Document Detail


Pulmonary hypertension and asthma in two patients with congenital heart disease.
MedLine Citation:
PMID:  2756975     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Reactive airway disease has only rarely been associated with pulmonary hypertension. We treated two patients with congenital heart disease and asthma who had increased pulmonary arterial pressure at cardiac catheterization. Pulmonary hypertension could not be explained solely by the cardiac lesion, nor by respiratory mechanical factors, as the patients did not have wheezing during the catheterization study. After long-term treatment with bronchodilators, corticosteroids, and oxygen, and coincident with improvement in the airway disease, there was catheterization-proved diminution of pulmonary hypertension. Whether asthma and pulmonary hypertension were causally linked is unknown, but further work seems indicated to elucidate the relationship between bronchoconstriction and pulmonary vasoconstriction. Furthermore, aggressive management of even mild reactive airway disease may be warranted in patients with pulmonary hypertension, regardless of apparent cause.
Authors:
A Rothman; T J Kulik
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  American journal of diseases of children (1960)     Volume:  143     ISSN:  0002-922X     ISO Abbreviation:  Am. J. Dis. Child.     Publication Date:  1989 Aug 
Date Detail:
Created Date:  1989-09-01     Completed Date:  1989-09-01     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0370471     Medline TA:  Am J Dis Child     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  977-9     Citation Subset:  AIM; IM    
Affiliation:
Department of Cardiology, Children's Hospital, Harvard Medical School, Boston, Mass.
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MeSH Terms
Descriptor/Qualifier:
Asthma / complications*
Heart Defects, Congenital / complications*
Humans
Hypertension, Pulmonary / complications*
Infant
Male

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