Diagnosis and Treatment of Pulmonary Hypertension.
Source: Scripta Medica. Apr, Vol. Five groups of patients have been defined: group 1 as site info hipertenzija arterial hypertension PAHgroup 2 as PH due site info hipertenzija left heart disease, group 3 as PH due to lung diseases, group 4 as chronic thromboembolic PH, and group 5 as PH of other causes.
The early clinical symptoms and signs are subtle and non-specific, such as exertional dyspnea, fatigue, pre-syncope and progressive limitation of exercise capacity so the vast majority of patients have an advanced site info hipertenzija with World Heaith Organization functional class of III or IV at first presentation. The diagnostic approach in PH has the goal to evaluate the site info hipertenzija main anatomic components: pulmonary vasculature and right ventricle in order to establish the diagnosis and identify the group of PH.
The therapy for PAH patients includes three main components: general measures and supportive therapy; initial therapy with calcium channel blockers in vasoreactive or specific drugs approved for PAH in non-vasoreactive patients either single or in combination, and lung transplantation. All patients with PAH should be referred to PH expert centers for comprehensive diagnostic and therapeutic assessment.
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Izvor: Svjetska zdravstvena organizacija WHO Općenito vrijedi da netko ima nizak krvni tlak hipotenzija ako je sistolička vrijednost ispod mmHg, a dijastolička vrijednost 60mmHg. Ali prag između normalnog i niskog krvnog tlaka hipotenzije nije tako precizno definiran kao prag visokog krvnog tlaka hipertenzija. Hipotenzija može biti povezana sa simptomima kao što su vrtoglavica, umor, sklonost padanju u nesvijest, poremećaji vida ili visoka brzina otkucaja srca.