Echocardiography in Pulmonary Arterial Hypertension: from Diagnosis to Prognosis

被引:384
作者
Bossone, Eduardo [1 ,2 ]
D'Andrea, Antonello [3 ]
D'Alto, Michele [3 ]
Citro, Rodolfo [2 ]
Argiento, Paola [3 ]
Ferrara, Francesco [4 ]
Cittadini, Antonio [4 ]
Rubenfire, Melvyn [5 ]
Naeije, Robert [6 ]
机构
[1] IRCCS Policlin San Donato, Dept Cardiac Surg, Milan, Italy
[2] Univ Hosp Scuola Med Salernitana, Dept Cardiol & Cardiac Surg, Salerno, Italy
[3] Univ Naples 2, Monaldi Hosp, Dept Cardiothorac Sci, Naples, Italy
[4] Univ Naples Federico II, Dept Internal Med & Cardiovasc Sci, Naples, Italy
[5] Univ Michigan, Dept Internal Med, Ann Arbor, MI 48109 USA
[6] Univ Libre Bruxelles, Dept Physiol, Erasme Acad Hosp, Fac Med, Brussels, Belgium
关键词
Echocardiography; Pulmonary hypertension; Exercise-induced pulmonary hypertension; RIGHT-VENTRICULAR FUNCTION; TIME 3-DIMENSIONAL ECHOCARDIOGRAPHY; STRESS DOPPLER-ECHOCARDIOGRAPHY; CALCIUM-CHANNEL BLOCKERS; RIGHT ATRIAL PRESSURE; SYSTOLIC PRESSURE; NONINVASIVE ESTIMATION; 2-DIMENSIONAL STRAIN; RIGHT HEART; FREE-WALL;
D O I
10.1016/j.echo.2012.10.009
中图分类号
R5 [内科学];
学科分类号
100201 [内科学];
摘要
Pulmonary arterial hypertension is most often diagnosed in its advanced stages because of the nonspecific nature of early symptoms and signs. Although clinical assessment is essential when evaluating patients with suspected pulmonary arterial hypertension, echocardiography is a key screening tool in the diagnostic algorithm. It provides an estimate of pulmonary artery pressure, either at rest or during exercise, and is useful in ruling out secondary causes of pulmonary hypertension. In addition, echocardiography is valuable in assessing prognosis and treatment options, monitoring the efficacy of specific therapeutic interventions, and detecting the preclinical stages of disease. (J Am Soc Echocardiogr 2013; 26: 1-14.)
引用
收藏
页码:1 / 14
页数:14
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