摘要
左心疾病相关性肺动脉高压是多种左心疾病的常见并发症,左心疾病所致的肺动脉高压在肺动脉高压临床诊断分类中属于第二大类,病因包括左心收缩功能不全、左心舒张功能不全和左心瓣膜病。既往风湿性二尖瓣疾病是左心疾病所致肺动脉高压最常见的病因,而目前更为常见的病因是高血压和缺血性心脏病。随着高血压心脏病和缺血性心脏病发病率的逐渐增加,表现为肺动脉高压的患者也在逐渐增多,所以左心疾病已成为肺动脉高压最常见的病因,预后较差。目前对左心疾病相关性肺动脉高压尚缺乏特别有效的治疗策略。
Pulmonary hypertension（PH） is a frequent complication of left heart disease arising from a wide range of cardiac disorders. In the clinical classification, PH associated with left heart disease is classified as Group 2, which includes left heart systolic dysfunction, left heart diastolic dysfunction and left heart valvular disease. In the past, rheumatic mitral valve disease was the most common cause of left heart disease related PH; however, today it is more likely to be associated with hypertensive and isehemic heart disease. As the incidence of these conditions is increasing,the number of patients presenting with PH is also increasing and, nowadaysleft heart disease represents the most frequent cause of PH, which is often associated with poor prognosis. However,there are no specific treatment options for these patients so far.
出处
《医学综述》
2014年第12期2189-2191,共3页
Medical Recapitulate
关键词
左心疾病
肺动脉高压
诊断
治疗
Left heart disease
Pulmonary hypertension
Diagnosis
Treatment
