Classification and composition change of hospitalized patients with pulmonary hypertension in Xiangya Hospital from 2009 to 2013
10.3760/cma.j.issn.0253-3758.2014.12.007
- VernacularTitle:2009至2013年湘雅医院肺高血压患者的分类和诊治特点
- Author:
Qiong LIU
1
;
Tianlun YANG
;
Zaixin YU
Author Information
1. 中南大学湘雅医院心内科
- Keywords:
Hypertension,pulmonary;
Incidence;
Echocardiography;
Heart catheterization;
Drug therapy
- From:
Chinese Journal of Cardiology
2014;42(12):1006-1009
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the classification and composition change of hospitalized patients with pulmonary hypertension (PH) in our hospital during recent 5 years.Methods This retrospective analysis was performed for hospitalized patients with PH between January 2009 and November 2013.Results A total of 1 003 patients diagnosed with PH were included,the PH-to-total discharged patients ratio was 2.30％.Majority PH (682,68.00％) was originated from congenital heart diseases (CHD-PH),11.67％ (117) from connective tissue diseases,11.26％ (113) from valvular heart diseases,4.99％ (50) from idiopathic,2.00％ (20) from respiratory diseases.The CHD-PH decreased gradually (P =0.041) while the VHD-PH increased gradually (P =0.017),especially in 2013.The percentage of right cardiac catheterization examination in this PH cohort was 18.64％ (187/1 003).Excluding CHD-PAH and VHD-PH,the ratio of right cardiac catheterization examination in PH patients was 40.38％ (84/208).Correct PH diagnosis by echocardiography was 74.00％ (187/253) according to right cardiac catheterization examination.A total of 186 PH patients received pulmonary vascular-targeted medication,84.90％ patients were treated with mono-therapy.Conclusion The clinical data from Xiangya hospital in 2009-2013 shows a stable composition of hospitalized patients with PH,the rate of right cardiac catheterization in these patients is low and the rate of specific target treatment of PH is high (mostly mono-therapy) excluding CHD-PAH and VHD-PH patients.
