Pulmonary arterial hypertension

20 Oct 2014, 09:30 WIB
Wanita, 0 tahun.
doc,i've a task to know the dysease that the symptomps like this :
a man, 50 years old.he smoked 20 cigarettes a day for 30 years, had a morning cough productive of muscoid sputum,there was no history of swelling ankles,chest x-ray normal,cyanosed centrally and peripherally,blood pressure 100/80,no evidence of cardiac failure,apex beat was not displaced,ther was a prominent left parasternal heave a marked fixed split,there was a moderately loud ejection murmur heard over the pulmonary area, while a diastolic murmur could be heard down the left sternal border. there was slight clubbing of the fingers. the anteroposterior diameter of the thorax was increased, and respiratory movements were restricted. there was occasional wheeze on auscultation of the luns.the rest of the physichal examination was normal. can u help me doc?? what's the disease?or ur diagnose about it (Pria, 50 thn, 165 cm, 60 kg)

Dijawab Oleh:


Dear Sir,

Secondary pulmonary hypertension is a disorder of the blood vessels in the lungs. Cardiac disorders, pulmonary disorders, or both in combination are the most common causes of secondary pulmonary hypertension. In your case, perivascular parenchymal changes along with pulmonary vasoconstriction are the mechanism of pulmonary hypertension in respiratory diseases. Causes of secondary pulmonary hypertension  in this patiens is Chronic Obstructive Pulmonary Disease (COPD) because of smoking habits. How about the electrocardiogram? Therapy for secondary pulmonary hypertension is targeted at the underlying cause and its effects on the cardiovascular system. Effective therapy should be instituted in the early stages, before irreversible changes in pulmonary vasculature occur. Hope this review can help you. (TRH)

Thank You

(Team Editor Klikdokter)

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