Características clínicas dos pacientes com hipertensão pulmonar em dois centros de referência em São Paulo

OBJECTIVES: Describe the clinical profile of PH patients from two pulmonary hypertension centers. METHODS: Retrospective chart analysis. RESULTS: One hundred and twenty three PH patients were included in the study; 62% of these presented functional class III or IV (NYHA). Mean right ventricle systol...

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Detalles Bibliográficos
Autores: Lapa, Monica Silveira, Ferreira, Eloara Vieira Machado [UNIFESP], Jardim, Carlos, Martins, Barbara do Carmo dos Santos, Ota-Arakaki, Jaquelina Sonoe [UNIFESP], Souza, Rogerio
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2006
País:Brasil
Institución:Universidade Federal de São Paulo (UNIFESP)
Repositorio:Repositório Institucional da UNIFESP
Idioma:portugués
OAI Identifier:oai:repositorio.unifesp.br:11600/3092
Acceso en línea:http://dx.doi.org/10.1590/S0104-42302006000300012
http://repositorio.unifesp.br/handle/11600/3092
Access Level:acceso abierto
Palabra clave:Pulmonary hypertension
Schistosomiasis
Idiopathic pulmonary hypertension
Hipertensão pulmonar
Esquistossomose
Hipertensão arterial pulmonar idiopática
Descripción
Sumario:OBJECTIVES: Describe the clinical profile of PH patients from two pulmonary hypertension centers. METHODS: Retrospective chart analysis. RESULTS: One hundred and twenty three PH patients were included in the study; 62% of these presented functional class III or IV (NYHA). Mean right ventricle systolic pressure (RVSP) was 83.48±24.61 mmHg. There was no correlation between functional class and RVSP. About 50% of the patients were diagnosed as IPAH; 30% as pulmonary hypertension associated to schistosomiasis; 10% as PH associated to connective tissue diseases. Mean time of dyspnea until diagnosis was variable with no correlation with functional class (p>0.05). No difference was found in the clinical presentation in spite of the diverse etiologies. CONCLUSION: Based upon our findings, we stressed the need for an active investigation of PH patients prior to administration of any therapeutic alternative. We emphasized that a better understanding of PH related to schistosomiasis is needed due to the high prevalence of this condition among PH patients as shown in the Brazilian population.