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Возможности инвазивной диагностики при легочной гипертензии
Возможности инвазивной диагностики при легочной гипертензии
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Аннотация
Инвазивная диагностика легочной гипертензии (ЛГ) является динамично развивающейся отраслью практической медицины. Технические подходы к изучению ЛГ совершенствуются параллельно с выявлением новых форм заболевания, а получаемые при инвазивной диагностике данные являются основой классификации ЛГ. Будучи «золотым стандартом» выявления ЛГ и анализа эффективности терапии, инвазивная диагностика позволяет внедрять в клиническую практику все новые и новые высокочувствительные неинвазивные методы инструментального и лабораторного обследования. Это становится особенно актуальным в последнее время, когда исследуются и затем рекомендуются к применению целые группы качественно новых медикаментозных препаратов для лечения ЛГ.
Ключевые слова: легочная гипертензия, катетеризация правых отделов сердца, острые фармакологические пробы.
Keywords: pulmonary hypertension, catheterization of right ventricular, acute pharmacological tests
Ключевые слова: легочная гипертензия, катетеризация правых отделов сердца, острые фармакологические пробы.
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Keywords: pulmonary hypertension, catheterization of right ventricular, acute pharmacological tests
Полный текст
Список литературы
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5. Galie N, Torbicki A, Barst R et al. Guidelines on diagnosis and treatment of pulmonary arterial hypertension. The Task Force on Diagnosis and Treatment of Pulmonary Arterial Hypertension of the European Society of Cardiology. Eur Heart J 2004; 25: 2243–78.
6. Rubin LJ. Diagnosis and management of pulmonary arterial hypertension: ACCP evidence-based clinical practice guidelines. Chest 2004; 126: 7S–10S.
7. D?Alonzo GE, Barst RJ, Ayeres SM et al. Survival in patients with primary pulmonary hypertension: results from a national prospective registry. Ann Intern Med 1991; 115: 343–9.
8. Sandoval J, Bauerle O, Palomar A et al. Survival in primary pulmonary hypertension: validation of a prognostic equation. Circulation 1994; 89: 1733–44.
9. Appelbaum L, Yigla M, Bendayan D et al. Primary pulmonary hypertension in Israel: a national survey. Chest 2001; 119: 1801–6. Rajasekhar D, Balakrishnan KG, Venkitachalam CG et al. Primary pulmonary hypertension: natural history and prognostic factors. Indian Heart J 1994; 46: 165–70.
10. McLaughlin VV, Shillington A, Rich S. Survival in primary pulmonary hypertension: the impact of epoprostenol therapy.Circulation 2002; 106: 1477–82.
11. Sitbon O, Humbert M, Jais X et al. Long-term response to calcium channel blockers in idiopathic pulmonary arterial hypertension. Circulation 2005; 111: 3105–11.
12. Morales-Blanhir J, Santos S, de Jover L et al. Clinical value of vasodilator test with inhaled nitric oxide for predicting long-term response to oral vasodilators in pulmonary hypertension. Respir Med 2004; 98: 225–34.
13. Rubin LJ, Groves BM, Reeves JT et al. Prostacyclin-induced acute pulmonary vasodilation in primary pulmonary hypertension. Circulation 1982; 66: 334–8.
14. Schrader BJ, Inbar S, Kaufmann L et al. Comparison of the effects of adenosine and nifedipine in pulmonary hypertension. J Am Coll Cardiol. 1992; 19: 1060–4.
15. Pepke-Zaba J, Higenbottam TW, Dinh’Xuan AT et al. Inhaled nitric oxide as a cause of selective pulmonary vasodilatation in pulmonary hypertension. Lancet 1991; 338: 1173–4.
16. Badesch DB, Abman SH, Simonneau G et al. Medical therapy for pulmonary arterial hypertension: updated ACCP evidence-based clinical practice guidelines. Chest 2007; 131: 1917–28.
17. Hemnes AR, Forfia PR, Champion HC. Assessment of pulmonary vasculature and right heart by invasive haemodynamics and echocardiography. Int J Clin Pract, 2009; 63 (Suppl. 162): 4–19.
18. Doyle RL, McCrory D, Channick RN et al. Gerald Simonneau and John Conte. Surgical Treatments/Interventions for Pulmonary Arterial Hypertension. Chest 2004; 126; 63S–71S.
19. Hoeper MM, Lee SH, Voswinckel R et al. Complications of right heart catheterization procedures in patients with pulmonary hypertension in experienced centers. J Am Coll Cardiol 2006; 48: 2546–52.
20. Ю.Н.Беленков, И.Е.Чазова. Первичная легочная гипертензия. М.: Нолидж, 1999.
21. Domingo E, Aguilar R, Lopez-Meseguer M et al. New Concepts in the Invasive and Non Invasive Evaluation of Remodelling of the Right Ventricle and Pulmonary Vasculature in Pulmonary Arterial Hypertension. The Open Respirat Med J 2009; 3: 31–7.
22. Javed U, Balasubramanian V, Wessel RJ et al. Correlation of right ventricular tissue doppler imaging with invasive hemodynamics in pulmonary hypertension. Chest 2009; Nov. Abstract.
2. Hoeper MM, Maier R, Tongers J, et al. Determination of cardiac output by the Fick method, thermodilution, and acetylene rebreathing in pulmonary hypertension. Am J Respir Crit Care Med 1999; 160: 535–41.
3. Г.Е. Ройтберг, А.В. Стурынский. Внутренние болезни. Сердечно- сосудистая система. М., 2003.
4. Kovacs G, Berghold A, Scheidl S, Olschewski H. Pulmonary arterial pressure during rest and exercise in healthy control subjects: a systematic review. Eur Respir J 2009 Mar 26.
5. Galie N, Torbicki A, Barst R et al. Guidelines on diagnosis and treatment of pulmonary arterial hypertension. The Task Force on Diagnosis and Treatment of Pulmonary Arterial Hypertension of the European Society of Cardiology. Eur Heart J 2004; 25: 2243–78.
6. Rubin LJ. Diagnosis and management of pulmonary arterial hypertension: ACCP evidence-based clinical practice guidelines. Chest 2004; 126: 7S–10S.
7. D?Alonzo GE, Barst RJ, Ayeres SM et al. Survival in patients with primary pulmonary hypertension: results from a national prospective registry. Ann Intern Med 1991; 115: 343–9.
8. Sandoval J, Bauerle O, Palomar A et al. Survival in primary pulmonary hypertension: validation of a prognostic equation. Circulation 1994; 89: 1733–44.
9. Appelbaum L, Yigla M, Bendayan D et al. Primary pulmonary hypertension in Israel: a national survey. Chest 2001; 119: 1801–6. Rajasekhar D, Balakrishnan KG, Venkitachalam CG et al. Primary pulmonary hypertension: natural history and prognostic factors. Indian Heart J 1994; 46: 165–70.
10. McLaughlin VV, Shillington A, Rich S. Survival in primary pulmonary hypertension: the impact of epoprostenol therapy.Circulation 2002; 106: 1477–82.
11. Sitbon O, Humbert M, Jais X et al. Long-term response to calcium channel blockers in idiopathic pulmonary arterial hypertension. Circulation 2005; 111: 3105–11.
12. Morales-Blanhir J, Santos S, de Jover L et al. Clinical value of vasodilator test with inhaled nitric oxide for predicting long-term response to oral vasodilators in pulmonary hypertension. Respir Med 2004; 98: 225–34.
13. Rubin LJ, Groves BM, Reeves JT et al. Prostacyclin-induced acute pulmonary vasodilation in primary pulmonary hypertension. Circulation 1982; 66: 334–8.
14. Schrader BJ, Inbar S, Kaufmann L et al. Comparison of the effects of adenosine and nifedipine in pulmonary hypertension. J Am Coll Cardiol. 1992; 19: 1060–4.
15. Pepke-Zaba J, Higenbottam TW, Dinh’Xuan AT et al. Inhaled nitric oxide as a cause of selective pulmonary vasodilatation in pulmonary hypertension. Lancet 1991; 338: 1173–4.
16. Badesch DB, Abman SH, Simonneau G et al. Medical therapy for pulmonary arterial hypertension: updated ACCP evidence-based clinical practice guidelines. Chest 2007; 131: 1917–28.
17. Hemnes AR, Forfia PR, Champion HC. Assessment of pulmonary vasculature and right heart by invasive haemodynamics and echocardiography. Int J Clin Pract, 2009; 63 (Suppl. 162): 4–19.
18. Doyle RL, McCrory D, Channick RN et al. Gerald Simonneau and John Conte. Surgical Treatments/Interventions for Pulmonary Arterial Hypertension. Chest 2004; 126; 63S–71S.
19. Hoeper MM, Lee SH, Voswinckel R et al. Complications of right heart catheterization procedures in patients with pulmonary hypertension in experienced centers. J Am Coll Cardiol 2006; 48: 2546–52.
20. Ю.Н.Беленков, И.Е.Чазова. Первичная легочная гипертензия. М.: Нолидж, 1999.
21. Domingo E, Aguilar R, Lopez-Meseguer M et al. New Concepts in the Invasive and Non Invasive Evaluation of Remodelling of the Right Ventricle and Pulmonary Vasculature in Pulmonary Arterial Hypertension. The Open Respirat Med J 2009; 3: 31–7.
22. Javed U, Balasubramanian V, Wessel RJ et al. Correlation of right ventricular tissue doppler imaging with invasive hemodynamics in pulmonary hypertension. Chest 2009; Nov. Abstract.
Авторы
Н.М.Данилов, И.Е.Чазова
ФГУ РКНПК Минзравсоцразвития
FSI Russian cardiology scientific and production complex, Moscow
ФГУ РКНПК Минзравсоцразвития
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FSI Russian cardiology scientific and production complex, Moscow
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