慢性血栓栓塞性肺动脉高压的诊断评价

A. Vaidya, P. Forfia
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引用次数: 1

摘要

慢性血栓栓塞性肺动脉高压(CTEPH)是一种独特的肺动脉高压,其独特特征是肺动脉狭窄和血栓物质闭塞。近年来,随着医学教育和治疗选择的进步,人们对CTEPH的认识显著提高。诊断评估仍然很复杂,需要对病史、体格检查、超声心动图、胸部成像进行综合评估,包括血管造影的计算机断层扫描、通气-灌注扫描、右心导管插入术、基于导管的肺动脉造影,以及对医疗和机械CTEPH危险因素的评估。本文综述了CTEPH的诊断评价。
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Diagnostic Evaluation of Chronic Thromboembolic Pulmonary Hypertension
Chronic thromboembolic pulmonary hypertension (CTEPH) is a distinct form of pulmonary hypertension, uniquely characterized by pulmonary artery narrowing and occlusion from clot material. With advances in medical education and therapeutic options, awareness of CTEPH has grown significantly in recent years. The diagnostic evaluation remains complex, warranting an integrated assessment of history, physical exam, echocardiogram, chest imaging including computerized tomography with angiography, ventilation–perfusion scanning, right heart catheterization, catheter-based pulmonary angiography, and assessment for medical and mechanical CTEPH risk factors. The diagnostic evaluation of CTEPH is reviewed here.
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