[Follow-up in patients with chronic obstructive lung diseases with special reference to the pressure behavior in the pulmonary artery].
The study demonstrates the results of 203 patients with COLD in a follow-up of 4-6 years. The investigations include the clinical state, lung function tests, blood gas analyses and measurements of pulmonary arterial pressure (PAP). One hundred and six of these 203 patients were investigated 3 times within 4-6 years. Clinical state, oxygen partial pressure and airways' resistance showed the best correlation with the PAP at rest and under exercise. In 54 patients (= 51%) the pulmonary arterial pressure increased up to a pulmonary hypertension. In 37 patients (= 35%) it decreased, out of them in 13 to normal values. Only in 15 patients (= 14%) the PAP did not change. We conclude, that a single measurement of the pulmonary arterial pressure can only be a marker of the general prognosis in COLD, but not of the individual prognosis. So we need further follow-up studies for the correct assessment of the individual prognosis dependent on the clinical state in each case.
Kirsten
D
D
Zentralklinik für Herz- und Lungenkrankheiten Bad Berka/DDR.
Meister
W
W
Vattrodt
W
W
Pielesch
W
W
Seelig
U
U
Hofmann
I
I
Mönch
D
D
D000293:Adolescent; D000328:Adult; D000368:Aged; D004562:Electrocardiography; D005500:Follow-Up Studies; D006801:Humans; D006976:Hypertension, Pulmonary / Q000503:physiopathology; D008173:Lung Diseases, Obstructive / Q000175:diagnosis / Q000503:physiopathology; D008176:Lung Volume Measurements; D008875:Middle Aged; D011669:Pulmonary Wedge Pressure
Verlaufsuntersuchungen bei Patienten mit chronisch obstruktiven Lungenkrankheiten unter besonderer Berücksichtigung des Druckverhaltens in der Arteria pulmonalis.