Reference : Hypertension arterielle pulmonaire et bronchopathie chronique obstructive
Scientific journals : Article
Human health sciences : General & internal medicine
http://hdl.handle.net/2268/25617
Hypertension arterielle pulmonaire et bronchopathie chronique obstructive
French
[en] Pulmonary Arterial Hypertension Due to Copd
Naldi, Marco mailto [Centre Hospitalier Universitaire de Liège - CHU > > Pneumologie-Allergologie >]
D'Orio, Vincenzo mailto [Université de Liège - ULg > Département des sciences cliniques > Médecine d'urgence - bioch. et phys. hum. normales et path.]
Louis, Renaud mailto [Université de Liège - ULg > Département des sciences cliniques > Pneumologie - Allergologie]
2006
Revue Médicale de Liège
61
7-8, Jul-Aug
563-71
Yes (verified by ORBi)
0370-629X
[en] In this paper we review the current knowledge on pulmonary hypertension (PH) occurring in COPD. PH is defined as a mean pulmonary arterial pressure at rest greater than 20 mmHg measured by right heart catheterisation. PH is usually present during exercise before appearing at rest. PH in COPD increases the risk of hospitalisation and darkens the disease prognosis. Chronic hypoxemia is the major contributor to PH, but remodelling of arterial wall and mechanical factors such as hyperinflation also play a role. Transthoracic echocardiography is the most useful non invasive investigation, but right heart catheterisation is necessary to ascertain the diagnosis. Long term 02 supplementation is the basis of the treatment while vasodilatators may worsen hypoxemia.
http://hdl.handle.net/2268/25617

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