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, 9 (Suppl 1), S98-S107

Saudi Guidelines on the Diagnosis and Treatment of Pulmonary Hypertension: Perioperative Management in Patients With Pulmonary Hypertension

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Saudi Guidelines on the Diagnosis and Treatment of Pulmonary Hypertension: Perioperative Management in Patients With Pulmonary Hypertension

Adriano R Tonelli et al. Ann Thorac Med.

Abstract

Patients with pulmonary hypertension (PH) are being encountered more commonly in the perioperative period and this trend is likely to increase as improvements in the recognition, management, and treatment of the disease continue to occur. Management of these patients is challenging due to their tenuous hemodynamic status. Recent advances in the understanding of the patho-physiology, risk factors, monitoring, and treatment of the disease provide an opportunity to reduce the morbidity and mortality associated with PH in the peri-operative period. Management of these patients requires a multi-disciplinary approach and meticulous care that is best provided in centers with vast experience in PH. In this review, we provide a detailed discussion about oerioperative strategies in PH patients, and give evidence-based recommendations, when applicable.

Keywords: Heart failure; Saudi association for pulmonary hypertension guidelines; perioperative management; pulmonary hypertension; surgery.

Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
Management of systemic hypotension based on determinations obtained from right heart catheterization (figure obtained with permission from Minai et al.1). CO = Cardiac output, CVP = Central venous pressure, PAP = Pulmonary artery pressure, PCWP = Pulmonary capillary wedge pressure, RV = Right ventricle, SVR = Systemic vascular resistance

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References

    1. Minai OA, Yared JP, Kaw R, Subramaniam K, Hill NS. Perioperative risk and management in patients with pulmonary hypertension. Chest. 2013;144:329–40. - PubMed
    1. Tonelli AR, Minai OA, Dweik RA. Perioperative management of the patient with pulmonary hypertension. In: Mandell BF, editor. Perioperative Management of Patients with Rheumatic Disease. New York: Springer Science, LLC; 2013.
    1. Galiè N, Manes A, Negro L, Palazzini M, Bacchi-Reggiani ML, Branzi A. A meta-analysis of randomized controlled trials in pulmonary arterial hypertension. Eur Heart J. 2009;30:394–403. - PMC - PubMed
    1. Benza RL, Miller DP, Gomberg-Maitland M, Frantz RP, Foreman AJ, Coffey CS, et al. Predicting survival in pulmonary arterial hypertension: Insights from the registry to evaluate early and long-term pulmonary arterial hypertension disease management (REVEAL) Circulation. 2010;122:164–72. - PubMed
    1. Humbert M, Sitbon O, Chaouat A, Bertocchi M, Habib G, Gressin V, et al. Survival in patients with idiopathic, familial, and anorexigen-associated pulmonary arterial hypertension in the modern management era. Circulation. 2010;122:156–63. - PubMed
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