Back to Search Start Over

Exercise Pulmonary Hypertension

Exercise Pulmonary Hypertension

Authors :
Katarina Zeder
Horst Olschewski
Gabor Kovacs
Source :
Barcelona Respiratory Network Reviews, Vol 8, Iss 2 (2022)
Publication Year :
2022
Publisher :
Publicaciones Permanyer, 2022.

Abstract

The clinical value of pulmonary hemodynamics during exercise has not been fully explored. In the last decade, several studies investigated the prognostic and diagnostic relevance of exercise hemodynamics and novel hemodynamic variables including the mean pulmonary arterial pressure (mPAP)/cardiac output (CO) slope and the pulmonary arterial wedge pressure (PAWP)/CO slope have been analyzed. These parameters describe the effects of pulmonary blood flow on the pulmonary pressure and were shown to be of prognostic relevance. In addition, they may also serve as tools to differentiate early forms of pulmonary vascular from left heart diseases. Right heart catheterization remains the gold standard to assess pulmonary hemodynamics both at rest and during exercise, while exercise echocardiography represents a promising non-invasive research tool. In this review, we provide an overview of the growing body of evidence on the clinical relevance of pulmonary hemodynamics during exercise and discuss its potential future role.

Details

Language :
English
ISSN :
24623172
Volume :
8
Issue :
2
Database :
Directory of Open Access Journals
Journal :
Barcelona Respiratory Network Reviews
Publication Type :
Academic Journal
Accession number :
edsdoj.6ea3506aa8e04bd5b532130c183b93e6
Document Type :
article
Full Text :
https://doi.org/10.23866/BRNRev:2022-M0071