Hernández CC, Mejía AR, Rosas RMJR, Campos CR, Morales BJE

Idioma: Español
Referencias bibliográficas: 38
Paginas: 51-57
Archivo PDF: 72.27 Kb.

RESUMEN

La valoración cardiopulmonar es esencial en la hipertensión arterial pulmonar (HAP) para establecer un diagnóstico adecuado y determinar la gravedad de la enfermedad. En este rubro, algunas pruebas sirven para evaluar la respuesta al tratamiento: pruebas de función respiratoria, gasometría arterial, prueba de caminata de 6 minutos y prueba de ejercicio cardiopulmonar; también es necesaria la determinación de la clase funcional y de la calidad de vida. Las pruebas de función respiratoria (espirometría y difusión de monóxido de carbono) permiten establecer la presencia de enfermedades pulmonares asociadas con la HP. Las pruebas de ejercicio (caminata de 6 minutos y prueba de ejercicio cardiopulmonar) evalúan la capacidad de ejercicio y el desempeño cardiopulmonar durante el mismo, de esta forma determinan en forma objetiva la condición inicial, la respuesta al tratamiento establecido y proporcionan una estimación pronóstica de la enfermedad. Por último, las escalas de clase funcional y de calidad de vida son instrumentos muy útiles para el seguimiento de los pacientes, así como para determinar el impacto real de los tratamientos en su vida diaria.

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