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Pulmonary Hypertension in Valvular Disease: a comprehensive review on pathophysiology to therapy from the HAVEC Group.

Abstract : Pulmonary hypertension (PH) is a classic pathophysiological consequence of left-sided valvular heart disease (VHD). However, as opposed to other forms of PH, there are relatively few published data on the prevalence, impact on outcome, and management of PH with VHD. The objective of this paper is to present a systematic review of PH in patients with VHD. PH is found in 15% to 60% of patients with VHD and is more frequent among symptomatic patients. PH is associated with higher risk of cardiac events under conservative management, during valve replacement or repair procedures, and even following successful corrective procedures. In addition to its usefulness in assessing the presence and severity of VHD, Doppler echocardiography is a key tool in diagnosis of PH and assessment of its repercussion on right ventricular function. Assessment of pulmonary arterial pressure during exercise stress echocardiography may provide additional prognostic information beyond resting evaluation. Cardiac magnetic resonance is also useful for assessing right ventricular geometry and function, which provide additional prognostic information in patients with VHD and PH.
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https://hal-unilim.archives-ouvertes.fr/hal-02320097
Contributeur : Elisabeth Grelier <>
Soumis le : vendredi 18 octobre 2019 - 14:30:55
Dernière modification le : lundi 20 juillet 2020 - 13:06:06

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Julien Magne, Philippe Pibarot, Partho Sengupta, Erwan Donal, Raphael Rosenhek, et al.. Pulmonary Hypertension in Valvular Disease: a comprehensive review on pathophysiology to therapy from the HAVEC Group.. JACC: Cardiovascular Imaging, Elsevier/American College of Cardiology, 2015, 8 (1), pp.83-99. ⟨10.1016/j.jcmg.2014.12.003⟩. ⟨hal-02320097⟩

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