欢迎访问《中国临床药理学与治疗学》杂志官方网站,今天是

中国临床药理学与治疗学 ›› 2022, Vol. 27 ›› Issue (12): 1431-1440.doi: 10.12092/j.issn.1009-2501.2022.12.014

• 综述与讲座 • 上一篇    下一篇

人类免疫缺陷病毒相关性肺动脉高压研究进展

孟时,王中群   

  1. 江苏大学附属医院心内科,镇江 212000,江苏
  • 收稿日期:2022-07-20 修回日期:2022-12-29 出版日期:2022-12-26 发布日期:2023-01-13
  • 通讯作者: 王中群,男,博士,副研究员,博士生导师,研究方向:动脉粥样硬化基础与临床。 E-mail: wangtsmc@126.com
  • 作者简介:孟时,男,医学学士,研究方向:肺动脉高压血管重构机制研究。 E-mail: 724847845@qq.com
  • 基金资助:
    江苏省自然科学基金-面上项目(BK20201225)

Research progress on human immunodeficiency virus-associated pulmonary arterial hypertension

MENG Shi, WANG Zhongqun   

  1. Department of Cardiology, Affiliated Hospital of Jiangsu University, Zhenjiang 212000, Jiangsu, China
  • Received:2022-07-20 Revised:2022-12-29 Online:2022-12-26 Published:2023-01-13

摘要: 人类免疫缺陷病毒相关性肺动脉高压(human immunodeficiency virus-associated pulmonary arterial hypertension, HIV-PAH)是艾滋病患者的远期心血管并发症,发病率约0.5%,起病隐匿且症状缺乏特异性,预后较差。HIV-PAH发病机制复杂,HIV的旁观者效应或HIV并发症继发是可能的机制。超声心动图是重要的诊断方法并有助于患者的早期筛查。目前尚无HIV-PAH特效药,治疗策略为在高效抗逆转录病毒治疗的基础上遵循特发性肺动脉高压的治疗建议,同时需要注意两类药物之间的相互作用。本文重点总结了HIV-PAH的发病机制与治疗。

关键词: 肺动脉高压, 人类免疫缺陷病毒, 机制, 治疗

Abstract: Human immunodeficiency virus-associated pulmonary arterial hypertension (HIV-PAH) is a long-term cardiovascular complication of AIDS patients, with an incidence of about 0.5%. The onset of HIV-PAH is insidious and lack of specific symptoms with poor prognosis. The pathogenesis is complicated while the bystander effect of HIV or the complication of HIV is possible mechanism. Echocardiography is an important diagnostic method and facilitates early screening of patients. At present, there is no specific drug targeted HIV-PAH, and the treatment strategy is to follow the treatment recommendations for idiopathic pulmonary arterial hypertension on the basis of highly active antiretroviral therapy, while the interaction between two types of drugs should be considered. This paper will mainly focus on the pathogenesis and treatment of HIV-PAH.

Key words: pulmonary hypertension, human immunodeficiency virus, pathogenesis, treatment

中图分类号: