Article (Scientific journals)
Hypertension arterielle pulmonaire et bronchopathie chronique obstructive
Naldi, Marco; D'Orio, Vincenzo; Louis, Renaud
2006In Revue Médicale de Liège, 61 (7-8, Jul-Aug), p. 563-71
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Abstract :
[en] In this paper we review the current knowledge on pulmonary hypertension (PH) occurring in COPD. PH is defined as a mean pulmonary arterial pressure at rest greater than 20 mmHg measured by right heart catheterisation. PH is usually present during exercise before appearing at rest. PH in COPD increases the risk of hospitalisation and darkens the disease prognosis. Chronic hypoxemia is the major contributor to PH, but remodelling of arterial wall and mechanical factors such as hyperinflation also play a role. Transthoracic echocardiography is the most useful non invasive investigation, but right heart catheterisation is necessary to ascertain the diagnosis. Long term 02 supplementation is the basis of the treatment while vasodilatators may worsen hypoxemia.
Disciplines :
General & internal medicine
Author, co-author :
Naldi, Marco ;  Centre Hospitalier Universitaire de Liège - CHU > Pneumologie-Allergologie
D'Orio, Vincenzo ;  Université de Liège - ULiège > Département des sciences cliniques > Médecine d'urgence - bioch. et phys. hum. normales et path.
Louis, Renaud ;  Université de Liège - ULiège > Département des sciences cliniques > Pneumologie - Allergologie
Language :
French
Title :
Hypertension arterielle pulmonaire et bronchopathie chronique obstructive
Alternative titles :
[en] Pulmonary Arterial Hypertension Due to Copd
Publication date :
2006
Journal title :
Revue Médicale de Liège
ISSN :
0370-629X
eISSN :
2566-1566
Publisher :
Université de Liège. Revue Médicale de Liège, Liège, Belgium
Volume :
61
Issue :
7-8, Jul-Aug
Pages :
563-71
Peer reviewed :
Peer reviewed
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since 14 October 2009

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