Pulmonale Hypertonie bei Linksherzerkrankungen

Autor:	H. ten Freyhaus, Veselin Mitrovic, R Felgendreher, Alexander Schmeisser, W M Kübler, F-X Kleber, W. Hohenforst-Schmidt, Stephan Rosenkranz, Michael Buerke, Uwe Schulz, F de Haan, Diana Bonderman, Dirk Mertens, Ingrid Kindermann, A Harreuter, M Kuckeland, Ekkehard Grünig, Christian Opitz, Jochen Weil, Rudolf Speich, Christoph Hammerstingl, W Zeh, Michael Kindermann
Rok vydání:	2010
Předmět:	Pediatrics medicine.medical_specialty business.industry Consensus conference MEDLINE General Medicine medicine.disease Pulmonary hypertension language.human_language German Respiratory Medicine Heart failure medicine language Left heart disease business Intensive care medicine Working group
Zdroj:	DMW - Deutsche Medizinische Wochenschrift. 135:S102-S114
ISSN:	1439-4413 0012-0472
DOI:	10.1055/s-0030-1263317
Popis:	The 2009 European Guidelines on Diagnosis and Treatment of Pulmonary Hypertension have been adopted for Germany. While the guidelines contain detailed recommendations regarding pulmonary arterial hypertension (PAH), they contain only a relatively short paragraph on other, much more frequent forms of PH such as PH due to left heart disease. Despite the lack of data, targeted PAH treatments are increasingly being used for PH associated with left heart disease. This development is of concern. On the other hand, PH is a frequent problem that is highly relevant for morbidity and mortality in patients with left heart disease, so that it may be speculated whether selected patients may benefit from targeted PH therapy. It that sense, the practical implementation of the European Guidelines in Germany requires the consideration of several specific issues and already existing novel data. This requires a detailed commentary to the guidelines, and in some aspects an update already appears necessary. In June 2010, a Consensus Conference organized by the PH working groups of the German Society of Cardiology (DGK), the German Society of Respiratory Medicine (DGP) and the German Society of Pediatric Cardiology (DGPK) was held in Cologne, Germany. This conference aimed to solve practical and controversial issues surrounding the implementation of the European Guidelines in Germany. To this end, a number of working groups was initiated, one of which was specifically dedicated to PH due to left heart disease. This commentary summarizes the results and recommendations of this working group.
Databáze:	OpenAIRE
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