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对2014年更新的英国国家卫生与临床优化研究所肺动脉高压分类系统的批判性评估。

A critical appraisal of the updated 2014 Nice Pulmonary Hypertension Classification System.

作者信息

Lau Edmund M T, Humbert Marc

机构信息

AP-HP, Service de Pneumologie, Centre de Référence de l'Hypertension Pulmonaire Sévère, DHU Thorax Innovation, Hôpital Bicêtre, Le Kremlin-Bicêtre, France; INSERM UMR_S999, LabEx LERMIT, Centre Chirurgical Marie Lannelongue, Le Plessis Robinson, France; Sydney Medical School, University of Sydney, Camperdown, Australia.

AP-HP, Service de Pneumologie, Centre de Référence de l'Hypertension Pulmonaire Sévère, DHU Thorax Innovation, Hôpital Bicêtre, Le Kremlin-Bicêtre, France; INSERM UMR_S999, LabEx LERMIT, Centre Chirurgical Marie Lannelongue, Le Plessis Robinson, France; Univ. Paris-Sud, Le Kremlin-Bicêtre, France.

出版信息

Can J Cardiol. 2015 Apr;31(4):367-74. doi: 10.1016/j.cjca.2014.09.033. Epub 2015 Jan 16.

DOI:10.1016/j.cjca.2014.09.033
PMID:25601797
Abstract

In 2013, the Fifth World Symposium on Pulmonary Hypertension (PH) was held in Nice, France. This meeting has been held every 5 years since the Second World Symposium in 1998, when the modern-day classification system of PH was initially conceived. PH is a pathophysiologic state of the pulmonary circulation characterized by an increased mean pulmonary artery pressure ≥ 25 mm Hg at rest, and can be the consequence of a variety of distinct disease entities. The rationale of a classification system for PH was to group together disease entities that share similar pathomechanisms, clinical presentation, and therapeutic approaches. Refinements of the classification system have been made at each subsequent World Symposium, reflecting the ongoing research and new knowledge acquired in the science of PH. We provide an update of the recent changes made to the PH classification system from the Nice meeting.

摘要

2013年,第五届世界肺动脉高压(PH)研讨会在法国尼斯举行。自1998年第二届世界研讨会以来,该会议每5年举办一次,现代PH分类系统最初就是在那次会议上构想出来的。PH是一种肺循环的病理生理状态,其特征是静息时平均肺动脉压升高≥25 mmHg,并且可能是多种不同疾病实体的结果。PH分类系统的基本原理是将具有相似病理机制、临床表现和治疗方法的疾病实体归为一组。在随后的每届世界研讨会上,分类系统都有所改进,反映了PH科学领域不断的研究和新获得的知识。我们提供了尼斯会议对PH分类系统所做最新更改的最新情况。

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