Abstract

PEREZ-OLIVARES DELGADO, Carmen; AURTENETXE PEREZ1,3, Águeda  and  ESCRIBANO SUBIAS1,2,3, Pilar. Hipertensión arterial pulmonar: : progresión, pronóstico e impacto. Insuf. card. [online]. 2019, vol.14, suppl.1, pp.1-7. ISSN 1852-3862.

Pulmonary arterial hypertension is an infrequent disease, characterized by an increase in afterload of the right ventricle. The adaptation of the right ventricle to this afterload is related to the prognosis of the patients. The prognostic stratification is based on a multiparametric assessment. The clinical, functional parameters, assessment of the right ventricle and hemodynamic evaluation will define the risk situation of the patients, depending on the one-year mortality. The situation of low risk at one year of follow-up has been related to greater survival. The current therapeutic algorithm includes monotherapy, double and triple therapy as an initial strategy. Therapeutic escalation should be carried out in order to keep patients at low risk during follow-up.

Keywords : Pulmonary arterial hypertension; Right ventricular afterload; Prognosis; Therapeutic algorithm; Follow-up.

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