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Pulmonary Hypertension Due to Left Heart Diseases

Identifieur interne : 000436 ( France/Analysis ); précédent : 000435; suivant : 000437

Pulmonary Hypertension Due to Left Heart Diseases

Auteurs : Jean-Luc Vachiery [Belgique] ; Yochai Adir [Israël] ; Joan Albert Barbera [Espagne] ; Hunter Champion [États-Unis] ; John Gerard Coghlan [Royaume-Uni] ; Vincent Cottin [France] ; Teresa De Marco [États-Unis] ; Nazzareno Galie [Italie] ; Stefano Ghio [Italie] ; J. Simon R. Gibbs [Royaume-Uni] ; Fernando Martinez [États-Unis] ; Marc Semigran [États-Unis] ; Gerald Simonneau [France] ; Athol Wells [Royaume-Uni] ; Werner Seeger [Allemagne]

Source :

RBID : Pascal:14-0036899

Descripteurs français

English descriptors

Abstract

Pulmonary hypertension (PH), a common complication of left heart diseases (LHD), negatively impacts symptoms, exercise capacity, and outcome. Although the true prevalence of PH-LHD is unknown, a subset of patients might present significant PH that cannot be explained by a passive increase in left-sided filling pressures. The term "out-of-proportion" PH has been used to identify that population without a clear definition, which has been found less than ideal and created confusion. We propose a change in terminology and a new definition of PH due to LHD. We suggest to abandon "out-of-proportion" PH and to distinguish "isolated post-capillary PH" from "post-capillary PH with a pre-capillary component" on the basis of the pressure difference between diastolic pulmonary artery pressure and pulmonary artery wedge pressure. Although there is no validated treatment for PH-LHD, we provide insights into management and discuss completed and randomized trials in this condition. Finally, we provide recommendations for future clinical trials to establish safety and efficacy of novel compounds to target this area of unmet medical need.


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Pascal:14-0036899

Le document en format XML

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<title level="j" type="main">Journal of the American College of Cardiology</title>
<title level="j" type="abbreviated">J. Am. Coll. Cardiol.</title>
<idno type="ISSN">0735-1097</idno>
</seriesStmt>
</fileDesc>
<profileDesc>
<textClass>
<keywords scheme="KwdEn" xml:lang="en">
<term>Cardiology</term>
<term>Cardiovascular disease</term>
<term>Circulatory system</term>
<term>Heart disease</term>
<term>Left heart</term>
<term>Pulmonary hypertension</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr">
<term>Hypertension artérielle pulmonaire</term>
<term>Cardiopathie</term>
<term>Pathologie de l'appareil circulatoire</term>
<term>Coeur gauche</term>
<term>Appareil circulatoire</term>
<term>Cardiologie</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front>
<div type="abstract" xml:lang="en">Pulmonary hypertension (PH), a common complication of left heart diseases (LHD), negatively impacts symptoms, exercise capacity, and outcome. Although the true prevalence of PH-LHD is unknown, a subset of patients might present significant PH that cannot be explained by a passive increase in left-sided filling pressures. The term "out-of-proportion" PH has been used to identify that population without a clear definition, which has been found less than ideal and created confusion. We propose a change in terminology and a new definition of PH due to LHD. We suggest to abandon "out-of-proportion" PH and to distinguish "isolated post-capillary PH" from "post-capillary PH with a pre-capillary component" on the basis of the pressure difference between diastolic pulmonary artery pressure and pulmonary artery wedge pressure. Although there is no validated treatment for PH-LHD, we provide insights into management and discuss completed and randomized trials in this condition. Finally, we provide recommendations for future clinical trials to establish safety and efficacy of novel compounds to target this area of unmet medical need.</div>
</front>
</TEI>
<affiliations>
<list>
<country>
<li>Allemagne</li>
<li>Belgique</li>
<li>Espagne</li>
<li>France</li>
<li>Israël</li>
<li>Italie</li>
<li>Royaume-Uni</li>
<li>États-Unis</li>
</country>
<region>
<li>Angleterre</li>
<li>Auvergne-Rhône-Alpes</li>
<li>Californie</li>
<li>Catalogne</li>
<li>Grand Londres</li>
<li>Massachusetts</li>
<li>Michigan</li>
<li>Pennsylvanie</li>
<li>Rhône-Alpes</li>
<li>Région de Bruxelles-Capitale</li>
</region>
<settlement>
<li>Barcelone</li>
<li>Bruxelles</li>
<li>Londres</li>
<li>Lyon</li>
</settlement>
<orgName>
<li>Université libre de Bruxelles</li>
</orgName>
</list>
<tree>
<country name="Belgique">
<region name="Région de Bruxelles-Capitale">
<name sortKey="Vachiery, Jean Luc" sort="Vachiery, Jean Luc" uniqKey="Vachiery J" first="Jean-Luc" last="Vachiery">Jean-Luc Vachiery</name>
</region>
</country>
<country name="Israël">
<noRegion>
<name sortKey="Adir, Yochai" sort="Adir, Yochai" uniqKey="Adir Y" first="Yochai" last="Adir">Yochai Adir</name>
</noRegion>
</country>
<country name="Espagne">
<region name="Catalogne">
<name sortKey="Barbera, Joan Albert" sort="Barbera, Joan Albert" uniqKey="Barbera J" first="Joan Albert" last="Barbera">Joan Albert Barbera</name>
</region>
</country>
<country name="États-Unis">
<region name="Pennsylvanie">
<name sortKey="Champion, Hunter" sort="Champion, Hunter" uniqKey="Champion H" first="Hunter" last="Champion">Hunter Champion</name>
</region>
<name sortKey="De Marco, Teresa" sort="De Marco, Teresa" uniqKey="De Marco T" first="Teresa" last="De Marco">Teresa De Marco</name>
<name sortKey="Martinez, Fernando" sort="Martinez, Fernando" uniqKey="Martinez F" first="Fernando" last="Martinez">Fernando Martinez</name>
<name sortKey="Semigran, Marc" sort="Semigran, Marc" uniqKey="Semigran M" first="Marc" last="Semigran">Marc Semigran</name>
</country>
<country name="Royaume-Uni">
<region name="Angleterre">
<name sortKey="Coghlan, John Gerard" sort="Coghlan, John Gerard" uniqKey="Coghlan J" first="John Gerard" last="Coghlan">John Gerard Coghlan</name>
</region>
<name sortKey="Gibbs, J Simon R" sort="Gibbs, J Simon R" uniqKey="Gibbs J" first="J. Simon R." last="Gibbs">J. Simon R. Gibbs</name>
<name sortKey="Wells, Athol" sort="Wells, Athol" uniqKey="Wells A" first="Athol" last="Wells">Athol Wells</name>
</country>
<country name="France">
<region name="Auvergne-Rhône-Alpes">
<name sortKey="Cottin, Vincent" sort="Cottin, Vincent" uniqKey="Cottin V" first="Vincent" last="Cottin">Vincent Cottin</name>
</region>
<name sortKey="Simonneau, Gerald" sort="Simonneau, Gerald" uniqKey="Simonneau G" first="Gerald" last="Simonneau">Gerald Simonneau</name>
</country>
<country name="Italie">
<noRegion>
<name sortKey="Galie, Nazzareno" sort="Galie, Nazzareno" uniqKey="Galie N" first="Nazzareno" last="Galie">Nazzareno Galie</name>
</noRegion>
<name sortKey="Ghio, Stefano" sort="Ghio, Stefano" uniqKey="Ghio S" first="Stefano" last="Ghio">Stefano Ghio</name>
</country>
<country name="Allemagne">
<noRegion>
<name sortKey="Seeger, Werner" sort="Seeger, Werner" uniqKey="Seeger W" first="Werner" last="Seeger">Werner Seeger</name>
</noRegion>
</country>
</tree>
</affiliations>
</record>

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