{"id":19426,"date":"2021-05-05T18:01:06","date_gmt":"2021-05-05T18:01:06","guid":{"rendered":"https:\/\/sbpt.org.br\/portal\/?p=19426"},"modified":"2021-05-05T18:01:06","modified_gmt":"2021-05-05T18:01:06","slug":"hipertensao-pulmonar","status":"publish","type":"post","link":"https:\/\/sbpt.org.br\/portal\/hipertensao-pulmonar\/","title":{"rendered":"Dia Mundial da Hipertens\u00e3o Pulmonar: 5 de maio"},"content":{"rendered":"<p style=\"text-align: justify\">A hipertens\u00e3o pulmonar \u00e9 uma doen\u00e7a progressiva, caracterizada pela eleva\u00e7\u00e3o da press\u00e3o arterial pulmonar m\u00e9dia acima de 20 mmHg.<\/p>\n<p style=\"text-align: justify\">A preval\u00eancia estimada \u00e9 de cerca de 2 milh\u00f5es de brasileiros, sendo que 100.000 t\u00eam hipertens\u00e3o arterial pulmonar (HAP) e necessitam de tratamento espec\u00edfico. Apesar de ser potencialmente grave, os recentes avan\u00e7os no tratamento diminu\u00edram os \u00edndices de mortalidade de pacientes.<\/p>\n<p style=\"text-align: justify\">Hist\u00f3rico familiar, uso de drogas l\u00edcitas ou il\u00edcitas e diagn\u00f3stico pr\u00e9vio de esquistossomose ou colagenoses s\u00e3o fatores de risco para a HAP. Mas a doen\u00e7a tamb\u00e9m pode ser idiop\u00e1tica, ou seja, de causa desconhecida.<\/p>\n<p style=\"text-align: justify\">Os principais sintomas s\u00e3o dispneia (falta de ar), principalmente aos esfor\u00e7os, fadiga, astenia, s\u00edncope, edema de membros inferiores e distens\u00e3o abdominal. Sintomas em repouso, em geral, surgem apenas nos casos mais avan\u00e7ados da patologia.<\/p>\n<p style=\"text-align: justify\">Inicialmente, pode-se suspeitar de hipertens\u00e3o pulmonar nos exames de radiografia do t\u00f3rax, espirometria ou eletrocardiograma. Por\u00e9m, o ecocardiograma transtor\u00e1cico \u00e9 o exame inicial de elei\u00e7\u00e3o para o rastreamento e detec\u00e7\u00e3o da doen\u00e7a. Sobre o diagn\u00f3stico e estratifica\u00e7\u00e3o de risco da HAP, <a href=\"https:\/\/sbpt.org.br\/portal\/\/dia-mundial-hp-2019\/\">leia este artigo do nosso site<\/a>.<\/p>\n<p style=\"text-align: justify\">O tratamento pode ser feito com medicamentos para as tr\u00eas vias conhecidas: endotelina, \u00f3xido n\u00edtrico e prostanoides.<\/p>\n<p style=\"text-align: justify\">As principais causas de descompensa\u00e7\u00e3o da doen\u00e7a, com necessidade de interna\u00e7\u00e3o, s\u00e3o a presen\u00e7a de infec\u00e7\u00f5es associadas, interrup\u00e7\u00f5es do tratamento e a embolia pulmonar.<\/p>\n<p style=\"text-align: justify\">Durante a pandemia da COVID-19, as discuss\u00f5es sobre Hipertens\u00e3o Pulmonar vieram \u00e0 tona por causa da descoberta do componente vascular da doen\u00e7a. A \u201ctempestade inflamat\u00f3ria\u201d causada pelo v\u00edrus foi associada ao aumento do risco pr\u00f3-tromb\u00f3tico.<\/p>\n<p style=\"text-align: justify\">Sobre este assunto, confira o <a href=\"https:\/\/bit.ly\/diretoaoponto0321\">podcast da SBPT<\/a> transmitido em 16\/04\/2021.<\/p>\n<p style=\"text-align: justify\">Para se atualizar sobre os \u00faltimos estudos da \u00e1rea, incluindo o manejo do ventr\u00edculo direito, HAP e COVID-19, \u00e9 recomendado tamb\u00e9m assistir \u00e0s aulas do <a href=\"https:\/\/cnap2021.icongressolive.itarget.com.br\/\">Curso Nacional de Atualiza\u00e7\u00e3o da SBPT (CNAP)<\/a>.<\/p>\n<p style=\"text-align: center\"><a href=\"https:\/\/d1xe7tfg0uwul9.cloudfront.net\/sbpt.org.br\/portal\/wp-content\/uploads\/2021\/05\/Hipertens\u00e3o-Pulmonar-v2.png\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-medium wp-image-19428\" src=\"https:\/\/d1xe7tfg0uwul9.cloudfront.net\/sbpt.org.br\/portal\/wp-content\/uploads\/2021\/05\/Hipertens\u00e3o-Pulmonar-v2-300x300.png\" alt=\"\" width=\"300\" height=\"300\"><\/a><\/p>\n","protected":false},"excerpt":{"rendered":"A hipertens\u00e3o pulmonar \u00e9 uma doen\u00e7a progressiva, caracterizada pela eleva\u00e7\u00e3o da press\u00e3o arterial pulmonar m\u00e9dia acima de 20 mmHg. A preval\u00eancia estimada \u00e9 de cerca de 2 milh\u00f5es de brasileiros, sendo que 100.000 t\u00eam hipertens\u00e3o arterial pulmonar (HAP) e necessitam de tratamento espec\u00edfico. Apesar de ser potencialmente grave, os recentes avan\u00e7os no tratamento diminu\u00edram os [\u2026]","protected":false},"author":3,"featured_media":19429,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"ngg_post_thumbnail":0,"footnotes":""},"categories":[68],"tags":[406,416,94,95],"class_list":["post-19426","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-noticias","tag-circulacao-pulmonar","tag-hap","tag-hipertensao-pulmonar","tag-hp"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.7 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Dia Mundial da Hipertens\u00e3o Pulmonar: 5 de maio de 2021<\/title>\n<meta name=\"description\" content=\"A hipertens\u00e3o pulmonar \u00e9 uma doen\u00e7a progressiva, caracterizada pela eleva\u00e7\u00e3o da press\u00e3o arterial pulmonar acima de 20 mmHg.\" \/>\n<meta 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