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先天性心脏病成人患者肺动脉高压的管理挑战。

The challenge of managing pulmonary arterial hypertension in adults with congenital heart disease.

作者信息

Radke Robert M, Diller Gerhard-Paul, Baumgartner Helmut

机构信息

Adult Congenital and Valvular Heart Disease Center, Dept. of Cardiology and Angiology, University Hospital Münster, Münster, Germany.

出版信息

Expert Rev Cardiovasc Ther. 2013 Jul;11(7):919-31. doi: 10.1586/14779072.2013.811966.

DOI:10.1586/14779072.2013.811966
PMID:23895034
Abstract

A significant number of adult patients with congenital heart disease suffer from pulmonary arterial hypertension leading to a markedly increased morbidity and mortality. Some defects may be eligible for operative or interventional repair in adulthood but careful selection of candidates is crucial. With the emergence of disease-targeting therapies, symptomatic improvement and stabilization have become possible while the impact on survival currently remains unclear.

摘要

相当数量的成年先天性心脏病患者患有肺动脉高压,导致发病率和死亡率显著增加。一些缺陷在成年期可能适合进行手术或介入修复,但仔细挑选合适的患者至关重要。随着针对疾病的治疗方法的出现,症状改善和病情稳定已成为可能,而对生存率的影响目前尚不清楚。

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Pulmonary arterial hypertension in adults with congenital heart disease.先天性心脏病成人患者的肺动脉高压
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Treatment of pulmonary arterial hypertension in congenital heart disease in Singapore versus the Netherlands: age exceeds ethnicity in influencing clinical outcome.新加坡与荷兰先天性心脏病相关肺动脉高压的治疗:年龄对临床结局的影响超过种族。
Neth Heart J. 2016 Jun;24(6):410-416. doi: 10.1007/s12471-016-0820-z.
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Decrease in quality of life predicts mortality in adult patients with pulmonary arterial hypertension due to congenital heart disease.
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Neth Heart J. 2015 May;23(5):278-84. doi: 10.1007/s12471-015-0666-9.