Approach to the hospitalized patient with pulmonary arterial hypertension.

Autor:	Deshwal H; Pulmonary Hypertension Clinic, Section of Pulmonary, Sleep and Critical Care Medicine, Department of Medicine, West Virginia University School of Medicine, Morgantown, West Virginia 26505., Sulica R; Director of Pulmonary Hypertension Program, Section of Pulmonary, Sleep and Critical Care Medicine, Department of Medicine, New York University Grossman School of Medicine, New York, New York 10016, USA.
Jazyk:	angličtina
Zdroj:	Current opinion in pulmonary medicine [Curr Opin Pulm Med] 2023 Sep 01; Vol. 29 (5), pp. 329-339. Date of Electronic Publication: 2023 Jul 11.
DOI:	10.1097/MCP.0000000000000993
Abstrakt:	Purpose of Review: Hospitalization in pulmonary arterial hypertension (PAH) patients is an important clinical worsening event significantly associated with subsequent mortality. Furthermore, irrespective of the cause of hospitalization, the overall outcome is closely related to the severity of the right ventricular (RV) dysfunction. Therefore, understanding the pathophysiology of pulmonary hypertension and RV failure is paramount in successfully managing PAH patients requiring hospitalization. This review highlights diagnostic and therapeutic approaches in various clinical scenarios that might be encountered during hospitalization of the World Health Organization group I PAH patient. Recent Findings: This article covers recent literature describing risk factors, predictors of outcome and state-of the art management approach to a hospitalized PAH patients with a special focus on management of RV failure and common complications in PAH requiring hospitalization. Summary: The review highlights the importance of multidisciplinary approach to a hospitalized PAH patient and highlight important implications in clinical practice and knowledge gaps for potential future research. (Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.)
Databáze:	MEDLINE
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