Tom 16, Nr 3 (2019)
Nadciśnienie płucne
Opublikowany online: 2019-09-24

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Eksport do Mediów Społecznościowych

Eksport do Mediów Społecznościowych

Zakrzepowo-zatorowe nadciśnienie płucne — aktualny stan wiedzy

Magdalena Daničić1, Ilona Skoczylas1, Wiktor Skowron1, Alicja Nowowiejska-Wiewióra1, Jacek Niedziela1, Mariusz Gąsior1
Choroby Serca i Naczyń 2019;16(3):151-157.

Streszczenie

Przewlekłe zakrzepowo-zatorowe nadciśnienie płucne (CTEPH) stanowi 4. grupę nadciśnienia płucnego według klasyfikacji World Health Organization. Rozwija się zarówno u osób po przebytym incydencie ostrej zatorowości płucnej (PE), jak i u chorych, którzy nigdy nie przebyli jawnego epizodu PE czy zakrzepicy żył głębokich. Nieleczona choroba prowadzi do niewydolności prawokomorowej i zgonu. Choć „złotym standardem” leczenia CTEPH pozostaje endarterektomia płucna (PEA), to ostatnie lata przyniosły znaczący postęp w zakresie rozwoju alternatywnych metod leczenia dla chorych niebędących kandydatami do PEA. Niniejszy artykuł stanowi podsumowanie aktualnego stanu wiedzy na temat patofizjologii oraz leczenia tej jednostki chorobowej.

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