A review of pediatric pulmonary hypertension with new guidelines

Serdar KULA; Ayhan PEKTAŞ

Makale detayları

A review of pediatric pulmonary hypertension with new guidelines

Yazarlar:

Serdar KULA | Ayhan PEKTAŞ

Yayıncı:

TUBITAK

Dergi:

Turkish Journal of Medical Sciences 2017 Vol.47 Issue 2, pp.375-380

Belge Tipi:

Makale

Yayın Tarihi:

3/2017

Belge Dili:

Türkçe

Document ID (Org No.):

2000751379

Sıklık:

İki Aylık

eISSN:

1303-6165

pISSN:

1300-0144

Özet:

 

This study aims to review pediatric pulmonary hypertension (PH) by comparing the guidelines of the European Society of  Cardiology (ESC)/European Respiratory Society (ERS), the American Heart Association (AHA)/American Thoracic Society (ATS),  and the European Pediatric Pulmonary Vascular Disease Network (EPPVDN). All three sets of guidelines define PH as having a mean  pulmonary artery pressure of ≥25 mmHg and accept the validity of the World Health Organization (WHO) classification system. Every  child with a high index of suspicion for PH should undergo an initial work-up of chest X-rays, electrocardiography, and echocardiography.  The AHA/ATS guidelines emphasize the necessity of cardiac catheterization and hemodynamic studies. As mentioned in the AHA/ATS  guidelines, the symptoms and tests that can detect PH include right ventricle failure, WHO functional class, syncope, echocardiography  findings, hemodynamic data, brain natriuretic peptide (BNP)/N-terminal pro-BNP, the 6-min walk test, and cardiopulmonary exercise  tests. The EPPVDN guidelines refer to positive acute vasoreactivity test results and growth as risk factors. All three guidelines highlight  the importance of treating and following affected children in specialized centers and recommend calcium channel blockers as a first-line  treatment in children (aged >12 months) who have a positive acute vasoreactivity test. Children with PH have distinct clinical features.  In order to overcome the controversies related to the optimal management of pediatric PH, well-designed clinical studies should be  carried out on a large cohort of affected children.

Makale detayları

A review of pediatric pulmonary hypertension with new guidelines

Yazarlar: Serdar KULA | Ayhan PEKTAŞ

Yayıncı: TUBITAK

Dergi: Turkish Journal of Medical Sciences 2017 Vol.47 Issue 2, pp.375-380

Belge Tipi: Makale

Yayın Tarihi: 3/2017

Belge Dili: Türkçe

Document ID (Org No.): 2000751379

Sıklık: İki Aylık

eISSN: 1303-6165

pISSN: 1300-0144

Sayı

Yazarlar:

Serdar KULA | Ayhan PEKTAŞ

Yayıncı:

TUBITAK

Dergi:

Turkish Journal of Medical Sciences 2017 Vol.47 Issue 2, pp.375-380

Belge Tipi:

Makale

Yayın Tarihi:

3/2017

Belge Dili:

Türkçe

Document ID (Org No.):

2000751379

Sıklık:

İki Aylık

eISSN:

1303-6165

pISSN:

1300-0144