Hepatic Venous Pressure Gradient: Measurement and Pitfalls.

Humans Hypertension, Portal / physiopathology Portal Pressure Hepatic Veins / physiopathology Prognosis Severity of Illness Index
Beta-blockers invasive Catheterization Cirrhosis HVPG Portal hypertension Portal pressure monitoring

Journal

Clinics in liver disease
ISSN: 1557-8224
Titre abrégé: Clin Liver Dis
Pays: United States
ID NLM: 9710002

Informations de publication

Date de publication:
Aug 2024
Historique:
medline: 1 7 2024
pubmed: 1 7 2024
entrez: 30 6 2024
Statut: ppublish

Résumé

Measurement of hepatic venous pressure gradient (HVPG) effectively mirrors the severity of portal hypertension (PH) and offers valuable insights into prognosis of liver disease, including the risk of decompensation and mortality. Additionally, HVPG offers crucial information about treatment response to nonselective beta-blockers and other medications, with its utility demonstrated in clinical trials in patients with PH. Despite the widespread dissemination and validation of noninvasive tests, HVPG still holds a significant role in hepatology. Physicians treating patients with liver diseases should comprehend the HVPG measurement procedure, its applications, and how to interpret the results and potential pitfalls.

Identifiants

DOI: 10.1016/j.cld.2024.03.009 PMID: 38945633
pubmed: 38945633
pii: S1089-3261(24)00034-5
doi: 10.1016/j.cld.2024.03.009
pii:
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

383-400

Informations de copyright

Copyright © 2024 Elsevier Inc. All rights reserved.

Déclaration de conflit d'intérêts

Disclosure S.G. Rodrigues, M.G. Delgado, and G. Stirnimann have nothing to disclose. A. Berzigotti is a consultant for Boehringer-Ingelheim. J. Bosch is a consultant for AstraZeneca, Boehringer-Ingelheim, NovoNordisk, Resolution Therapeutics.

Auteurs

Susana G Rodrigues (SG)

Department of Visceral Surgery and Medicine, Inselspital, Bern University Hospital, University of Bern, MEM, Murtenstrasse 35 Office F807, Bern 3008, Switzerland.

Maria Gabriela Delgado (MG)

Department of Visceral Surgery and Medicine, Inselspital, Bern University Hospital, University of Bern, MEM, Murtenstrasse 35 Office F808, Bern 3008, Switzerland.

Guido Stirnimann (G)

Department of Visceral Surgery and Medicine, Inselspital, Bern University Hospital, University of Bern, Freiburgstrasse, Bern 3010, Switzerland.

Annalisa Berzigotti (A)

Department of Visceral Surgery and Medicine, Inselspital, Bern University Hospital, University of Bern, BHH D115, Freiburgstrasse 10, Bern 3010, Switzerland.

Jaime Bosch (J)

Department of Visceral Surgery and Medicine, Inselspital, Bern University Hospital, University of Bern, MEM, Murtenstrasse 35 Office F805, Bern 3008, Switzerland; CIBEREHD (Centro de Investigación Biomédica en Red Enfermedades Hepáticas y Digestivas), Barcelona, Spain. Electronic address: jaime.bosch@unibe.ch.

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Classifications MeSH

questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Hepatic Venous Pressure Gradient: Measurement...
questionsmedicales.fr › Maladies de l'appareil digestif › Maladies du foie › Hypertension portale › Hepatic Venous Pressure Gradient: Measurement...
questionsmedicales.fr › Phénomènes physiologiques respiratoires et circulatoires › Phénomènes physiologiques cardiovasculaires › Hémodynamique › Pression sanguine › Pression veineuse › Pression portale › Hepatic Venous Pressure Gradient: Measurement...
questionsmedicales.fr › Système cardiovasculaire › Vaisseaux sanguins › Veines › Veines hépatiques › Hepatic Venous Pressure Gradient: Measurement...
questionsmedicales.fr › Diagnostic › Pronostic › Hepatic Venous Pressure Gradient: Measurement...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Collecte de données › Enquêtes et questionnaires › Enquêtes de santé › Indicateurs d'état de santé › Acuité des besoins du patient › Indice de gravité de la maladie › Hepatic Venous Pressure Gradient: Measurement...