[Hemodynamic study: indications for right- and left-sided catheterization in the diagnosis and follow-up of pulmonary hypertension].

Abstract:

:Pulmonary artery hypertension (PAH) is a category of pulmonary hypertension consisting of mean pulmonary artery pressure greater than 25 mmHg at rest, with normal pulmonary capillary occlusion pressure (less than 15 mmHg) and pulmonary vascular resistance greater than 3 Wood units. The diagnosis of PAH is made through the exclusion of other disorders, including pulmonary, thromboembolic, left ventricular and valvular heart disease. All patients with PAH suspected on the basis of non-invasive tests should undergo right-sided catheterization before treatment is started, with measurement of pulmonary artery pressure, pulmonary capillary wedge pressure, and pulmonary vascular resistance. Pulmonary vasoreactivity and cardiac output should also be measured. To test pulmonary vasoreactivity, inhaled nitric oxide and intravenous adenosine or epoprosterenol are used. A reduction of 10 mmHg in mean pulmonary arterial pressure or achieving a mean pulmonary artery pressure of less than 40 mmHg, with no change or an increase in cardiac output, is considered a positive response. These criteria are met by only 10% of patients with PAH undergoing this test. Patients with a positive response will probably also show a sustained response to calcium channel blockers. This test should not be used in patients with PAH secondary to left cardiac disease, pulmonary disease or pulmonary embolism.

journal_name

Arch Bronconeumol

authors

Amaro Cendón A

doi

10.1016/S0300-2896(11)70054-0

subject

Has Abstract

pub_date

2011-01-01 00:00:00

pages

12-4

eissn

0300-2896

issn

1579-2129

pii

S0300-2896(11)70054-0

journal_volume

47 Suppl 7

pub_type

杂志文章,评审
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    doi:

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    更新日期:1996-08-01 00:00:00

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    authors: Catalán P,Martínez A,Herrejón A,Martínez-García MÁ,Soler-Cataluña JJ,Román-Sánchez P,Pinel J,Blanquer R

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  • [Clinical efficacy of moxifloxacin in the treatment of exacerbations of chronic bronchitis: a systematic review and meta-analysis].

    abstract:OBJECTIVE:As the research undertaken to date on the efficacy of the new antibiotics in the treatment of exacerbations of chronic bronchitis has taken the form of trials designed to demonstrate equivalence, we have no data on the advantages associated with the use of these new drugs with greater bactericidal activity. O...

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    pub_type: 杂志文章,meta分析,评审

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    authors: Miravitlles M,Molina J,Brosa M

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    authors: Berraondo J,Novella L,Sanz F,Lluch R,de Casimiro E,Lloret T

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  • [Diagnostic value of quantitative cultures of endotracheal aspirate in ventilator-associated pneumonia: a multicenter study].

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    journal_title:Archivos de bronconeumologia

    pub_type: 杂志文章,多中心研究

    doi:10.1016/s0300-2896(03)75414-3

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    更新日期:2003-09-01 00:00:00

  • [Effects of nasal continuous positive airway pressure on lung function in patients with sleep obstructive apnea syndrome].

    abstract::Sixty-one patients with obstructive sleep apnea syndrome (OSAS), 26 of whom also had chronic obstructive pulmonary disease (COPD), received treatment by nasal continuous positive airways pressure (nCPAP). To evaluate the effects of this device on daytime lung function, we analyzed pulmonary function tests before treat...

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    authors: Vázquez Oliva R,Cano Gómez S,Capote Gil F,Sánchez Armengol MA,Carmona Bernal C,Castillo Gómez J

    更新日期:1995-01-01 00:00:00

  • Treatment of bronchus intermedius stenosis in lung transplantation with Montgomery T-tube stent. A novel technique.

    abstract::Airway complications after lung transplant are relatively common although the rates vary according to the different studies. Pathogenesis is diverse but the principal mechanism is usually bronchus intermedius ischemia in the post-transplant period. One major complication is bronchial stenosis, with relatively frequent...

    journal_title:Archivos de bronconeumologia

    pub_type: 杂志文章

    doi:10.1016/j.arbres.2013.12.005

    authors: Pinillos Robles J,García Luján R,de Pablo Gafas A,de Miguel Poch E

    更新日期:2015-02-01 00:00:00

  • "Correct use of inhaled corticosteroids in chronic obstructive pulmonary disease": a consensus document.

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    journal_title:Archivos de bronconeumologia

    pub_type: 共识发展会议,杂志文章,实务指引

    doi:10.1016/j.arbres.2014.11.001

    authors: Alcázar Navarrete B,Casanova C,Miravitlles M,de Lucas P,Riesco JA,Rodríguez González-Moro JM,Working Group “Consensus document on the appropriate use of inhaled corticosteroids in COPD”.

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  • [Surgical treatment of pulmonary metastasis: survival study].

    abstract:OBJECTIVE:To study the results of surgical treatment of pulmonary metastases in our department. PATIENTS AND METHODS:We retrospectively studied 44 patients undergoing surgery between 1986 and 1999 for complete resection of pulmonary metastases. Primary tumors had been eradicated, no metastasis to other organs was evid...

    journal_title:Archivos de bronconeumologia

    pub_type: 杂志文章

    doi:

    authors: Pagés Navarrete C,Ruiz Zafra J,Simón Adiego C,Díez Piña JM,Cueto Ladrón de Guevara A,Sánchez-Palencia Ramos A

    更新日期:2000-11-01 00:00:00

  • [Chest ultrasonography].

    abstract::Chest ultrasonography is a useful tool for assessing disease activity in the peripheral lung parenchyma, pleura, chest wall, diaphragm, and mediastinum. Ultrasound imaging also provides highly useful guidance in invasive diagnostic and therapeutic procedures. The main advantages of this imaging technology are the abse...

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    pub_type: 杂志文章,评审

    doi:10.1016/j.arbres.2008.12.004

    authors: Vollmer I,Gayete A

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  • [Spirometry at home: technology within the patient's reach].

    abstract::Spirometry is a basic lung function test useful both for measuring and for monitoring expiratory volume. For many years monitoring has been performed by means of a portable peak flow meter capable of measuring maximal expiratory flow. We present a portable spirometer (Spirotel, Medical International Research, Rome, It...

    journal_title:Archivos de bronconeumologia

    pub_type: 杂志文章

    doi:10.1016/s1579-2129(06)60190-0

    authors: Giner J,Casan P

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  • Risk Factors for Mortality in 272 Patients With Lung Transplant: A Multicenter Analysis of 7 Intensive Care Units.

    abstract:BACKGROUND:One-year survival in lung transplant is around 85%, but this figure has not increased in recent years, in spite of technical improvements. METHODS:Retrospective, multicenter cohort study. Data from 272 eligible adults with lung transplant were recorded at 7 intensive care units (ICU) in Spain in 2013. The o...

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    pub_type: 杂志文章,多中心研究

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    authors: Rello J,Bello I,de Vicente R,Hermira Anchuelo A,Ballesteros MÁ,Iranzo R,Rellán L,Riera J,Robles JC,EMPRET Study investigators.

    更新日期:2017-08-01 00:00:00

  • [Information seeking and decision making in asthmatic patients].

    abstract::Patient cooperation in controlling asthma is a key element for achieving the most efficient therapy possible according to current guidelines. Cooperation requires that the patient be adequately informed about his disease and able to make certain decisions. The aim of this study was to analyze whether patients really d...

    journal_title:Archivos de bronconeumologia

    pub_type: 杂志文章,多中心研究

    doi:10.1016/s0300-2896(15)30039-9

    authors: Perpiñá M,Sobradillo V,Castillo J,Duce F,Manresa F,Martínez J,Valencia A,Viejo JL,Villasante C

    更新日期:1999-10-01 00:00:00

  • Characteristics of asthma patients admitted to an intermediate respiratory care unit.

    abstract:INTRODUCTION:Intermediate respiratory care units (IRCU) provide continuous monitoring and non-invasive mechanical ventilation (NIMV) in patients with severe respiratory failure who are usually admitted to intensive care units (ICU). The usefulness of IRCU in managing severe asthma exacerbations has never been evaluated...

    journal_title:Archivos de bronconeumologia

    pub_type: 杂志文章

    doi:10.1016/j.arbres.2012.11.009

    authors: Núñez B,Fiorentino F,Kersul A,Belda S,García S,Gutiérrez C,Sala E,Cosío B

    更新日期:2013-04-01 00:00:00

  • [The clinical view through the Archives: the clinical notes of 2009].

    abstract::The Clinical Notes published in 2009 serve as a resource to reflect on clinical aspects relevant to different clinical entities. Through this review an attempt is likewise made to bring the reader closer to the clinical reality of our environment. ...

    journal_title:Archivos de bronconeumologia

    pub_type: 杂志文章,评审

    doi:10.1016/j.arbres.2010.10.001

    authors: Samolski D,Martín Robles I,Castillo Villegas D

    更新日期:2010-12-01 00:00:00

  • [Comparison of the Asthma Control Test (ACT) with lung function, levels of exhaled nitric oxide and control according to the Global Initiative for Asthma (GINA)].

    abstract:INTRODUCTION:The current goal of asthma treatment is to achieve and maintain control. This study aimed to explore the relationship between the ACT (Asthma Control Test) questionnaire and the levels of control according to GINA (Global Initiative for Asthma) to establish the cut-off points for the ACT and evaluate its r...

    journal_title:Archivos de bronconeumologia

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.arbres.2010.04.003

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    更新日期:2010-07-01 00:00:00

  • [Analysis of respiratory muscle structure and tumor necrosis and insulin-like growth factor expression in chronic obstructive pulmonary disease: are samples valid if obtained during thoracotomy performed because of localized pulmonary neoplasia?].

    abstract:OBJECTIVE:Various methods have been used to obtain samples to study the structure of human respiratory muscles and the expression of diverse substances in them. Samples are most often obtained from autopsies, from muscle biopsies during thoracotomy performed because of a localized pulmonary lesion (TLL), and from ambul...

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    pub_type: 杂志文章

    doi:10.1016/s1579-2129(06)70086-6

    authors: Casadevall C,Coronell C,Minguella J,Blanco L,Orozco-Levi M,Barreiro E,Broquetas J,Gea J

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    abstract:INTRODUCTION:Studies on inflammation biomarkers in serum and in exhaled breath condensate (EBC) in obstructive sleep apnea (OSA) have shown conflicting results. The objective of this study is to assess EBC and serum biomarkers in OSA patients at baseline and after continuous positive airway pressure (CPAP) or upper air...

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    pub_type: 杂志文章

    doi:10.1016/j.arbres.2014.02.016

    authors: Lloberes P,Sánchez-Vidaurre S,Ferré À,Cruz MJ,Lorente J,Sampol G,Morell F,Muñoz X

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    abstract:OBJECTIVES:Although lung cancer is the most frequently diagnosed tumor world-wide, the real incidence of this diagnosis in Spain is unknown. To contribute to determining the incidence of lung cancer in this country, and in view of the lack of data from the community of Castilla-León, we carried out the present study. ...

    journal_title:Archivos de bronconeumologia

    pub_type: 杂志文章,多中心研究

    doi:

    authors:

    更新日期:2000-06-01 00:00:00

  • [The EpicliCP-2003 study: A multicenter epidemiological and clinical study of lung cancer in Spain].

    abstract:OBJECTIVE:Mortality due to lung cancer in Spain is increasing continuously. The aim of the present study was to collect information on the hospital incidence of lung cancer, as well as information on clinical management, in different regions of Spain. MATERIAL AND METHODS:A prospective observational study of patients ...

    journal_title:Archivos de bronconeumologia

    pub_type: 杂志文章,多中心研究

    doi:

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    更新日期:2006-09-01 00:00:00

  • [Usefulness of chest sonography in a respiratory medicine unit].

    abstract::Chest ultrasound, a diagnostic technique used mainly by radiologists, is useful for managing pleural effusion. Sonography and computed tomography (CT) are complementary, although the former is more accessible to clinicians because it is safe and easy to use and because results are available quickly. We evaluated the u...

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    pub_type: 杂志文章

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  • Prevalence and Determinants of COPD in Spain: EPISCAN II.

    abstract:BACKGROUND:Two previous national epidemiological studies, IBERPOC in 1997 and EPISCAN in 2007, determined the COPD burden in Spain. Changes in demographics and exposure to risk factors demand the periodic update of COPD prevalence and its determinants. METHODS:EPISCAN II aimed to estimate the prevalence of COPD in the...

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    pub_type: 杂志文章

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    更新日期:2021-01-01 00:00:00

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    abstract:INTRODUCTION:The socioeconomic impact of obstructive sleep apnea-hypopnea syndrome (OSAHS) is considerable. The aim of this study was to evaluate the cost-effectiveness of treating OSAHS with continuous positive airway pressure (CPAP) and the impact of CPAP compliance. METHODS:This was a retrospective, case-crossover ...

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    pub_type: 杂志文章

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  • Spanish Guidelines on the Evaluation and Diagnosis of Bronchiectasis in Adults.

    abstract::In 2008, the Spanish Society of Pulmonology (SEPAR) published the first guidelines in the world on the diagnosis and treatment of bronchiectasis. Almost 10 years later, considerable scientific advances have been made in both the treatment and the evaluation and diagnosis of this disease, and the original guidelines ha...

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    pub_type: 杂志文章,实务指引

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    abstract::Several commonly prescribed drugs can cause acute non-cardiogenic pulmonary edema. A cause-effect relationship is usually difficult to establish because symptoms are not specific. We report a case of pulmonary edema induced by a common diuretic, hydrochlorothiazide. This complication can occur after a first dose of th...

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    pub_type: 杂志文章

    doi:10.1016/s0300-2896(03)75329-0

    authors: Jara Chinarro B,de Miguel Díez J,García Satue JL,Juretschke Moragues MA,Serrano Iglesias JA

    更新日期:2003-02-01 00:00:00

  • [Prognostic factors and outcome of thymectomy in 80 cases of myasthenia gravis].

    abstract:OBJECTIVES:To analyze the results of thymectomy in our series of patients with myasthenia gravis (MG) and to study the influence of the most common prognostic factors. MATERIAL AND METHODS:Eighty MG patients over a period of 23 years underwent thymectomy consecutively in our hospital. Preoperative assessment included ...

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    pub_type: 杂志文章

    doi:10.1016/s0300-2896(01)75045-4

    authors: Vázquez-Pelillo J,Gil Alonso J,Díaz-Agero P,García Sánchez-Girón J,Roca Serrano R,Díez Tejedor E,Casillas Pajuelo M

    更新日期:2001-04-01 00:00:00

  • [Effects of nasal positive airway pressure treatment on oxidative stress in patients with sleep apnea-hypopnea syndrome].

    abstract:OBJECTIVE:To analyze whether nasal continuous positive airway pressure (CPAP) reduces oxidative stress in patients with sleep apnea-hypopnea syndrome (SAHS). PATIENTS AND METHODS:Thirty-six patients with SAHS requiring nasal CPAP treatment and 10 controls in whom SAHS was ruled out were enrolled. Oxidative stress was ...

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    pub_type: 杂志文章

    doi:10.1016/s1579-2129(06)60130-4

    authors: Hernández C,Abreu J,Abreu P,Colino R,Jiménez A

    更新日期:2006-03-01 00:00:00

  • [Early pleuropulmonary toxicity associated with cabergoline, an antiparkinsonian drug].

    abstract::We report a case of pleural effusion, pericardial thickening, and pulmonary involvement in a patient with dry cough, dyspnea, edema, and changes in the skin of the lower limbs. Treatment with cabergoline (Sogilen) had been started 4 months earlier. Pleural effusion, pericardial thickening, and impaired pulmonary funct...

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    pub_type: 杂志文章

    doi:10.1016/s1579-2129(07)60118-9

    authors: Villavicencio C,Ramírez-Sarmiento A,Gayete A,Grau S,Orozco-Levi M

    更新日期:2007-09-01 00:00:00

  • Factors associated with the non-completion of conventional anti-tuberculosis treatment in Peru.

    abstract:BACKGROUND:The non-adherence to tuberculosis treatment is associated with increased infection, antibiotic resistance, increased costs and death. Our objective was to identify factors associated with lack of completion of conventional treatment for tuberculosis in Peru. PATIENTS AND METHODS:An unmatched case-control st...

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    pub_type: 杂志文章

    doi:10.1016/j.arbres.2011.12.008

    authors: Culqui DR,Munayco E CV,Grijalva CG,Cayla JA,Horna-Campos O,Alva Ch K,Suarez O LA

    更新日期:2012-05-01 00:00:00

  • [Detection of lymph node involvement and surgical treatment of pulmonary neoplastic processes. Current state of diagnostic and therapeutic procedures].

    abstract::An analysis is made of different publications associated with the surgical staging and treatment of primary and metastasic pulmonary neoplastic processes. A suitable treatment program is essential to determine lymph node involvement in patients with bronchogenic carcinoma. The indication and sequence of the procedure ...

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    pub_type: 杂志文章,评审

    doi:10.1016/S0300-2896(10)70011-9

    authors: García-Yuste M,Matilla JM,González-Aragoneses F,Heras F

    更新日期:2010-03-01 00:00:00