High-altitude pulmonary edema with primary pulmonary hypertension

被引:33
作者
Naeije, R
DeBacker, D
Vachiery, JL
DeVuyst, P
机构
[1] ERASME UNIV HOSP,DEPT CARDIOL,B-1070 BRUSSELS,BELGIUM
[2] ERASME UNIV HOSP,DEPT PNEUMOL,B-1070 BRUSSELS,BELGIUM
关键词
anorexigen; high altitude pulmonary edema; primary pulmonary hypertension;
D O I
10.1378/chest.110.1.286
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
A 43-year-old woman had two episodes of lung edema at moderate altitudes. She had taken slimming pills containing fenfluramine hydrochloride and diethylpropion hydrochloride. At sea level, catheterization of the light side of the heart showed a mean pulmonary artery pressure of 16 mm Hg, which increased to 34 mm Hg with mild exercise in a supine position. An extensive workup failed to identify a cardiac or a pulmonary cause of pulmonary hypertension. This patient experienced mild primary pulmonary hypertension related to the intake of anorexigens, which was revealed by high-altitude pulmonary edema.
引用
收藏
页码:286 / 289
页数:4
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