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Advances in Pulmonary Hypertension

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关键词: Cardiology;    Pulmonology;    Psychosocial Issues;    Lifestyle Issues;    Social Work;    WHO Group 1- Pulmonary Arterial Hypertension;    PH Medications;    Surgical Interventions;    symptoms;    Adolescence;    Oral therapy;    IV therapy;    Central Line;    Subcutaneous therapy;    Inhaled therapy;    Phosphodiesterase Inhibitors (PDE-5 Inhibitors);    Prostacyclin;    Endothelin Receptor Antagonists;    nitric oxide;    Anticoagulation;    Transplantation;    endothelial dysfunction;    syncope;    dyspnea;    patient-reported outcomes;    CME;    Classification;   

DOI  :  

学科分类：医学（综合）

来源: Pulmonary Hypertension Association

【 摘 要 】

Patients with WHO group 2 PH often present with volume overload due to left sided heart disease. Most patients should be on a low sodium diet and selected patients may be prescribed a fluid restriction as well. It may be helpful to obtain a detailed diet history to determine sodium intake and then reassess knowledge and dietary adherence after education. Patients must be educated, coached, and supported in their journey toward learning the skills needed to self-manage. Health care professionals are instrumental in helping guide health behavior change and providing emotional support to patients and families during this process. Dietitians can be beneficial members of the multidisciplinary team in helping patients become adherent to their dietary recommendations. Diuretics improve symptoms and can be adjusted early when patients weigh themselves daily and report weight gain. Early recognition and management of developing volume overload may prevent or decrease the number of hospitalizations and improve quality of life for patients with PH.

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