2010肺动脉高压指南教学教材ppt课件.pptVIP

湘雅医院 余再新 ;内容;In 1891, the German pathologist Romberg observed that the heart of an individual, suffering from a stricture of the pulmonary arteries due to severe sclerosis, was double the size of a man′s fist. He again named this disease sclerosis of the pulmonary arteries. ;历史;历史;2009年;;2010年;流行病学;流行病学：NIH Registry Data;;概 念;2008年Dana point 分类( JACC,in press );诊断标准;诊断的策略;symptoms;病史采集;体征反应肺高压的程度;需要强调与肺动脉高压相关疾病的特殊体征往往可提示诊断;;实验室检查;肺动脉高压特征性的心电图改变有： 1) 电轴右偏； 2) I导联 出现s波； 3)右心室肥厚的表现，右胸前导联可出现ST-T波低平或倒置。;;超声心动图;超声心动图;;;胸部CT;;cMRI in the Diagnosis and Assessment of PH;右心导管检查;;肺动