Emergencies in Pulmonary Hypertension

Cardiol Clin. 2024 May;42(2):273-278. doi: 10.1016/j.ccl.2024.02.011. Epub 2024 Mar 23.

Abstract

Pulmonary hypertension is a challenging disease entity with various underlying etiologies. The management of patients with pulmonary arterial hypertension (WHO Group 1) remains challenging especially in the critical care setting. With risk of high morbidity and mortality, these patients require a multidisciplinary team approach at a speciality care facility for pulmonary hypertension for comprehensive evaluation and rapid initiation of treatment. For acute decompensated right heart failure, management should concentrate on optimizing preload and after load with use of pulmonary vasodilator therapy. A careful evaluation of specialized situations is required for appropriate treatment response.

Keywords: Critical care; Emergencies; PAH; Pulmonary hypertension.

Publication types

  • Review

MeSH terms

  • Critical Care
  • Emergencies
  • Heart Failure*
  • Humans
  • Hypertension, Pulmonary*
  • Pulmonary Arterial Hypertension*
  • Vasodilator Agents / therapeutic use

Substances

  • Vasodilator Agents