Vasoreactivity testing in pulmonary hypertension associated with congenital heart disease

In December, 2021 at the IXth All-Russian Congress «Pulmonary Hypertension 2021» the first Eurasian guidelines for the diagnosis and treatment of pulmonary hypertension associated with congenital heart disease in adults were approved. The expert group discussed many contentious issues, including the...

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Main Authors: A. A. Shmalts, S. V. Gorbachevsky, T. V. Martynyuk, S. N. Nakonechnikov
Format: Article
Language:Russian
Published: InterMedservice 2022-10-01
Series:Евразийский Кардиологический Журнал
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Online Access:https://www.heartj.asia/jour/article/view/6339
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author A. A. Shmalts
S. V. Gorbachevsky
T. V. Martynyuk
S. N. Nakonechnikov
author_facet A. A. Shmalts
S. V. Gorbachevsky
T. V. Martynyuk
S. N. Nakonechnikov
author_sort A. A. Shmalts
collection DOAJ
description In December, 2021 at the IXth All-Russian Congress «Pulmonary Hypertension 2021» the first Eurasian guidelines for the diagnosis and treatment of pulmonary hypertension associated with congenital heart disease in adults were approved. The expert group discussed many contentious issues, including the need for diagnostic tests for vasoreactivity. Invasive registration of the reaction of the pulmonary vessels to vasodilators – a vasoreactivity testing – in idiopathic, hereditary and drug- and toxin-induced pulmonary arterial hypertension (PAH) is used to determine indications for calcium antagonist therapy, in PAH associated with uncorrected congenital heart disease (CHD) in children – to determine the indications for surgical treatment. The use of a vasoreactivity testing to assess the operability of adult patients with congenital heart disease is inappropriate. An overview of the performance technique, specific pulmonary vasodilators and criteria for evaluating the test for vasoreactivity in various subgroups of PH associated with CHD is given.
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issn 2225-1685
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language Russian
publishDate 2022-10-01
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series Евразийский Кардиологический Журнал
spelling doaj-art-90aeca79c83a4ae5a6d4983cef7fd5822025-08-20T03:20:20ZrusInterMedserviceЕвразийский Кардиологический Журнал2225-16852305-07482022-10-0103586410.38109/2225-1685-2022-3-58-646275Vasoreactivity testing in pulmonary hypertension associated with congenital heart diseaseA. A. Shmalts0S. V. Gorbachevsky1T. V. Martynyuk2S. N. Nakonechnikov3A. N. Bakulev Scientific Center for Cardiovascular Surgery; Ministry of the Russian FederationA. N. Bakulev Scientific Center for Cardiovascular Surgery; Ministry of the Russian FederationE. I. Chazov National Medical Research Center of Cardiology; N. I. Pirogov Russian Medical Research Medical UniversityN. I. Pirogov Russian Medical Research Medical University, Russian Medical Society for Arterial HypertensionIn December, 2021 at the IXth All-Russian Congress «Pulmonary Hypertension 2021» the first Eurasian guidelines for the diagnosis and treatment of pulmonary hypertension associated with congenital heart disease in adults were approved. The expert group discussed many contentious issues, including the need for diagnostic tests for vasoreactivity. Invasive registration of the reaction of the pulmonary vessels to vasodilators – a vasoreactivity testing – in idiopathic, hereditary and drug- and toxin-induced pulmonary arterial hypertension (PAH) is used to determine indications for calcium antagonist therapy, in PAH associated with uncorrected congenital heart disease (CHD) in children – to determine the indications for surgical treatment. The use of a vasoreactivity testing to assess the operability of adult patients with congenital heart disease is inappropriate. An overview of the performance technique, specific pulmonary vasodilators and criteria for evaluating the test for vasoreactivity in various subgroups of PH associated with CHD is given.https://www.heartj.asia/jour/article/view/6339pulmonary hypertensionpulmonary arterial hypertensioncongenital heart diseasevasoreactivity test
spellingShingle A. A. Shmalts
S. V. Gorbachevsky
T. V. Martynyuk
S. N. Nakonechnikov
Vasoreactivity testing in pulmonary hypertension associated with congenital heart disease
Евразийский Кардиологический Журнал
pulmonary hypertension
pulmonary arterial hypertension
congenital heart disease
vasoreactivity test
title Vasoreactivity testing in pulmonary hypertension associated with congenital heart disease
title_full Vasoreactivity testing in pulmonary hypertension associated with congenital heart disease
title_fullStr Vasoreactivity testing in pulmonary hypertension associated with congenital heart disease
title_full_unstemmed Vasoreactivity testing in pulmonary hypertension associated with congenital heart disease
title_short Vasoreactivity testing in pulmonary hypertension associated with congenital heart disease
title_sort vasoreactivity testing in pulmonary hypertension associated with congenital heart disease
topic pulmonary hypertension
pulmonary arterial hypertension
congenital heart disease
vasoreactivity test
url https://www.heartj.asia/jour/article/view/6339
work_keys_str_mv AT aashmalts vasoreactivitytestinginpulmonaryhypertensionassociatedwithcongenitalheartdisease
AT svgorbachevsky vasoreactivitytestinginpulmonaryhypertensionassociatedwithcongenitalheartdisease
AT tvmartynyuk vasoreactivitytestinginpulmonaryhypertensionassociatedwithcongenitalheartdisease
AT snnakonechnikov vasoreactivitytestinginpulmonaryhypertensionassociatedwithcongenitalheartdisease