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肺动脉高压的生物标志物。

Biomarkers in Pulmonary Hypertension.

机构信息

IRCCS SDN, Via Gianturco 131, Naples, Italy.

"Cava de' Tirreni and Amalfi Coast", Division of Cardiology, Heart Department, University Hospital, Via Enrico de Marinis, 84013 Cava de' Tirreni SA, Italy.

出版信息

Heart Fail Clin. 2018 Jul;14(3):393-402. doi: 10.1016/j.hfc.2018.03.005.

Abstract

Biomarkers are tools in pulmonary hypertension (PH) management. They may address risk assessment, disease progression, response to medical and surgical therapy, risk of right heart failure, and prognosis. The activation of molecular pathways is the pathophysiological underpinning of the biomarkers assessed in peripheral venous blood. A multiparametric approach, involving different biomarkers, is preferred because it provides relevant clinical information regarding different organs and body systems. This is especially true in the final stages of PH with its comorbidities and different pathophysiological patterns, supporting that PH is a systemic condition rather than an isolated cardiorespiratory illness.

摘要

生物标志物是肺动脉高压(PH)管理的工具。它们可用于评估风险、疾病进展、对药物和手术治疗的反应、右心衰竭风险和预后。在评估外周静脉血中的生物标志物时,分子通路的激活是其病理生理学基础。多参数方法,涉及不同的生物标志物,是首选的,因为它提供了有关不同器官和身体系统的相关临床信息。在 PH 的终末期,其合并症和不同的病理生理模式更是如此,这支持 PH 是一种全身性疾病,而不仅仅是一种孤立的心肺疾病。

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