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Pulmonary Hypertension

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Challenging Cases in Pulmonology

Abstract

Pulmonary arterial hypertension (PAH) can be idiopathic or associated with other disease processes. Systemic sclerosis is an example of one disease that is associated with the development of PAH. Regardless of the cause, PAH can have an insidious onset and is often difficult to diagnose because of the subtle associated signs and symptoms as well as the lack of a definitive noninvasive diagnostic test.

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References

  1. D’Alonzo GE, Barst RJ, Ayres SM, Bergofsky EH, Brundage BH, Detre KM. Survival in patients with primary pulmonary hypertension. Results from a national prospective registry. Ann Intern Med. 1991;115:343–9.

    PubMed  Google Scholar 

  2. Simonneau G, Robbins IM, Beghetti M, Channick RN, Delcroix M, Denton CP, et al. Updated clinical classification of pulmonary hypertension. J Am Coll Cardiol. 2009;54(1 Suppl):S43–54.

    Article  PubMed  Google Scholar 

  3. Hachulla E, Gressin V, Guillevin L, Carpentier P, Diot E, Sibilia J, et al. Early detection of pulmonary arterial hypertension in systemic sclerosis: a French nationwide prospective ­multicenter study. Arthritis Rheum. 2005;52:3792–800.

    Article  PubMed  Google Scholar 

  4. McGoon M, Gutterman D, Steen V, Barst R, McCrory DC, Fortin TA, et al. Screening, early detection, and diagnosis of pulmonary arterial hypertension: ACCP evidence evidence-based clinical practice guidelines. Chest. 2004;126(1 Suppl):14S–34.

    Article  PubMed  Google Scholar 

  5. Jimenez SA, Derk CT. Following the molecular pathways toward an understanding of the pathogenesis of systemic sclerosis. Ann Intern Med. 2004;140:37–50.

    PubMed  CAS  Google Scholar 

  6. Sun XG, Hansen JE, Oudiz RJ, Wasserman K. Pulmonary function in primary pulmonary hypertension. J Am Coll Cardiol. 2003;41:1028–35.

    Article  PubMed  Google Scholar 

  7. HSU VM, Moreyra AE, Wilson AC, Shinnar M, Shindler DM, Wilson JE, et al. Assessment of pulmonary arterial hypertension in patients with systemic sclerosis: comparison of noninvasive tests with results of right-heart catheterization. J Rheumatol. 2008;35(3):458–65.

    PubMed  Google Scholar 

  8. Fisher MR, Forfia PR, Chamera E, Housten-Harris T, Champion HC, Girgis RE, et al. Accuracy of Doppler echocardiography in the hemodynamic assessment of pulmonary hypertension. Am J Respir Crit Care Med. 2009;179:615–21.

    Article  PubMed  Google Scholar 

  9. Barst RJ, Gibbs JS, Ghofrani HA, Hoeper MM, McLaughlin W, Rubin LJ, et al. Updated evidence-based treatment algorithm in pulmonary arterial hypertension. J Am Coll Cardiol. 2009;54(1 Suppl):S78–84.

    Article  PubMed  CAS  Google Scholar 

  10. Mereles D, Ehlken N, Kreuscher S, Ghofrani S, Hoeper MM, Halank M, et al. Exercise and respiratory training improve exercise capacity and quality of life in patients with severe chronic pulmonary hypertension. Circulation. 2006;114(14):1482–9.

    Article  PubMed  Google Scholar 

  11. Humbert M, Sanchez O, Fartoukh M, Jagot JL, Le Gail C, Sitbon O, et al. Short-term and long-term epoprostenol (prostacyclin) therapy in pulmonary hypertension secondary to connective tissue diseases: results of a pilot study. Eur Respir J. 1999;13(6):1351–6.

    Article  PubMed  CAS  Google Scholar 

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Correspondence to Gilbert D’Alonzo D.O. .

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Swift, I., Weaver, S., D’Alonzo, G. (2012). Pulmonary Hypertension. In: Mahmoudi, M. (eds) Challenging Cases in Pulmonology. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-7098-5_11

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  • DOI: https://doi.org/10.1007/978-1-4419-7098-5_11

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  • Publisher Name: Springer, New York, NY

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