La hipertensión pulmonar y cómo tratarla.
Fecha
2021-07-07
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Jaén: Universidad de Jaén
Resumen
[ES] La hipertensión pulmonar es una fisiopatología caracterizada por la presencia de una presión arterial
pulmonar media en reposo superior o igual a 25 mmHg, por lo que un correcto funcionamiento de
sistemas reguladores de la presión arterial es crucial. Esta enfermedad afecta aproximadamente al 1% de
la población mundial. La cardiopatía izquierda y la enfermedad pulmonar son las causas más frecuentes.
La hipertensión pulmonar se clasifica en cinco subgrupos clínicos. Esta clasificación es esencial por
razones de tratamiento y pronóstico. La ecocardiografía es generalmente el procedimiento utilizado para
su diagnóstico, pero sólo puede confirmarse mediante cateterismo cardíaco derecho. El tratamiento
consiste en el uso de anticoagulantes orales, suplementos de oxígeno, diuréticos y digoxina, así como
fármacos vasodilatadores. Sin embargo, todavía son muchos los enigmas sobre su tratamiento.
[EN] Pulmonary hypertension is a pathophysiology characterized by the presence of a mean pulmonary arterial pressure at rest greater than or equal to 25 mmHg, so a correct operation of systems regulating blood pressure is crucial. This disease affects about 1% of the world’s population. Left heart disease and lung disease are the most common causes. Pulmonary hypertension is classified into five clinical subgroups. This classification is essential for treatment and prognosis reasons. Echocardiography is usually the procedure used for its diagnosis, but it can only be confirmed by right cardiac catheterization. Treatment involves the use of oral anticoagulants, oxygen supplements, diuretics and digoxin, just as vasodilator drugs. However, there are still many enigmas about its treatment.
[EN] Pulmonary hypertension is a pathophysiology characterized by the presence of a mean pulmonary arterial pressure at rest greater than or equal to 25 mmHg, so a correct operation of systems regulating blood pressure is crucial. This disease affects about 1% of the world’s population. Left heart disease and lung disease are the most common causes. Pulmonary hypertension is classified into five clinical subgroups. This classification is essential for treatment and prognosis reasons. Echocardiography is usually the procedure used for its diagnosis, but it can only be confirmed by right cardiac catheterization. Treatment involves the use of oral anticoagulants, oxygen supplements, diuretics and digoxin, just as vasodilator drugs. However, there are still many enigmas about its treatment.