La Revue du praticien
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Chronic thromboembolic pulmonary hypertension is characterized by the persistence of obstructive thromboemboli and pulmonary vascular remodelling in the open pulmonary arteries. The consequence is an increase in pulmonary vascular resistance and progressive right heart failure. ⋯ Pulmonary endarterectomy represents the treatment of choice. Antiproliferative treatments represent alternatives in the most severe and/or non operable patients.
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La Revue du praticien · Nov 2008
Review[Pulmonary hypertension in chronic respiratory and cardiac diseases].
Pulmonary hypertension (PH) is frequent in the course of chronic respiratory diseases with hypoxia which leads to vascular remodeling, especially chronic obstructive pulmonary disease and idiopathic pulmonary fibrosis. PH is usually moderate but may be disproportionate in some patients. ⋯ A precise diagnosis of PH in chronic respiratory and cardiac diseases requires right heart catheterization. The possible role of specific treatments of PH in these disorders is not established.