Management of a child with pulmonary arterial hypertension presenting with systemic hypertension.
| Autor: | Flores S; 1Heart Institute,Cincinnati Children's Hospital Medical Center,Cincinnati,Ohio,United States of America., Daily J; 1Heart Institute,Cincinnati Children's Hospital Medical Center,Cincinnati,Ohio,United States of America., Pratap JN; 1Heart Institute,Cincinnati Children's Hospital Medical Center,Cincinnati,Ohio,United States of America., Cash MC; 1Heart Institute,Cincinnati Children's Hospital Medical Center,Cincinnati,Ohio,United States of America., Hirsch R; 1Heart Institute,Cincinnati Children's Hospital Medical Center,Cincinnati,Ohio,United States of America. |
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| Jazyk: | angličtina |
| Zdroj: | Cardiology in the young [Cardiol Young] 2016 Feb; Vol. 26 (2), pp. 378-81. Date of Electronic Publication: 2015 Jun 17. |
| DOI: | 10.1017/S1047951115001092 |
| Abstrakt: | We describe the course and management of a 12-year-old girl with severe pulmonary arterial hypertension who initially presented with severe systemic hypertension. Successful therapy included pulmonary vasodilators and an atrial septostomy, while ensuring adequate maintenance of her systemic vascular resistance to maintain cardiac output. Clear understanding of the physiology and judicious medical management in patients with severe pulmonary arterial hypertension using extreme compensatory mechanisms is vitally important. |
| Databáze: | MEDLINE |
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