| Lessons to be learned: a case study approach a case study of the temporal onset of pulmonary hypertension with pre-existent cirrhotic portal hypertension. | |
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MedLine Citation:
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PMID: 11811097 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We report the occurrence of pulmonary hypertension in a 37-year-old male patient with cirrhosis of the liver, portal hypertension and oesophageal varices. Although this is a rare combination, previous reports have shown that the association of portal and pulmonary hypertension is not coincidental; the temporal onset of primary pulmonary hypertension is hard to predict and our patient was asymptomatic for a number of years. The pathogenesis of portal hypertension leading to pulmonary hypertension is not known. Diagnosis is difficult because the clinico-pathological symptoms in both conditions are similar. Treatment is limited to calcium channel blockers, vasodilators, nitrous oxide and prostacyclin, although most patients will eventually require visceral transplantation. |
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Authors:
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R D'Souza; R J MacFadyen; F Kerr; A Peacock; M M Steven |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: The journal of the Royal Society for the Promotion of Health Volume: 121 ISSN: 1466-4240 ISO Abbreviation: - Publication Date: 2001 Dec |
Date Detail:
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Created Date: 2002-01-28 Completed Date: 2002-02-21 Revised Date: 2009-03-23 |
Medline Journal Info:
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Nlm Unique ID: 101499616 Medline TA: J R Soc Promot Health Country: England |
Other Details:
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Languages: eng Pagination: 257-61 Citation Subset: IM |
Affiliation:
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Medical Unit, Highland Acute Hospitals NHS Trust, Inverness IV2 3UJ, Scotland. raymonddsou@yahoo.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Echocardiography Electrocardiography Esophageal and Gastric Varices / complications*, etiology, physiopathology Gastrointestinal Hemorrhage / etiology*, physiopathology Humans Hypertension, Portal / complications*, etiology, physiopathology Hypertension, Pulmonary / complications*, etiology, physiopathology Liver Cirrhosis / complications*, physiopathology Male |
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