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Cardiopulmonary exercise testing with pulmonary artery catheterization detects early pulmonary vasculature changes in patients with connective tissue diseases.
MedLine Citation:
PMID:  17041378     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
Pulmonary hypertension is a well-recognized complication of connective tissue diseases (CTD), with clinical symptoms typically limited to those with relatively advanced disease. The objective of this study was to identify patients with early pulmonary vasculature changes using cardiopulmonary exercise testing with pulmonary artery catheterization. Four patients with CTD and normal Doppler echocardiogram results identified as high risk for pulmonary hypertension on the basis of disease process underwent cardiopulmonary exercise testing with pulmonary artery catheterization. All patients had normal mean pulmonary artery pressures at rest (<25 mmHg), but exhibited an abnormal rise in mean pulmonary artery pressure with exercise. Cardiopulmonary exercise testing should be considered in patients at high risk for pulmonary hypertension to identify those individuals who may benefit from early therapeutic intervention.
Authors:
William P Rusche; Akgun Ince; Francisco Alvarez; Cesar Keller; Umar Daud; Terry L Moore
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of clinical rheumatology : practical reports on rheumatic & musculoskeletal diseases     Volume:  8     ISSN:  1076-1608     ISO Abbreviation:  J Clin Rheumatol     Publication Date:  2002 Oct 
Date Detail:
Created Date:  2006-10-16     Completed Date:  2007-07-10     Revised Date:  2008-04-10    
Medline Journal Info:
Nlm Unique ID:  9518034     Medline TA:  J Clin Rheumatol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  247-50; discussion 250     Citation Subset:  -    
Affiliation:
Division of Rheumatology, Department of Internal Medicine, Saint Louis University Health Sciences Center, St. Louis, Missouri 63104, USA.
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