Providence Heart and Vascular Institute, Portland, Oregon.
Abbott, Sunnyvale, California.
J Heart Lung Transplant. 2021 Jun;40(6):430-434. doi: 10.1016/j.healun.2021.01.1964. Epub 2021 Feb 5.
Pulmonary arterial hypertension (PAH) is a chronic, progressive disease that is incurable, even with effective therapy. Long-term outcome in PAH is best preserved by targeting hemodynamic improvements to reduce risk of subsequent right ventricular (RV) failure. Methods that can assess RV adaptation to stress have important implications to better understand an individual's physiology and may play a pivotal role in guiding therapy in PAH. In this novel pilot study, we evaluate the feasibility of monitoring hemodynamic response to 6-minute walk distance in patients with PAH using the CardioMEMS HF System.
肺动脉高压(PAH)是一种无法治愈的慢性进行性疾病,即使采用有效的治疗方法也是如此。通过靶向血流动力学改善来降低随后发生右心室(RV)衰竭的风险,可最大程度地改善 PAH 的长期预后。能够评估 RV 对压力的适应能力的方法对更好地了解个体的生理学具有重要意义,并可能在指导 PAH 治疗中发挥关键作用。在这项新的试点研究中,我们使用 CardioMEMS HF 系统评估了监测 PAH 患者 6 分钟步行距离时血流动力学反应的可行性。