Hipertensión Pulmonar Vs Síndrome Hepato - Pulmonar

Abstract

Pulmonary arterial hypertension is a disease that has increased its impact on society over the past decades despite having been described from the 60s, which has caused further study and research in recent years which has allowed a proper diagnosis and innovating therapeutic strategy being observed improvement in the quality of life and survival of patients with this disease.

The incidence reported in the literature speaks of 15-50 cases per million inhabitants. Because this disease has been better studied there have been several conventions to indicate their classification to be reported in the same five types with its own etiology.

The diagnosis of pulmonary hypertension is late and it is performed after a great suspicion because his clinic can confuse the doctor with other heart or lung diseases, it is characteristic of this disease exertional dyspnea that is installed progressively and that it is accompanied by oppressive chest pain known as angina, syncope, dizziness, limb edema and even cardiac involvement.

This case describes a male patient of 44 years old with a history of Behcet's syndrome and asthma comes to the emergency room to present oppressive type chest pain accompanied by mild respiratory distress, finding the physical examination desaturation under 90%, what is admitted to internal medicine with a presumptive diagnosis of PTSD or to rule out pneumonia, later made blood count which does not report signs of infection ruled out a pneumonic process, it takes a Dimer D which is normal what discards a TEP, however electrocardiographic findings right ventricular hypertrophy and P pulmonary evidenced in the chest radiograph is seen cardiomegaly Grade II, increased vascularity and presence of parahilar nodules rights, and an echocardiogram with mild signs is performed pulmonary hypertension and subsequent pulmonary CT is inconclusive after which the patient is evaluated by the specialty of Cardiology who describe the presence of clinical, radiological and electrocardiographic signs of pulmonary hypertension, is discharged the patient with conducting examinations which the Control is performed as it decides voluntarily attend private specialist