Multifactorial Etiology Pulmonary Hypertension in a Patient
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Pulmonary hypertension (PH) is characterized by pulmonary artery medium pressure (PAPm) ?25?mmHg at rest, measured by right heart catheterization. It could be due to a primary increase in the pulmonary arterial system (PAH) or, when secondary, to the increase in the venous system pressure as well within the pulmonary capillary (pulmonary venous hypertension). Also, it can happen in association with a series of clinical conditions . In clinical practice, however, its interpretation, etiologic diagnosis, and therapeutic approach are still a challenge for clinicians. Differential diagnosis between pre- and postcapillary pulmonary hypertension (PH) in patients with diastolic heart failure (DHF) is a challenge in clinical practice. The presence of PH is implicated in worse prognosis in patients with this disease. This case report approaches the process of investigation of pulmonary hypertension in adult patient with DHF, double mitral lesion, and sarcoidosis with poor clinical outcome.....

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5075295/
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