In:
Advances in Respiratory Medicine, MDPI AG, Vol. 75, No. 1 ( 2007-04-13), p. 95-99
Abstract:
The authors describe a case of 21-years old woman with idiopathic pulmonary arterial hypertension with atypical clinical consequences of massive internal bleeding. Despite significant hypovolemia clinical and laboratory presentation was one of RV failure with dilatation of right heart ventricle and increased plasma level of markers of myocardial stretch and injury (NT-proBNP and troponin, respectively). This is attributed to impaired right ventricular coronary perfusion and hypoxia. Intensive treatment restored baseline RV conditions and at 15 months follow-up no persistent right heart impairment was observed. This case demonstrates that bleeding should be also considered in differential diagnosis of exacerbation of right ventricular failure in patients with pulmonary arterial hypertension.
Type of Medium:
Online Resource
ISSN:
2543-6031
Language:
English
Publisher:
MDPI AG
Publication Date:
2007
detail.hit.zdb_id:
2893877-X
