Pulmonary hypertension

Rajeev S. Wadia, Priya Sekar, Chinwe Unegbu, Ephraim Tropp, Patricia L. Kane, Meghan Bernier, John D. Coulson, Lewis H. Romer

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Pulmonary hypertension is a formidable challenge to the care of children with congenital heart disease, with a burgeoning incidence in the perioperative period. Awareness of this problem, prospective clinical pathway development, and focused expertise are all needed to optimally equip multidisciplinary teams to meet this challenge. Here we present insights into epidemiology, costs, anatomy, pathophysiology, medical diagnostics, and pharmacotherapies involved in treating pulmonary hypertension in pediatric congenital heart disease patients. The emphasis is on identifying patients at risk, choosing appropriate diagnostics, optimizing perioperative outcomes, timely recognition and management of pulmonary hypertensive crisis, the molecular basis of pharmacotherapy, and guidelines for treatment. Anticipatory guidance is also provided for transferring children from hospital to home, and frontiers of research in the field are considered.

Original languageEnglish (US)
Title of host publicationCritical Heart Disease in Infants and Children
PublisherElsevier
Pages836-851.e14
ISBN (Electronic)9781455707607
ISBN (Print)9781455751006
DOIs
StatePublished - Jan 1 2018

Keywords

  • Child
  • Congenital heart disease
  • Endothelin receptor antagonist
  • Inhaled vasodilator
  • Nitric oxide
  • Perioperative risk
  • Phosphodiesterase inhibitor
  • Prostacyclin
  • Pulmonary hypertension
  • Pulmonary vascular disease
  • Pulmonary vascular resistance
  • Pulmonary vasodilator
  • Right heart failure

ASJC Scopus subject areas

  • Medicine(all)

Fingerprint Dive into the research topics of 'Pulmonary hypertension'. Together they form a unique fingerprint.

  • Cite this

    Wadia, R. S., Sekar, P., Unegbu, C., Tropp, E., Kane, P. L., Bernier, M., Coulson, J. D., & Romer, L. H. (2018). Pulmonary hypertension. In Critical Heart Disease in Infants and Children (pp. 836-851.e14). Elsevier. https://doi.org/10.1016/B978-1-4557-0760-7.00071-1