Yeungnam Univ J Med.
2008 Jun;25(1):50-57.
Chronic Obstructive Pulmonary Disease with Severe Pulmonary Hypertension: A Case Report
- Affiliations
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- 1Department of Internal Medicine, College of Medicine, Yeungnam University, Daegu, Korea. jhchn@med.yu.ac.kr
Abstract
- Pulmonary hypertension is an increase in blood pressure in the pulmonary artery, pulmonary vein or pulmonary capillaries. Depending on the cause, pulmonary hypertension can be a severe disease with markedly decreased exercise tolerance and right-sided heart failure. Pulmonary hypertension can present as one of five different types: arterial, venous, hypoxic, thromboembolic, or miscellaneous. Chronic obstructive pulmonary disease with severe pulmonary hypertension is a rare disease. A 52-year-old man presented with a complaint of aggravating dyspnea. The mean pulmonary arterial pressure was 61.5 mmHg by Doppler echocardiogram. The patient was prescribed diuretics, digoxin, bronchodilator, sildenafil, bosentan and an oxygen supply. However, he ultimately died of cor pulmonale. Thus, diagnosis and early combination therapy are important.
Keyword
MeSH Terms
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Arterial Pressure
Blood Pressure
Capillaries
Digoxin
Diuretics
Dyspnea
Exercise Tolerance
Heart Failure
Humans
Hypertension
Hypertension, Pulmonary
Middle Aged
Oxygen
Piperazines
Pulmonary Artery
Pulmonary Disease, Chronic Obstructive
Pulmonary Heart Disease
Pulmonary Veins
Purines
Rare Diseases
Sulfonamides
Sulfones
Sildenafil Citrate
Digoxin
Diuretics
Oxygen
Piperazines
Purines
Sulfonamides
Sulfones
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