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Update on pulmonary circulation

ESC Congress 2010

Update on pulmonary circulation

In this session, different important topics in the field of pulmonary circulation were discussed.
Valvular, Myocardial, Pericardial, Pulmonary, Congenital Heart Disease
Pulmonary Hypertension

Prof Arnaud Perrier from Geneva described the multiple risks of misdiagnosis in acute pulmonary embolism. To minimize these risks, it is important to utilize the scores for pre-test diagnosis of pulmonary embolism, to know the sensitivity of the assays for D-dimer assessment, and to use good quality thoracic CT scans. The application of the algorithms provided in the 2008 ESC guidelines remains very important in minimizing diagnostic errors.

Prof Marc Humbert from Paris commented on the new pulmonary hypertension classification that has been included in the 2009 ESC-ERS pulmonary hypertension guidelines. The classification makes it possible to precisely identify all different clinical types of this condition, and is also a guide for the appropriate treatment.

Prof Robert Naeije from Brussels reviewed the right ventricular pathophysiological adaptations to pulmonary hypertension. He supported the concept that afterload mismatch is a key factor in the development of right heart failure.

Prof Marius Hoeper from Hannover described the new treatment algorithm included in the 2009 ESC-ERS pulmonary hypertension guidelines by clinical cases. The proposed algorithm can be applied easily in everyday practice.




Update on pulmonary circulation
The content of this article reflects the personal opinion of the author/s and is not necessarily the official position of the European Society of Cardiology.

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