Pulmonary hypertension: Difference between revisions
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Although the terms primary pulmonary hypertension (meaning of unknown cause) and secondary pulmonary hypertension (meaning due to another medical condition) still persist in materials disseminated to patients and the general public, these terms have largely been abandoned in the medical literature. This change has occurred because the older dichotomous classification did not reflect pathophysiology or outcome. It led to erroneous therapeutic decisions, i.e. treat "primary" pulmonary hypertension only. This in turn led to therapeutic nihilism for many patients labeled "secondary" pulmonary hypertension, and could have contributed to their deaths. The term "primary pulmonary hypertension" has now been replaced with "idiopathic pulmonary arterial hypertension". The terms "primary" and "secondary" pulmonary hypertension should not be used any longer. Further details are in the [[Pulmonary hypertension#Classification|Classification section]] below. | Although the terms primary pulmonary hypertension (meaning of unknown cause) and secondary pulmonary hypertension (meaning due to another medical condition) still persist in materials disseminated to patients and the general public, these terms have largely been abandoned in the medical literature. This change has occurred because the older dichotomous classification did not reflect pathophysiology or outcome. It led to erroneous therapeutic decisions, i.e. treat "primary" pulmonary hypertension only. This in turn led to therapeutic nihilism for many patients labeled "secondary" pulmonary hypertension, and could have contributed to their deaths. The term "primary pulmonary hypertension" has now been replaced with "idiopathic pulmonary arterial hypertension". The terms "primary" and "secondary" pulmonary hypertension should not be used any longer. Further details are in the [[Pulmonary hypertension#Classification|Classification section]] below. | ||
==[[Pulmonary hypertension epidemiology and demographics|Epidemiology]]== | |||
==[[Pulmonary hypertension pathophysiology|Pathogenesis]]== | ==[[Pulmonary hypertension pathophysiology|Pathogenesis]]== | ||
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==[[Pulmonary hypertension causes|Causes]]== | ==[[Pulmonary hypertension causes|Causes]]== | ||
==[[Pulmonary hypertension history and symptoms|History & Symptoms]] | ==Diagnosis== | ||
[[Pulmonary hypertension diagnosis|Overview]] | [[Pulmonary hypertension history and symptoms|History & Symptoms]] | [[Physical Examination|Signs on Physical Examination]] | |||
==Imaging== | ==Imaging== | ||
[[Pulmonary hypertension chest x ray|Chest x-ray]] | [[Pulmonary hypertension CT|CT-scan]] | [[Pulmonary hypertension MRI|MRI]] | [[Pulmonary hypertension echocardiography or ultrasound|Echocardiogram]] | |||
==[[Pulmonary hypertension classifications|Classification]]== | ==[[Pulmonary hypertension classifications|Classification]]== | ||
==[[Pulmonary hypertension medical therapy|Treatment]]== | ==[[Pulmonary hypertension medical therapy|Treatment]]== | ||
Revision as of 22:09, 12 September 2011
For patient information click here
| Pulmonary hypertension | |
| ICD-10 | I27.0, I27.2 |
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| ICD-9 | 416 |
| DiseasesDB | 10998 |
| MeSH | D006976 |
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Pulmonary Hypertension Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Pulmonary hypertension On the Web |
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American Roentgen Ray Society Images of Pulmonary hypertension |
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Risk calculators and risk factors for Pulmonary hypertension |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1], Richard Channick, M.D.; Assistant Editor(s)-in-Chief: Ralph Matar, Lisa Prior, Ann Slater, R.N.
Overview
Pulmonary hypertension (PH) is an increase in blood pressure in the pulmonary artery or lung vasculature, leading to shortness of breath, dizziness, fainting, and other symptoms, all of which are exacerbated by exertion. Depending on the cause, pulmonary hypertension can be a severe disease with a markedly decreased exercise tolerance and right-sided heart failure. It was first identified by Dr Ernst von Romberg in 1891.[1] It can be one of five different types, arterial, venous, hypoxic, thromboembolic, or miscellaneous.
Although the terms primary pulmonary hypertension (meaning of unknown cause) and secondary pulmonary hypertension (meaning due to another medical condition) still persist in materials disseminated to patients and the general public, these terms have largely been abandoned in the medical literature. This change has occurred because the older dichotomous classification did not reflect pathophysiology or outcome. It led to erroneous therapeutic decisions, i.e. treat "primary" pulmonary hypertension only. This in turn led to therapeutic nihilism for many patients labeled "secondary" pulmonary hypertension, and could have contributed to their deaths. The term "primary pulmonary hypertension" has now been replaced with "idiopathic pulmonary arterial hypertension". The terms "primary" and "secondary" pulmonary hypertension should not be used any longer. Further details are in the Classification section below.
Epidemiology
Pathogenesis
Causes
Diagnosis
Overview | History & Symptoms | Signs on Physical Examination
Imaging
Chest x-ray | CT-scan | MRI | Echocardiogram
Classification
Treatment
Prognosis
References
- ↑ Romberg E von. Über Sklerose der Lungenarterie. Dtsch Arch Klin Med 1891-1892;48:197-206.