Division of Pulmonary, Critical Care, and Sleep Medicine, Icahn School of Medicine at Mount Sinai, One Gustave L. Levy Place, Box 1232, New York, NY 10029, USA.
Clin Geriatr Med. 2017 Nov;33(4):553-562. doi: 10.1016/j.cger.2017.06.007. Epub 2017 Aug 19.
Pulmonary hypertension is a pathologic hemodynamic condition defined by a mean pulmonary arterial pressure of 25 mm Hg or greater at rest. Because of age-associated stiffening of the heart and the pulmonary vasculature and the higher prevalence in the elderly of comorbidities associated with the development of pulmonary hypertension, it is an increasingly common finding in this patient population. A right heart catheterization is necessary for the diagnosis and characterization of pulmonary hypertension. The general management is to treat the underlying conditions responsible for the development of the disorder. Pulmonary vasodilators are indicated in patients with pulmonary arterial hypertension.
肺动脉高压是一种病理生理学状态，定义为静息状态下平均肺动脉压≥25mmHg。由于年龄相关的心脏和肺血管僵硬以及老年患者中与肺动脉高压发展相关的合并症更为常见，因此在该患者人群中越来越常见。右心导管检查对于肺动脉高压的诊断和特征描述是必要的。一般的治疗方法是治疗导致该疾病的潜在原因。肺血管扩张剂适用于肺动脉高压患者。
