar clinical presentation, hemodynamic characteristics and genetic background with PAH although main pathology is in venules and definite diagnosis is done by biopsy although not recommended due to high risk of bleeding. PCH, a rare idiopathic lung disorder, causes PAH in young adults and mostly is diagnosed after death by autopsy. PoPH is defined as PAH due to primary chronic liver disease associated with intrapulmonary vascular dilatations and hypoxia. HIV associated PAH is a rare complication of HIV-infection, and it is seen especially in HIV-infected patients with intravenous drug abuse.
特发性肺动脉高压(PAH)被纳入PAH分类的第1组,而肺静脉闭塞性疾病(PVOD)、肺毛细血管瘤病(PCH)、门脉性肺动脉高压(PoPH)和HIV相关PAH构成第I组PAH疾病的亚组。PVOD具有与PAH相似的临床表现、血流动力学特征和遗传背景,尽管其主要病理改变位于小静脉,且明确诊断需通过活检,但由于出血风险高,不建议进行活检。PCH是一种罕见的特发性肺部疾病,可导致年轻成人发生PAH,大多在死后经尸检确诊。PoPH定义为由原发性慢性肝病伴肺内血管扩张和缺氧引起的PAH。HIV相关PAH是HIV感染的一种罕见并发症,尤其见于有静脉药物滥用史的HIV感染患者。