Cor pulmonale und pulmonale Hypertonie
Tóm tắt
Die pulmonale Hypertonie (PH) ist ein häufiges Phänomen, welches als Folge verschiedener Erkrankungen (z. B. Herzinsuffizienz, chronische Lungenerkrankungen, Lungenembolie), als eigenständige Erkrankung der kleinen Lungengefäße oder als Mischform auftreten kann. Unabhängig von der Genese ist eine PH bedeutsam für die Symptomatik und die Prognose. Eine exakte Diagnose und Klassifikation sowie das Verständnis der hämodynamischen Zusammenhänge bieten die Grundlage für häufig diffizile Therapieentscheidungen. Kürzlich fand die 5. Weltkonferenz zur PH in Nizza statt, auf der wichtige Standards und Definitionen festgelegt bzw. aktualisiert wurden. Die wichtigsten Ergebnisse sowie die Einordnung neuer Therapieoptionen werden in diesem Artikel zusammengefasst.
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