KMID : 0370920080250010050
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Yeungnam Univercity Journal of Medicine 2008 Volume.25 No. 1 p.50 ~ p.57
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Chronic Obstructive Pulmonary Disease with Severe Pulmonary Hypertension
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Park Chan-Seo
Yu Sung-Ken Chung Jin-Hong Lee Kwan-Ho Chin Hyun-Jung Kim Seok-Min Son Chang-Woo
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Abstract
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Pulmonary hypertension is an increase in blood pressure in the pulmonary artery, pulmonary vein or pulmonary capillaries. Depending on the cause, pulmonary hypertension can be a severe disease with markedly decreased exercise tolerance and right-sided heart failure. Pulmonary hypertension can present as one of five different types: arterial, venous, hypoxic, thromboembolic, or miscellaneous. Chronic obstructive pulmonary disease with severe pulmonary hypertension is a rare disease. A 52-year-old man presented with a complaint of aggravating dyspnea. The mean pulmonary arterial pressure was 61.5 mmHg by Doppler echocardiogram. The patient was prescribed diuretics, digoxin, bronchodilator, sildenafil, bosentan and an oxygen supply. However, he ultimately died of cor pulmonale. Thus, diagnosis and early combination therapy are important.
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KEYWORD
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Pulmonary Hypertension, COPD
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