scholarly journals Be mindful when evaluating a patient with chest pain and pulmonary hypertension

Author(s):  
Pedro Freitas
2014 ◽  
Vol 127 (7) ◽  
pp. 605-607 ◽  
Author(s):  
Andrea De Lorenzo ◽  
Carlito Lessa ◽  
Gabriel Camargo ◽  
Ilan Gottlieb ◽  
Ronaldo S.L. Lima

CHEST Journal ◽  
2014 ◽  
Vol 145 (3) ◽  
pp. 642-645
Author(s):  
Amanda Godfrey ◽  
Hector R. Cajigas

2011 ◽  
Vol 2011 ◽  
pp. 1-3 ◽  
Author(s):  
Chitra Lal ◽  
Jim Barker ◽  
Charlie Strange

Unilateral pulmonary artery aplasia is a rare anomaly. Case reports of this condition in pregnant patients are even more uncommon and the best approach to management of such patients is still unclear. We report a patient who presented with a history of dyspnea, chest pain, and hemoptysis. Imaging established the diagnosis in a newly pregnant female. Management of the pulmonary artery aplasia patient in pregnancy requires prospective evaluation of pulmonary hypertension.


2010 ◽  
pp. 307-314
Author(s):  
Juan Carlos Kaski

Introduction 308 Investigations/diagnosis 308 Classification/prognosis 309 Treatment 310 Clinical trials 314 Pulmonary hypertension (PH) is characterized by an increase in BP in the lung vasculature that leads to shortness of breath, dizziness, syncope, chest pain, and other symptoms, all of which are exacerbated by exertion. PH can be a severe condition with a markedly reduced exercise tolerance and lead to heart failure and death....


2015 ◽  
Vol 139 (2) ◽  
pp. 274-277 ◽  
Author(s):  
Mary C. O'Keefe ◽  
Miriam D. Post

Pulmonary capillary hemangiomatosis is a rare cause of pulmonary hypertension characterized by extensive proliferation of pulmonary capillaries within alveolar septae. Clinical presentation is nonspecific and includes dyspnea, cough, chest pain, and fatigue. Radiology shows diffuse centrilobular ground-glass opacities. Pulmonary capillary hemangiomatosis is clinically and radiographically indistinguishable from peripheral venoocclusive disease, making microscopic diagnosis essential. Histologically, pulmonary capillary hemangiomatosis shows an abnormal proliferation of small, thin-walled capillaries that expand the alveolar septae. The endothelial cells that comprise these lesions are cytologically bland and show no mitotic activity. Pulmonary capillary hemangiomatosis is important to recognize because prostacyclin therapy, a mainstay in the treatment of pulmonary hypertension, has been reported to cause sudden respiratory distress and death in these patients. Prognosis of this disease remains poor, and the only definitive treatment is lung transplantation.


2013 ◽  
Vol 39 (2) ◽  
pp. 238-241 ◽  
Author(s):  
Ricardo de Amorim Corrêa ◽  
Luciana Cristina dos Santos Silva ◽  
Cláudia Juliana Rezende ◽  
Rodrigo Castro Bernardes ◽  
Tarciane Aline Prata ◽  
...  

Pulmonary artery dissection is a fatal complication of long-standing pulmonary hypertension, manifesting as acute, stabbing chest pain, progressive dyspnea, cardiogenic shock, or sudden death. Its incidence has been underestimated, and therapeutic options are still scarce. In patients with pulmonary hypertension, new chest pain, acute chest pain, or cardiogenic shock should raise the suspicion of pulmonary artery dissection, which can result in sudden death.


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