Pulmonary hypertension in heart failure

被引：7
|
作者：
Duran, Antonio [1 ,2 ]
Mandras, Stacy [2 ,3 ]
机构：
[1] John Ochsner Heart & Vasc Inst, Dept Cardiol, New Orleans, LA USA
[2] AdventHlth, Orlando, FL USA
[3] Univ Queensland, Ochsner Clin Sch, St Lucia, Qld, Australia
来源：
CURRENT OPINION IN CARDIOLOGY | 2021年 / 36卷 / 02期
关键词：
heart failure; postcapillary; pulmonary hypertension; PRESERVED EJECTION FRACTION; RIGHT-VENTRICULAR FUNCTION; DOUBLE-BLIND; CLINICAL-OUTCOMES; EXERCISE CAPACITY; PRESSURE-GRADIENT; SILDENAFIL; HEMODYNAMICS; SECONDARY; DYSFUNCTION;
D O I：
10.1097/HCO.0000000000000834
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Purpose of review Pulmonary hypertension (PH) occurs frequently in heart failure (HF) and confers worse prognosis. It becomes important to adequately identify these patients to optimize treatment. The purpose of this review is to inform about the updated classification of PH in left heart disease, in addition to current and upcoming trials regarding treatment. Recent findings The updated classification of PH due to left heart disease now utilizes pulmonary vascular resistance instead of diastolic pulmonary gradient to differentiate between isolated postcapillary and combined pre and postcapillary PH. In regards to treatment, recent clinical trials continue to provide data that pulmonary vasodilators do not improve outcomes in this population. Management of underlying heart disease and optimal control of comorbidities continues to be the mainstay of treatment in PH due to HF. At this time, current data does not support the use of PH-directed therapies.
引用
收藏
页码：205 / 210
页数：6
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