首页|房间隔缺损相关肺动脉高压机制及治疗进展

房间隔缺损相关肺动脉高压机制及治疗进展

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房间隔缺损(ASD)是常见的先天性心脏病,部分患者可能会并发肺动脉高压,对治疗和预后产生重大影响。虽然分流是先天性心脏病患者发生肺动脉高压的决定性因素,但部分患者的分流量并不足以解释肺动脉高压的严重程度。因此,阐明ASD相关肺动脉高压多方面的发病机制,对于认识肺动脉高压的发生发展过程和指导ASD的治疗具有重要意义。现就ASD相关肺动脉高压的病理生理学机制、危险因素和治疗策略的研究进展做一综述,为此类患者的诊治提供参考。
Pathogenesis and Treatment of Pulmonary Hypertension Associated with Atrial Septal Defect
Atrial septal defect(ASD)is a common congenital heart disease,and some patients may develop pulmonary hypertension(PH),which has a significant impact on treatment and prognosis.Although shunt is a decisive factor in the occurrence of PH in patients with congenital heart disease,the shunt flow in some patients is not sufficient to explain the severity of PH.Therefore,elucidating the multifaceted pathogenesis of PH associated with ASD is of great significance for understanding the occurrence and development process of PH and guiding the treatment of ASD.This article summarizes the advances in the pathophysiological mechanisms,risk factors,and treatment strategies of PH associated with ASD,providing reference for the diagnosis and treatment of such patients.

Congenital heart diseaseAtrial septal defectPulmonary hypertensionPathogenesis

李思聪、罗勤、赵智慧、赵青、柳志红

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中国医学科学院北京协和医学院国家心血管病中心阜外医院,北京 100037

先天性心脏病 房间隔缺损 肺动脉高压 发病机制

中央高水平医院临床科研业务费资助项目北京市自然科学基金中国医学科学院医学与健康科技创新工程中国医学科学院医学与健康科技创新工程

2022-GSP-GG-3572021682020-I2M-C&T-B-0552021-I2M-C&T-B-032

2024

心血管病学进展
成都市心血管病研究所,成都市第三人民医院

心血管病学进展

CSTPCD
影响因子:0.932
ISSN:1004-3934
年,卷(期):2024.45(1)
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