title: Pulmonary hypertension and hepatic cirrhosis.
abstract: Pulmonary hypertension is a relatively common phenomenon in patients with hepatic cirrhosis and can appear through various mechanisms. The most characteristic scenario that binds portal and pulmonary hypertension is portopulmonary syndrome. However, hyperdynamic circulation, TIPS placement and heart failure can raise the mean pulmonary artery pressure without increasing the resistances. These conditions are not candidates for treatment with pulmonary vasodilators and require a specific therapy. A correct assessment of hemodynamic, ultrasound and clinical variables enables the differential diagnosis of each situation that produces pulmonary hypertension in patients with cirrhosis.
authors: Servicio de Gastroenterología, Hospital Universitario Ramón y Cajal, Madrid, España. Electronic address: luistevilla@gmail.com.
authors: L
authors: L
authors: Téllez Villajos
authors: Servicio de Gastroenterología, Hospital Universitario Ramón y Cajal, Madrid, España.
authors: J
authors: J
authors: Martínez González
authors: Servicio de Gastroenterología, Hospital Universitario Ramón y Cajal, Madrid, España.
authors: V
authors: V
authors: Moreira Vicente
authors: Servicio de Gastroenterología, Hospital Universitario Ramón y Cajal, Madrid, España.
authors: A
authors: A
authors: Albillos Martínez
keywords: Circulación hiperdinámica; Cirrhosis; Cirrosis; Diastolic dysfunction; Disfunción diastólica; Hipertensión portal; Hipertensión pulmonar; Hyperdynamic circulation; Portal hypertension; Portopulmonary syndrome; Pulmonary hypertension; Síndrome portopulmonar