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Cardiovascular Ultrasound
Published in: Cardiovascular Ultrasound 1/2007

Open Access 01-12-2007 | Case report

Should right ventricle dilatation during exercise have clinical implications in patients with chronic thromboembolic pulmonary hypertension? Case report

Authors: Carlos Cotrim, Maria J Loureiro, Rita Miranda, Sofia Almeida, Ana R Almeida, Otília Simões, Pedro Cordeiro, Manuel Carrageta

Published in: Cardiovascular Ultrasound | Issue 1/2007

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Abstract

We describe the case of a 30-year-old female patient with chronic thromboembolic pulmonary hypertension that has an excellent functional capacity under treatment with sildenafil. She did an exercise stress echocardiography that revealed marked right ventricular dilatation during exercise. This information was used for clinical decision and the authors discuss the potential utility of this echocardiographyc sign.
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Literature
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Ramanath VS, Lacomis JM, Katz WE: Diagnosis of pulmonary embolism by acute right heart morphologic and hemodinamic changes observed during exercise stress echocardiography. J Am Soc Echocardiogra. 2004, 17: 1005-8. 10.1016/j.echo.2004.04.032.CrossRef
2.
Cotrim C, Loureiro MJ, Miranda R, Lohmann C, Simões O, Cordeiro P, Fernandes R, Almeida S, Lopes L, Carrageta M: Right ventricle dilatation during exercise. A new sign?. Rev Port Cardiol. 2007, 26 (9): 939-940.PubMed
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Cotrim C, Simões O, Loureiro MJ, Cordeiro P, Lopes L, Almeida S, Ialá M, Miranda R, Carrageta M: Stress echocardiography in the evaluation of exercise physiology in patients with severe arterial pulmonary hypertension. New methodology. Rev Port Cardiol. 2005, 24 (12): 1451-1460.PubMed
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Doyle RL, McCrory D, Channick RN, Simonneau G, Conte J: Surgical treatments/interventions for pulmonary arterial hypertension. ACCP Evidence-based clinical practice guidelines. Chest. 2004, 126: 63S-71S. 10.1378/chest.126.1_suppl.63S.CrossRefPubMed
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Klepetko W, Mayer E, Sandoval J, trulock EP, Vachiery JL, Dartevelle P, Pepke-Zaba J, Jamieson SW, Lang I, Corris P: Interventional and Surgical Modalities of Treatment for Pulmonary Arterial Hypertension. J Am Coll Cardiol. 2004, 43: 73S-80S. 10.1016/j.jacc.2004.02.039.CrossRefPubMed
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Ghofrani H, Schermuly R, Rose F, Wiedemann R, Kohstall MG, Kreckel A, Olschewski H, Weissmann N, Enke B, Ghofrani S, Seeger W, Grimminger F: Sildenafil for long-term treatment of nonoperable chronic thromboembolic pulmonary hypertension. Am J Respir Care Med. 2003, 167: 1139-41. 10.1164/rccm.200210-1157BC.CrossRef
Metadata
Title
Should right ventricle dilatation during exercise have clinical implications in patients with chronic thromboembolic pulmonary hypertension? Case report
Authors
Carlos Cotrim
Maria J Loureiro
Rita Miranda
Sofia Almeida
Ana R Almeida
Otília Simões
Pedro Cordeiro
Manuel Carrageta
Publication date
01-12-2007
Publisher
BioMed Central
Published in
Cardiovascular Ultrasound / Issue 1/2007
Electronic ISSN: 1476-7120
DOI
https://doi.org/10.1186/1476-7120-5-50

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