Evaluation of pulmonary arterial hypertension.

Purpose Of Review: Pulmonary arterial hypertension (PAH) is defined as a group of diseases characterized by a progressive increase of pulmonary vascular resistance leading to right ventricular failure and premature death. The purpose of this review is to analyze the current knowledge of the evaluati...

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Publicado en:Current Opinion in Cardiology Vol. 19; no. 6; pp. 575 - 582
Autores principales: Galiè, Nazzareno, Manes, Alessandra, Branzi, Angelo
Formato: review Journal Article
Publicado: Lippincott Williams & Wilkins Nov2004
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Lippincott Williams & Wilkins
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        atl: Evaluation of pulmonary arterial hypertension.
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        au:
          Galiè, Nazzareno
          Manes, Alessandra
          Branzi, Angelo
        affil: Institute of Cardiology, University of Bologna, Italy
      sug:
        subj:
          Pulmonary Artery Pathology
          Hypertension, Pulmonary Diagnosis
          Ultrasonography
          Respiratory Function Tests
          Electrocardiography
          Hypertension, Pulmonary Physiopathology
          Radiography
          Pulmonary Artery
          Prognosis
          Hypertension, Pulmonary Classification
          Exercise of Self-Care Agency Scale
          Scales
      ab: Purpose Of Review: Pulmonary arterial hypertension (PAH) is defined as a group of diseases characterized by a progressive increase of pulmonary vascular resistance leading to right ventricular failure and premature death. The purpose of this review is to analyze the current knowledge of the evaluation of PAH patients.Recent Findings: Recently, the diagnostic approach has been more clearly defined according to the new clinical classification and with consensus reached on algorithms of various investigative tests and procedures that exclude other causes and ensure an accurate diagnosis of PAH. The diagnostic procedures include clinical history and physical examination, ECG, chest radiography, transthoracic Doppler echocardiography, pulmonary function tests, arterial blood gases, ventilation and perfusion lung scan, high-resolution CT of the lung, contrast-enhanced spiral CT of the lung and pulmonary angiography, blood tests and immunology, abdominal ultrasound scan, exercise capacity assessment, and hemodynamic evaluation.Summary: Invasive and noninvasive markers of disease severity, either biomarkers or physiologic parameters and tests that can be widely applied, have been proposed to reliably diagnose PAH and monitor the clinical course.
      pubtype: Academic Journal
      doctype:
        review
        Journal Article
      ougenre: Article
    language: English
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