Beurteilung der kardiopulmonalen Funktion und Belastungstests bei Patienten mit pulmonaler Hypertonie View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2005-06

AUTHORS

Ralf Ewert, Christian F. Opitz, Roland Wensel, Michael Halank, Jörg Winkler, Sven Lodziewski, Stephan B. Felix

ABSTRACT

Pulmonary hypertension is diagnosed by various investigations that are essential for making the diagnosis. Following a careful history and physical examination, an electrocardiogram, a chest X-ray, lung function studies, blood tests and an echocardiogram form the basis of the diagnostic algorithm. Following these studies, a right and sometimes additional left heart catheterization are carried out to establish the diagnosis and to perform acute vasodilator testing. Most of these studies are performed at rest. However, exercise studies are an important part of the functional assessment in this group of patients. Exercise capacity can be estimated by functional class, measured with the 6-min walk test or comprehensively assessed by cardiopulmonary exercise testing with gas exchange analysis. Once the diagnosis and etiology of pulmonary hypertension have been established, several parameters can predict outcome in these patients: functional class, right ventricular function, pulmonary hemodynamics, and certain laboratory parameters (uric acid, brain natriuretic peptide, troponin, endothelin-1). In addition, exercise parameters such as walking distance, peak oxygen uptake or peak systolic blood pressure can reliably predict prognosis in these patients. More... »

PAGES

318-325

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00059-005-2690-9

DOI

http://dx.doi.org/10.1007/s00059-005-2690-9

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1048483890

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/15965809


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