Document Detail


Pulmonary hypertension in the critical care setting: classification, pathophysiology, diagnosis, and management.
MedLine Citation:
PMID:  17964364     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Pulmonary hypertension (PH) is common in the critical care setting, and may be a target for specific therapy. Moderate degrees of pulmonary hypertension are most often the consequence of acute or chronic heart failure, hypoxemia, or acute pulmonary embolism, and may be relatively rapidly reversible. The consequences of more severe forms of PH, both acute and chronic, can include hypotension; low cardiac output; right heart failure with congestion of the liver, gut, and kidneys; and varying degrees of hypoxemia, each of which can lead to death or severe disability. We review the physiology, definitions, classification, pathogenesis, diagnostic tools, and algorithms for diagnosis and specific treatments for the various causes of PH as seen in the critical care setting.
Authors:
Melvyn Rubenfire; Melike Bayram; Zachary Hector-Word
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Critical care clinics     Volume:  23     ISSN:  0749-0704     ISO Abbreviation:  Crit Care Clin     Publication Date:  2007 Oct 
Date Detail:
Created Date:  2007-10-29     Completed Date:  2008-02-12     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8507720     Medline TA:  Crit Care Clin     Country:  United States    
Other Details:
Languages:  eng     Pagination:  801-34, vi-vii     Citation Subset:  IM    
Affiliation:
Division of Cardiovascular Medicine and Department of Internal Medicine, University of Michigan, Ann Arbor, MI 48106-0363, USA. mrubenfi@umich.edu
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MeSH Terms
Descriptor/Qualifier:
Acute Disease
Algorithms
Cardiovascular Agents / pharmacology,  therapeutic use
Chronic Disease
Critical Care
Humans
Hypertension, Pulmonary* / classification,  diagnosis,  etiology,  therapy
Thromboembolism / complications
Chemical
Reg. No./Substance:
0/Cardiovascular Agents

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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