Published in:
01-07-2014 | Case Report/CME
A Patient with Severe Pulmonary Hypertension for Hip Arthroplasty
Authors:
Michael K. Urban, MD, PhD, Kethy M. Jules-Elysee, MD
Published in:
HSS Journal ®
|
Issue 2/2014
Login to get access
Excerpt
Pulmonary arterial hypertension (PAH) is defined as a mean PA pressure ≥25 mmHg at rest or 30 mmHg with exercise without left ventricular failure (left ventricular end diastolic pressure (LVEDP) ≤15) [
7]. Most patients present with symptoms of progressive exertional dyspnea, which may also include angina and syncopal episodes. If these patients are not treated, the disease will progress to right heart failure, with peripheral edema, ascites, and hepatomegaly. …