Primární plicní hypertenze-aktuální pohled na diagnostiku a léčbu.

Title in English Primary pulmonary hypertension-present view of the diagnosis and therapy.
Authors

ŘIHÁČEK Ivan SOUČEK Miroslav KÁRA Tomáš FRÁŇA Petr ORBAN Marek

Year of publication 2003
Type Article in Periodical
Magazine / Source Vnitřní lékařství
MU Faculty or unit

Faculty of Medicine

Citation
Field Cardiovascular diseases incl. cardiosurgery
Keywords Primary pulmonary hypertension-Pathogenesis- Therapy-Calcium channel blockers-Epoprostenol
Description Primary pulmonary hypertension is a serious disease of unknown cause. Various genetic, vasoconstriction, proliferation and procoagulation factor participate in etiology and pathogenesis. In establishing the diagnosis it is necessary to exclude secondary, particulary embolic cause of hypertension. There are diseases with associated primary pulmonary hypertension. Present therapy improves symptoms of the disease, three years after the diagnosis is established, 75% of patients survive. In the therapy of primary pulmonary hypertension, the recommended drugs are calcium channel blockers, epoprostenol, oxygen therapy and antikoagulant drugs. The new clinically tested drugs include inhalation and oral analogs of prostacyclins, endothelin receptor antagonists and phosphodiesterase blockers.
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