Truong Uyen, Meinel Katharina, Haddad Francois, Koestenberger Martin, Carlsen Jørn, Ivy Dunbar, Jone Pei-Ni
Division of Pediatric Cardiology, Children's Hospital of Richmond, Virginia Commonwealth University, Richmond, Virginia, USA.
Division of Pediatric Cardiology, Medical University of Graz, Graz, Austria.
Cardiovasc Diagn Ther. 2020 Oct;10(5):1604-1624. doi: 10.21037/cdt-20-272.
Pulmonary hypertension (PH) is a progressive disease affecting patients across the life span. The pathophysiology primarily involves the pulmonary vasculature and right ventricle (RV), but eventually affects the left ventricular (LV) function as well. Safe, accurate imaging modalities are critical for diagnosis, serial monitoring, and tailored therapy. While cardiac catheterization remains the conventional modality for establishing diagnosis and serial monitoring, noninvasive imaging has gained considerable momentum in providing accurate assessment of the entire RV-pulmonary axis. In this state-of-the-art review, we will discuss the most recent developments in echocardiography, magnetic resonance imaging, and computed tomography in PH evaluation from pediatric to adult population.
肺动脉高压（PH）是一种影响全年龄段患者的进行性疾病。其病理生理学主要涉及肺血管系统和右心室（RV），但最终也会影响左心室（LV）功能。安全、准确的成像方式对于诊断、连续监测和个体化治疗至关重要。虽然心导管检查仍然是确立诊断和连续监测的传统方式，但非侵入性成像在准确评估整个右心室-肺轴方面已获得了相当大的发展势头。在这篇前沿综述中，我们将讨论超声心动图、磁共振成像和计算机断层扫描在评估从儿科到成人患者的肺动脉高压方面的最新进展。
