Pulmonary hypertension in the critical care setting: classification, pathophysiology, diagnosis, and management.

Pulmonary hypertension (PH) is common in the critical care setting, and may be a target for specific therapy. Moderate degrees of pulmonary hypertension are most often the consequence of acute or chronic heart failure, hypoxemia, or acute pulmonary embolism, and may be relatively rapidly reversible....

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Published in:Critical Care Clinics Vol. 23; no. 4; pp. 801 - 835
Main Authors: Rubenfire M, Bayram M, Hector-Word Z
Format: Journal Article
Published: W B Saunders 2007 Oct
Online Access:View this record in EBSCOhost
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      pub: W B Saunders
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        atl: Pulmonary hypertension in the critical care setting: classification, pathophysiology, diagnosis, and management.
      aug:
        au:
          Rubenfire M
          Bayram M
          Hector-Word Z
        affil: Division of Cardiovascular Medicine and Department of Internal Medicine, University of Michigan, Ann Arbor, MI, USA.
      sug:
        subj:
          Hypertension, Pulmonary Classification
          Hypertension, Pulmonary Diagnosis
          Hypertension, Pulmonary Etiology
          Hypertension, Pulmonary Therapy
          Acute Disease
          Algorithms
          Cardiovascular Agents Pharmacodynamics
          Cardiovascular Agents Therapeutic Use
          Chronic Disease
          Critical Care
          Thromboembolism Complications
      ab: Pulmonary hypertension (PH) is common in the critical care setting, and may be a target for specific therapy. Moderate degrees of pulmonary hypertension are most often the consequence of acute or chronic heart failure, hypoxemia, or acute pulmonary embolism, and may be relatively rapidly reversible. The consequences of more severe forms of PH, both acute and chronic, can include hypotension; low cardiac output; right heart failure with congestion of the liver, gut, and kidneys; and varying degrees of hypoxemia, each of which can lead to death or severe disability. We review the physiology, definitions, classification, pathogenesis, diagnostic tools, and algorithms for diagnosis and specific treatments for the various causes of PH as seen in the critical care setting.Copyright © 2007 by Elsevier Inc.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
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