Document Detail

Cardiopulmonary manifestations of hepatosplenic schistosomiasis.
MedLine Citation:
PMID:  19273723     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Schistosomiasis is a highly prevalent disease with >200 million infected people. Pulmonary hypertension is one of the pulmonary manifestations in this disease, particularly in its hepatosplenic presentation. The aim of this study was to determine the prevalence of pulmonary hypertension in schistosomiasis patients with the hepatosplenic form of the disease. METHODS AND RESULTS: All patients with hepatosplenic schistosomiasis followed up at the gastroenterology department of our university hospital underwent echocardiographic evaluation to search for pulmonary hypertension. Patients presenting with systolic pulmonary artery pressure >40 mm Hg were further evaluated through right heart catheterization. Our study showed an 18.5% prevalence of patients with elevated systolic pulmonary artery pressure at echocardiography. Invasive hemodynamics confirmed the presence of pulmonary hypertension in 7.7% (95% confidence interval, 3.3 to 16.7) of patients, with a prevalence of precapillary (arterial) pulmonary hypertension of 4.6% (95% confidence interval, 1.5 to 12.7). CONCLUSIONS: Our study reinforces the role of echocardiography as a screening tool in the investigation of pulmonary hypertension, together with the need for invasive monitoring for a proper diagnosis. We conclude that hepatosplenic schistosomiasis may account for one of the most prevalent forms of pulmonary hypertension worldwide, justifying the development of further studies to evaluate the effect of specific pulmonary hypertension treatment in this particular form of the disease.
Monica Lapa; Bruno Dias; Carlos Jardim; Caio J C Fernandes; Paulo M M Dourado; Magda Figueiredo; Alberto Farias; Jeane Tsutsui; Mario Terra-Filho; Marc Humbert; Rogerio Souza
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Publication Detail:
Type:  Journal Article     Date:  2009-03-09
Journal Detail:
Title:  Circulation     Volume:  119     ISSN:  1524-4539     ISO Abbreviation:  Circulation     Publication Date:  2009 Mar 
Date Detail:
Created Date:  2009-03-24     Completed Date:  2009-04-22     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0147763     Medline TA:  Circulation     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1518-23     Citation Subset:  AIM; IM    
Pulmonary Hypertension Group, Pulmonary Department, Heart Institute, University of Sao Paulo Medical School, Sao Paulo, Brazil.
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MeSH Terms
Heart Catheterization
Hypertension, Pulmonary / epidemiology*,  parasitology*,  ultrasonography
Liver Diseases, Parasitic / epidemiology*
Middle Aged
Pulmonary Wedge Pressure
Schistosomiasis mansoni / epidemiology*
Splenic Diseases / epidemiology*,  parasitology*
Ventricular Dysfunction, Left / epidemiology,  parasitology,  ultrasonography

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