肺动脉高压的急性血管反应试验

Acute Vasoreactivity Testing in Pulmonary Hypertension

急性血管反应试验对指导肺动脉高压患者的治疗是重要的,它可以选择出适合长期钙通道阻滞剂治疗的患者,判断患者预后。目前用于急性血管反应试验的药物主要有前列环素、腺苷、一氧化氮。肺动脉高压患者进行急性血管反应试验可能产生严重不良反应,应在持续监测的情况下由有经验的人员完成。

Acute vasoreactivity testing is essential to the treatment of patients with pulmonary hypertension. It can help to identify patients who can benefit from long-term treatment with calcium channel blockers, and determine a patient＇ s prognosis. Drugs currently used in acute vasoreactivity test are mainly prostacycline, adenosine, and nitric oxide. Acute vasoreactivity testing can cause severe adverse effects in patients with pulmonary hypertension, and therefore must be undertaken by experienced practitioners under continuous monitoring.