An official European Respiratory Society statement: pulmonary haemodynamics during exercise.
Eur Respir J
; 50(5)2017 11.
Article
in En
| MEDLINE
| ID: mdl-29167297
ABSTRACT
There is growing recognition of the clinical importance of pulmonary haemodynamics during exercise, but several questions remain to be elucidated. The goal of this statement is to assess the scientific evidence in this field in order to provide a basis for future recommendations.Right heart catheterisation is the gold standard method to assess pulmonary haemodynamics at rest and during exercise. Exercise echocardiography and cardiopulmonary exercise testing represent non-invasive tools with evolving clinical applications. The term "exercise pulmonary hypertension" may be the most adequate to describe an abnormal pulmonary haemodynamic response characterised by an excessive pulmonary arterial pressure (PAP) increase in relation to flow during exercise. Exercise pulmonary hypertension may be defined as the presence of resting mean PAP <25â
mmHg and mean PAP >30â
mmHg during exercise with total pulmonary resistance >3â
Wood units. Exercise pulmonary hypertension represents the haemodynamic appearance of early pulmonary vascular disease, left heart disease, lung disease or a combination of these conditions. Exercise pulmonary hypertension is associated with the presence of a modest elevation of resting mean PAP and requires clinical follow-up, particularly if risk factors for pulmonary hypertension are present. There is a lack of robust clinical evidence on targeted medical therapy for exercise pulmonary hypertension.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Vascular Resistance
/
Cardiac Output
/
Ventricular Dysfunction, Left
/
Exercise Test
/
Hypertension, Pulmonary
Type of study:
Guideline
/
Risk_factors_studies
Limits:
Humans
Country/Region as subject:
Europa
Language:
En
Journal:
Eur Respir J
Year:
2017
Document type:
Article
Affiliation country:
Austria