A Case of Complex Pulmonary Hypertension: the Importance of Diagnostic Investigation.
Aninka SaboeVani MarindaniCharlotte Johanna CoolHilman SyawaluddinHussein S KartamihardjaPrayudi SantosoMohammad Rizki AkbarPublished in: Clinical medicine insights. Circulatory, respiratory and pulmonary medicine (2022)
Pulmonary hypertension (PH) encompasses several heterogeneous groups of multiple diseases characterized by abnormal pulmonary arterial blood pressure elevation. Unrepaired atrial septal defect (ASD) may be associated with pulmonary arterial hypertension (PAH), indicating pulmonary vascular remodeling. Furthermore, unrepaired ASD could also be associated with other conditions, such as left heart disease or thromboembolism, contributing to the disease progression. We present a case of a 61-years-old woman with complex PH comprising several etiologies, which are PAH due to unrepaired Secundum ASD, mitral regurgitation caused by mitral valve prolapse as a group 2 PH, pulmonary embolism (PE) which progress to chronic thromboembolism PH (CTEPH) and post-acute sequelae of SARS Cov-2. We highlighted the importance of diagnostic investigation in PH, which is crucial to avoid misdiagnosis and inappropriate treatment that could be detrimental for the patient.
Keyphrases
- pulmonary hypertension
- pulmonary arterial hypertension
- pulmonary artery
- pulmonary embolism
- autism spectrum disorder
- sars cov
- mitral valve
- blood pressure
- attention deficit hyperactivity disorder
- intellectual disability
- atrial fibrillation
- case report
- inferior vena cava
- left atrial
- heart failure
- type diabetes
- coronary artery
- polycyclic aromatic hydrocarbons
- metabolic syndrome
- liver failure
- heart rate
- left ventricular
- insulin resistance
- catheter ablation
- acute respiratory distress syndrome
- smoking cessation