Right ventricular reverse remodelling in Idiopathic Pulmonary Arterial Hypertension diagnosed during pregnancy: Is it possible?
Autor: | Alberto Pesci, Andrea Lombi, A. Vincenzi, Felice Achilli, Giuseppe Paciocco |
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Přispěvatelé: | Paciocco, G, Lombi, A, Vincenzi, A, Pesci, A, Achilli, F |
Rok vydání: | 2017 |
Předmět: |
Pulmonary and Respiratory Medicine
lcsh:RC705-779 Right ventricular remodelling Pregnancy medicine.medical_specialty Treatment regimen business.industry Idiopathic Pulmonary Arterial Hypertension Case Report lcsh:Diseases of the respiratory system 030204 cardiovascular system & hematology medicine.disease Right ventricular failure 03 medical and health sciences 0302 clinical medicine 030228 respiratory system Internal medicine Triple combination therapy medicine Cardiology Triple combination business Idiopathic pulmonary arterial hypertension |
Zdroj: | Respiratory Medicine Case Reports Respiratory Medicine Case Reports, Vol 20, Iss C, Pp 59-60 (2017) |
ISSN: | 2213-0071 |
DOI: | 10.1016/j.rmcr.2016.11.011 |
Popis: | We present a case of a 36-year-old woman who developed a severe form of Idiopathic Pulmonary Arterial Hypertension (IPAH) during pregnancy and after emergency delivery. The management of IPAH during or after pregnancy is complex. Due to the severity of her IPAH, an upfront triple combination therapy, including i.v. epoprostenol, was started. The rapid institution of this treatment regimen allowed a complete right ventricular reverse remodelling after 1 year of therapy, leading to a down-titration until complete suspension of epoprostenol from the treatment regimen. |
Databáze: | OpenAIRE |
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