Pulmonary Hypertension in the Critically Ill

Author(s): Michelle S. Chew, Lill Bergenzaun, Hans Ohlin, Anders Ersson

Journal Name: Current Hypertension Reviews

Volume 4 , Issue 3 , 2008

Become EABM
Become Reviewer
Call for Editor


Pulmonary hypertension is not uncommonly seen in the critically ill. It may be encountered in patients with pre-existing diseases or may occur acutely without predisposing conditions. The diagnosis and management of pulmonary hypertension can be very challenging, given that critically ill patients are often concurrently haemodynamically unstable. Commonly used therapies in the Intensive Care Unit, such as fluid resuscitation, mechanical ventilation, vasopressors and inotropes may have deleterious effects in this population. We review the pathophysiology, diagnosis and current management strategies of this disease, with special emphasis on the critically ill adult population.

Keywords: Pulmonary hypertension, right ventricular failure, nitric oxide, sildenafil, levosimendan, prostacyclin, pulmonary artery catheter, echocardiography, intensive care

Rights & PermissionsPrintExport Cite as

Article Details

Year: 2008
Published on: 01 March, 2012
Page: [150 - 160]
Pages: 11
DOI: 10.2174/157340208785132635
Price: $65

Article Metrics

PDF: 3