Titre : Hypertension artérielle pulmonaire primitive familiale

Hypertension artérielle pulmonaire primitive familiale : Questions médicales fréquentes

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confirmer le diagnostic ?\nQuels symptômes peuvent alerter sur cette maladie ?\nL'hérédité joue-t-elle un rôle dans le diagnostic ?\nQuels examens complémentaires sont recommandés ?", "url": "https://questionsmedicales.fr/mesh/D065627?page=3#section-diagnostic" }, { "@type": "MedicalWebPage", "name": "Symptômes", "headline": "Symptômes sur Hypertension artérielle pulmonaire primitive familiale", "description": "Quels sont les symptômes principaux de cette maladie ?\nLes symptômes varient-ils selon les patients ?\nQuand les symptômes apparaissent-ils généralement ?\nLes symptômes peuvent-ils s'aggraver avec le temps ?\nY a-t-il des signes d'alerte à surveiller ?", "url": "https://questionsmedicales.fr/mesh/D065627?page=3#section-symptômes" }, { "@type": "MedicalWebPage", "name": "Prévention", "headline": "Prévention sur Hypertension artérielle pulmonaire primitive familiale", "description": "Peut-on prévenir l'hypertension pulmonaire ?\nLes facteurs de risque peuvent-ils être modifiés ?\nLe dépistage précoce est-il important ?\nLes activités physiques sont-elles recommandées ?\nY a-t-il des conseils diététiques à suivre ?", "url": "https://questionsmedicales.fr/mesh/D065627?page=3#section-prévention" }, { "@type": "MedicalWebPage", "name": "Traitements", "headline": "Traitements sur Hypertension artérielle pulmonaire primitive familiale", "description": "Quels traitements sont disponibles pour cette maladie ?\nLa transplantation pulmonaire est-elle une option ?\nLes médicaments peuvent-ils améliorer la qualité de vie ?\nY a-t-il des effets secondaires aux traitements ?\nLes traitements sont-ils personnalisés ?", "url": "https://questionsmedicales.fr/mesh/D065627?page=3#section-traitements" }, { "@type": "MedicalWebPage", "name": "Complications", "headline": "Complications sur Hypertension artérielle pulmonaire primitive familiale", "description": "Quelles sont les complications possibles ?\nL'hypertension pulmonaire peut-elle affecter d'autres organes ?\nComment l'insuffisance cardiaque est-elle liée ?\nLes complications peuvent-elles être évitées ?\nQuels signes indiquent une complication ?", "url": "https://questionsmedicales.fr/mesh/D065627?page=3#section-complications" }, { "@type": "MedicalWebPage", "name": "Facteurs de risque", "headline": "Facteurs de risque sur Hypertension artérielle pulmonaire primitive familiale", "description": "Quels sont les principaux facteurs de risque ?\nL'âge influence-t-il le risque ?\nLes maladies auto-immunes sont-elles un facteur ?\nLe sexe joue-t-il un rôle dans le risque ?\nLe mode de vie peut-il influencer le risque ?", "url": "https://questionsmedicales.fr/mesh/D065627?page=3#section-facteurs de risque" } ] }, { "@type": "FAQPage", "mainEntity": [ { "@type": "Question", "name": "Comment diagnostiquer l'hypertension pulmonaire ?", "position": 1, "acceptedAnswer": { "@type": "Answer", "text": "Le diagnostic se fait par échocardiographie, tests de fonction pulmonaire et cathétérisme cardiaque." } }, { "@type": "Question", "name": "Quels tests sont utilisés pour confirmer le diagnostic ?", "position": 2, "acceptedAnswer": { "@type": "Answer", "text": "Le cathétérisme cardiaque droit est le test de référence pour mesurer la pression pulmonaire." } }, { "@type": "Question", "name": "Quels symptômes peuvent alerter sur cette maladie ?", "position": 3, "acceptedAnswer": { "@type": "Answer", "text": "Essoufflement, fatigue, douleurs thoraciques et syncope sont des symptômes courants." } }, { "@type": "Question", "name": "L'hérédité joue-t-elle un rôle dans le diagnostic ?", "position": 4, "acceptedAnswer": { "@type": "Answer", "text": "Oui, un historique familial d'hypertension pulmonaire augmente le risque de la maladie." } }, { "@type": "Question", "name": "Quels examens complémentaires sont recommandés ?", "position": 5, "acceptedAnswer": { "@type": "Answer", "text": "Des tests génétiques peuvent être effectués pour identifier des mutations associées." } }, { "@type": "Question", "name": "Quels sont les symptômes principaux de cette maladie ?", "position": 6, "acceptedAnswer": { "@type": "Answer", "text": "Les symptômes incluent essoufflement, fatigue, douleurs thoraciques et palpitations." } }, { "@type": "Question", "name": "Les symptômes varient-ils selon les patients ?", "position": 7, "acceptedAnswer": { "@type": "Answer", "text": "Oui, l'intensité et la combinaison des symptômes peuvent varier d'un patient à l'autre." } }, { "@type": "Question", "name": "Quand les symptômes apparaissent-ils généralement ?", "position": 8, "acceptedAnswer": { "@type": "Answer", "text": "Les symptômes peuvent apparaître progressivement, souvent après l'adolescence ou à l'âge adulte." } }, { "@type": "Question", "name": "Les symptômes peuvent-ils s'aggraver avec le temps ?", "position": 9, "acceptedAnswer": { "@type": "Answer", "text": "Oui, sans traitement, les symptômes peuvent s'aggraver et affecter la qualité de vie." } }, { "@type": "Question", "name": "Y a-t-il des signes d'alerte à surveiller ?", "position": 10, "acceptedAnswer": { "@type": "Answer", "text": "Des signes comme l'œdème des jambes ou des lèvres bleues doivent être surveillés." } }, { "@type": "Question", "name": "Peut-on prévenir l'hypertension pulmonaire ?", "position": 11, "acceptedAnswer": { "@type": "Answer", "text": "Il n'existe pas de méthode de prévention spécifique, mais un suivi médical régulier est conseillé." } }, { "@type": "Question", "name": "Les facteurs de risque peuvent-ils être modifiés ?", "position": 12, "acceptedAnswer": { "@type": "Answer", "text": "Oui, éviter le tabagisme et maintenir un poids santé peut réduire le risque." } }, { "@type": "Question", "name": "Le dépistage précoce est-il important ?", "position": 13, "acceptedAnswer": { "@type": "Answer", "text": "Oui, un dépistage précoce peut aider à identifier la maladie avant qu'elle ne progresse." } }, { "@type": "Question", "name": "Les activités physiques sont-elles recommandées ?", "position": 14, "acceptedAnswer": { "@type": "Answer", "text": "Des exercices modérés peuvent être bénéfiques, mais doivent être adaptés à chaque patient." } }, { "@type": "Question", "name": "Y a-t-il des conseils diététiques à suivre ?", "position": 15, "acceptedAnswer": { "@type": "Answer", "text": "Une alimentation équilibrée et faible en sel peut aider à gérer la pression artérielle." } }, { "@type": "Question", "name": "Quels traitements sont disponibles pour cette maladie ?", "position": 16, "acceptedAnswer": { "@type": "Answer", "text": "Les traitements incluent des vasodilatateurs, des anticoagulants et des thérapies ciblées." } }, { "@type": "Question", "name": "La transplantation pulmonaire est-elle une option ?", "position": 17, "acceptedAnswer": { "@type": "Answer", "text": "Oui, la transplantation pulmonaire peut être envisagée pour les cas graves et réfractaires." } }, { "@type": "Question", "name": "Les médicaments peuvent-ils améliorer la qualité de vie ?", "position": 18, "acceptedAnswer": { "@type": "Answer", "text": "Oui, les traitements peuvent soulager les symptômes et améliorer la qualité de vie des patients." } }, { "@type": "Question", "name": "Y a-t-il des effets secondaires aux traitements ?", "position": 19, "acceptedAnswer": { "@type": "Answer", "text": "Oui, certains traitements peuvent avoir des effets secondaires comme des maux de tête ou des nausées." } }, { "@type": "Question", "name": "Les traitements sont-ils personnalisés ?", "position": 20, "acceptedAnswer": { "@type": "Answer", "text": "Oui, le traitement est souvent adapté en fonction de la gravité et des caractéristiques du patient." } }, { "@type": "Question", "name": "Quelles sont les complications possibles ?", "position": 21, "acceptedAnswer": { "@type": "Answer", "text": "Les complications incluent l'insuffisance cardiaque, les arythmies et les embolies pulmonaires." } }, { "@type": "Question", "name": "L'hypertension pulmonaire peut-elle affecter d'autres organes ?", "position": 22, "acceptedAnswer": { "@type": "Answer", "text": "Oui, elle peut entraîner des complications dans le cœur, les reins et le foie." } }, { "@type": "Question", "name": "Comment l'insuffisance cardiaque est-elle liée ?", "position": 23, "acceptedAnswer": { "@type": "Answer", "text": "L'augmentation de la pression dans les artères pulmonaires peut surcharger le cœur, entraînant une insuffisance." } }, { "@type": "Question", "name": "Les complications peuvent-elles être évitées ?", "position": 24, "acceptedAnswer": { "@type": "Answer", "text": "Un traitement précoce et un suivi régulier peuvent aider à prévenir certaines complications." } }, { "@type": "Question", "name": "Quels signes indiquent une complication ?", "position": 25, "acceptedAnswer": { "@type": "Answer", "text": "Des symptômes comme une aggravation de l'essoufflement ou des douleurs thoraciques doivent alerter." } }, { "@type": "Question", "name": "Quels sont les principaux facteurs de risque ?", "position": 26, "acceptedAnswer": { "@type": "Answer", "text": "Les antécédents familiaux, certaines maladies et le tabagisme sont des facteurs de risque connus." } }, { "@type": "Question", "name": "L'âge influence-t-il le risque ?", "position": 27, "acceptedAnswer": { "@type": "Answer", "text": "Oui, le risque augmente généralement avec l'âge, surtout après 30 ans." } }, { "@type": "Question", "name": "Les maladies auto-immunes sont-elles un facteur ?", "position": 28, "acceptedAnswer": { "@type": "Answer", "text": "Oui, des maladies comme le lupus ou la sclérodermie peuvent augmenter le risque d'hypertension pulmonaire." } }, { "@type": "Question", "name": "Le sexe joue-t-il un rôle dans le risque ?", "position": 29, "acceptedAnswer": { "@type": "Answer", "text": "Oui, les femmes sont plus souvent touchées par l'hypertension pulmonaire que les hommes." } }, { "@type": "Question", "name": "Le mode de vie peut-il influencer le risque ?", "position": 30, "acceptedAnswer": { "@type": "Answer", "text": "Oui, un mode de vie sédentaire et une mauvaise alimentation peuvent augmenter le risque." } } ] } ] }

Sources (10000 au total)

Cytokines as prognostic biomarkers in pulmonary arterial hypertension.

Risk stratification and assessment of disease progression in patients with pulmonary arterial hypertension (PAH) are challenged by the lack of accurate disease-specific and prognostic biomarkers. To d... This study was designed to identify an easily measurable biomarker panel in the serum of 80 well-phenotyped PAH patients with idiopathic, heritable or drug-induced PAH at baseline and at first follow-... Among the 20 biomarkers studied with the multiplex Ella platform, we identified a three-biomarker panel composed of β-NGF, CXCL9 and TRAIL that were independently associated with prognosis both at the... The monitoring of β-NGF, CXCL9 and TRAIL levels in serum should be considered in the management and treatment of patients with PAH to objectively guide therapeutic options....

Management of pulmonary arterial hypertension during pregnancy.

Pulmonary arterial hypertension (PAH) is defined as a mean pulmonary artery pressure >20 mmHg and pulmonary vascular resistance >2 Wood Units (WU) on right-heart catheterization. Pregnancy is generall... We cover the physiology of pregnancy, and its effects on the cardiovascular system in PAH. We also discuss optimal management based on available evidence and guidance.... Pregnancy should be avoided in most patients with PAH. Counseling on appropriate contraception should be offered routinely. Education of women with childbearing potential is essential and should start...

Outcomes of pregnancy in women with different types of pulmonary hypertension.

Pulmonary hypertension (PH) is considered to increase maternal and fetal risk, and we attempt to explore pregnancy outcomes in women with different types of PH.... We retrospectively analyzed the clinical data of pregnant women with PH who were admitted to Anzhen Hospital from January 2010 to December 2019, and followed up on these parturients and their offsprin... Three hundred and sixty-six pregnant women with PH were collected, including 265 pulmonary arterial hypertension (PAH) associated with congenital heart disease (CHD), 65 PH caused by left heart diseas... Although most of these women are fertile, PH does increase maternal and fetal risk. Women with idiopathic PH and Eisenmenger syndrome are not recommended to have children....

Heterogeneity of treatment effects by risk in pulmonary arterial hypertension.

It is currently unknown if disease severity modifies response to therapy in pulmonary arterial hypertension (PAH). We aimed to explore if disease severity, as defined by established risk-prediction al... We performed a meta-analysis using individual participant data from 18 randomised clinical trials of therapy for PAH submitted to the United States Food and Drug Administration to determine if predict... Of 6561 patients with a baseline US Registry to Evaluate Early and Long-Term PAH Disease Management (REVEAL 2.0) score, we found that individuals with higher baseline risk had higher probabilities of ... We found that predicted risk of 1-year mortality in PAH modified treatment effect as measured by 6MWD, but not clinical worsening. Our findings highlight the importance of identifying sources of treat...

An emerging phenotype of pulmonary arterial hypertension patients carrying

The phenotype of pulmonary arterial hypertension (PAH) patients carrying... We report the genetic analysis findings, characteristics and outcomes of patients with heritable PAH carrying... 20 patients and eight unaffected relatives were identified. The median (range) age at diagnosis was 17 (2-53) years, with a female:male ratio of 1.5. At diagnosis, most of the patients (74%) were in N... PAH due to...