Stage IV Sarcoidosis with Cor pulmonale: A Case Report
| Autor: | Tunaggina Afrin Khan, Kmhs Sirajul Haque, Mostashirul Haque, Rasul Amin, HI Lutfur Rahman Khan, Rashidul Hasan, Montasin Rezwan |
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| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
business.industry medicine.drug_class General Medicine medicine.disease Pulmonary hypertension Pulmonary function testing Blood pressure Right ventricular hypertrophy medicine.artery Internal medicine Pulmonary artery Cardiology Natriuretic peptide Medicine Sarcoidosis business Stage iv |
| Zdroj: | Bangladesh Heart Journal. 30:37-42 |
| ISSN: | 2521-3113 1024-8714 |
| Popis: | Sarcoidosis is a well known systemic disorder that invariably involves lungs. However, pulmonary hypertension and cor-pulmanle are not common due to pulmonary involvement of sarcoidosis. We report a case of pulmonary hypertension leading to corpulmonale due to sarcoidosis. An elderly female suffering from hypertension & sarcoidosis developed complications and arrived at the diagnosis by correlating various investigations. X-ray chest (P/A) showed cardiomegaly (right ventricular type), reticulo-nodular shadow involving both mid and lower zone; characteristic high resolution CT (HRCT) scan appearances include reticulonodular opacities; pulmonary function test showed restrictive type of defect; ECG showed right ventricular hypertrophy with strain pattern; in echocardiogram there were right ventricular hypertrophy (RVH) with pulmonary artery systolic pressure (PASP) of 63 mmHg indicating severe pulmonary arterial hypertension (PH); along with significantly elevated B-type natriuretic peptide(BNP) level.Bangladesh Heart Journal 2015; 30(1) : 37-42 |
| Databáze: | OpenAIRE |
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