左心疾病相关肺高压流行病学及诊治策略现状

Status of epidemiology, diagnosis and treatment strategies of pulmonary hypertension due to left heart disease

左心疾病相关肺高压(PH-LHD)是一个由多种左心疾病导致的常见并发症,其具有较高的病死率,并存在着诊断及治疗延误的问题。过去,在左心疾病中,风湿性二尖瓣疾病是引起肺动脉高压常见的原因,现在病因更多是高血压病或缺血性心脏病。虽然日益增长并且数量巨大的患者受到肺动脉高压的影响,但目前仍没有针对这些患者的具体诊断及治疗方案。该文对PH-LHD的流行病学及诊治方案进行综述。

Pulmonary hypertension due to left heart disease(PHLHD)is a common complication caused by various types of left heart diseases,which yields high mortality rate.The problem of delayed diagnosis and treatment exists.Previously,rheumatic mitral valve disease is the most common cause of PH in left heart diseases.Currently,it is more likely to be associated with hypertensive or ischemic heart diseases.Although the quantity of patients affected by PH is large and ever increasing,no specific diagnosis and treatment options have been established for these patients.In this article,the epidemiology,diagnosis and treatment strategies for PHLHD were summarized.