Monday, August 07, 2006

This is a little bit about my beloved person in my life. basically, the most important person in my life....for those who wanna know about my clanship, just look at her!! :))

Saturday, August 05, 2006

Diagnosis and Treatment of Pulmonary Hypertension

TRENTON D. NAUSER, M.D., and STEVEN W. STITES, M.D.
University of Kansas Medical Center, Kansas City, Kansas


Primary pulmonary hypertension is a rare disease of unknown etiology, whereas secondary pulmonary hypertension is a complication of many pulmonary, cardiac and extrathoracic conditions. Chronic obstructive pulmonary disease, left ventricular dysfunction and disorders associated with hypoxemia frequently result in pulmonary hypertension. Regardless of the etiology, unrelieved pulmonary hypertension can lead to right-sided heart failure. Signs and symptoms of pulmonary hypertension are often subtle and nonspecific. The diagnosis should be suspected in patients with increasing dyspnea on exertion and a known cause of pulmonary hypertensionTRENTON D. NAUSER, M.D., and STEVEN W. STITES, M.D.
University of Kansas Medical Center, Kansas City, Kansas
Primary pulmonary hypertension is a rare disease of unknown etiology, whereas secondary pulmonary hypertension is a complication of many pulmonary, cardiac and extrathoracic conditions. Chronic obstructive pulmonary disease, left ventricular dysfunction and disorders associated with hypoxemia frequently result in pulmonary hypertension. Regardless of the etiology, unrelieved pulmonary hypertension can lead to right-sided heart failure. Signs and symptoms of pulmonary hypertension are often subtle and nonspecific. The diagnosis should be suspected in patients with increasing dyspnea on exertion and a known cause of pulmonary hypertension.

Symptoms and Signs of Pulmonary Hypertension
Symptoms Dyspnea on exertion Fatigue Syncope Anginal chest pain Hemoptysis Raynaud's phenomenon
Signs Jugular vein distention Prominent right ventricular impulse Accentuated pulmonic valve component (P2) Right-sided third heart sound (S3)Tricuspid insufficiency murmur Hepatomegaly Peripheral edema