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[肺动脉高压]

[Pulmonary arterial hypertension].

作者信息

Guiot J, Parzibut G, Weber T, Davin L, Dulgheru R, Lancellotti P, Louis R, Vachiery J L

机构信息

Service de Pneumologie, CHU Liège, Belgique.

Service de Pneumologie, CHR Citadelle, Liège, Belgique.

出版信息

Rev Med Liege. 2019 Mar;74(3):139-145.

Abstract

Pulmonary arterial hypertension (PAH) is a rare vascular lung disease with a complex etiopathogeny characterized by an increased pulmonary arterial pressure of 25 mmHg or above assessed by right heart catheterization. The diagnosis is difficult due to the atypical presentation with shortness of breath requiring a sequential approach bringing at the end the clinician to perform a right heart catheterization. Nowadays, several therapies have proven to be efficient for treating PAH. Recently, international recommendations have moved to an initial combination therapy reducing the overall morbi-mortality of the patients. Therefore, early therapy appears to be a priority in PAH underlying the need for increasing the global knowledge around PAH.

摘要

肺动脉高压(PAH)是一种罕见的肺部血管疾病,其病因复杂,特征为通过右心导管检查测得的肺动脉压力升高至25 mmHg或以上。由于其非典型表现如呼吸急促,诊断较为困难,需要采用循序渐进的方法,最终临床医生要进行右心导管检查。如今,已证实有多种疗法可有效治疗PAH。最近,国际指南已转向初始联合治疗,以降低患者的总体病亡率。因此,早期治疗似乎是PAH的首要任务,这凸显了增加全球对PAH了解的必要性。

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