Unmasking a Silent Threat: Improving Pulmonary Hypertension Screening Methods for Interstitial Lung Disease Patients

This article provides a comprehensive overview of the latest literature on the diagnostics and treatment of pulmonary hypertension (PH) associated with interstitial lung disease (ILD). Heightened suspicion for PH arises when the advancement of dyspnoea in ILD patients diverges from the expected patt...

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Main Authors: Vaida Averjanovaitė, Lina Gumbienė, Ingrida Zeleckienė, Virginija Šileikienė
Format: Article
Language:English
Published: MDPI AG 2023-12-01
Series:Medicina
Subjects:
Online Access:https://www.mdpi.com/1648-9144/60/1/58
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author Vaida Averjanovaitė
Lina Gumbienė
Ingrida Zeleckienė
Virginija Šileikienė
author_facet Vaida Averjanovaitė
Lina Gumbienė
Ingrida Zeleckienė
Virginija Šileikienė
author_sort Vaida Averjanovaitė
collection DOAJ
description This article provides a comprehensive overview of the latest literature on the diagnostics and treatment of pulmonary hypertension (PH) associated with interstitial lung disease (ILD). Heightened suspicion for PH arises when the advancement of dyspnoea in ILD patients diverges from the expected pattern of decline in pulmonary function parameters. The complexity of PH associated with ILD (PH-ILD) diagnostics is emphasized by the limitations of transthoracic echocardiography in the ILD population, necessitating the exploration of alternative diagnostic approaches. Cardiac magnetic resonance imaging (MRI) emerges as a promising tool, offering insights into hemodynamic parameters and providing valuable prognostic information. The potential of biomarkers, alongside pulmonary function and cardiopulmonary exercise tests, is explored for enhanced diagnostic and prognostic precision. While specific treatments for PH-ILD remain limited, recent studies on inhaled treprostinil provide new hope for improved patient outcomes.
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spelling doaj.art-4d3243eddf76417eb025c6da1d3edebe2024-01-26T17:35:07ZengMDPI AGMedicina1010-660X1648-91442023-12-016015810.3390/medicina60010058Unmasking a Silent Threat: Improving Pulmonary Hypertension Screening Methods for Interstitial Lung Disease PatientsVaida Averjanovaitė0Lina Gumbienė1Ingrida Zeleckienė2Virginija Šileikienė3Faculty of Medicine, Vilnius University, LT-03101 Vilnius, LithuaniaClinic of Cardiac and Vascular Diseases, Faculty of Medicine, Institute of Clinical Medicine, Vilnius University, LT-03101 Vilnius, LithuaniaFaculty of Medicine, Vilnius University, LT-03101 Vilnius, LithuaniaClinic of Chest Diseases, Immunology and Allergology, Faculty of Medicine, Institute of Clinical Medicine, Vilnius University, LT-03101 Vilnius, LithuaniaThis article provides a comprehensive overview of the latest literature on the diagnostics and treatment of pulmonary hypertension (PH) associated with interstitial lung disease (ILD). Heightened suspicion for PH arises when the advancement of dyspnoea in ILD patients diverges from the expected pattern of decline in pulmonary function parameters. The complexity of PH associated with ILD (PH-ILD) diagnostics is emphasized by the limitations of transthoracic echocardiography in the ILD population, necessitating the exploration of alternative diagnostic approaches. Cardiac magnetic resonance imaging (MRI) emerges as a promising tool, offering insights into hemodynamic parameters and providing valuable prognostic information. The potential of biomarkers, alongside pulmonary function and cardiopulmonary exercise tests, is explored for enhanced diagnostic and prognostic precision. While specific treatments for PH-ILD remain limited, recent studies on inhaled treprostinil provide new hope for improved patient outcomes.https://www.mdpi.com/1648-9144/60/1/58pulmonary hypertensioninterstitial lung diseasecardiopulmonary exercise testinglung function testsechocardiographycardiac magnetic resonance imaging
spellingShingle Vaida Averjanovaitė
Lina Gumbienė
Ingrida Zeleckienė
Virginija Šileikienė
Unmasking a Silent Threat: Improving Pulmonary Hypertension Screening Methods for Interstitial Lung Disease Patients
Medicina
pulmonary hypertension
interstitial lung disease
cardiopulmonary exercise testing
lung function tests
echocardiography
cardiac magnetic resonance imaging
title Unmasking a Silent Threat: Improving Pulmonary Hypertension Screening Methods for Interstitial Lung Disease Patients
title_full Unmasking a Silent Threat: Improving Pulmonary Hypertension Screening Methods for Interstitial Lung Disease Patients
title_fullStr Unmasking a Silent Threat: Improving Pulmonary Hypertension Screening Methods for Interstitial Lung Disease Patients
title_full_unstemmed Unmasking a Silent Threat: Improving Pulmonary Hypertension Screening Methods for Interstitial Lung Disease Patients
title_short Unmasking a Silent Threat: Improving Pulmonary Hypertension Screening Methods for Interstitial Lung Disease Patients
title_sort unmasking a silent threat improving pulmonary hypertension screening methods for interstitial lung disease patients
topic pulmonary hypertension
interstitial lung disease
cardiopulmonary exercise testing
lung function tests
echocardiography
cardiac magnetic resonance imaging
url https://www.mdpi.com/1648-9144/60/1/58
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