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Pulmonary Hypertension after Hematopoietic Stem Cell Transplantation
Institution:1. Division of Bone Marrow Transplantation and Immune Deficiency, Cincinnati Children''s Hospital Medical Center, Cincinnati, Ohio;2. Division of Cardiology, Cincinnati Children''s Hospital Medical Center, Cincinnati, Ohio;3. Division of Critical Care Medicine, Cincinnati Children''s Hospital Medical Center, Cincinnati, Ohio
Abstract:Pulmonary hypertension (PH) is a potentially fatal complication of hematopoietic stem cell transplantation (HSCT). Given its nonspecific clinical presentation, it is likely that this clinical entity is underdiagnosed after HSCT. Data describing the incidence, risk factors, and etiology of PH in HSCT recipients are minimal. Physicians caring for HSCT recipients should be aware of this severe post-transplant complication because timely diagnosis and treatment may allow improved clinical outcomes. We summarize the pathophysiology, clinical presentation, diagnosis, and management of PH in HSCT recipients.
Keywords:Pulmonary hypertension  Pulmonary arterial hypertension  Pulmonary veno-occlusive disease  Thrombotic microangiopathy
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