Should right ventricle dilatation during exercise have clinical implications in patients with chronic thromboembolic pulmonary hypertension? Case report

Cardiovasc Ultrasound. 2007 Dec 27:5:50. doi: 10.1186/1476-7120-5-50.

Abstract

We describe the case of a 30-year-old female patient with chronic thromboembolic pulmonary hypertension that has an excellent functional capacity under treatment with sildenafil. She did an exercise stress echocardiography that revealed marked right ventricular dilatation during exercise. This information was used for clinical decision and the authors discuss the potential utility of this echocardiographyc sign.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Antihypertensive Agents / therapeutic use
  • Bosentan
  • Cardiac Catheterization
  • Dilatation, Pathologic
  • Echocardiography, Doppler
  • Exercise Test
  • Female
  • Humans
  • Hypertension, Pulmonary / diagnostic imaging
  • Hypertension, Pulmonary / drug therapy*
  • Hypertension, Pulmonary / physiopathology*
  • Piperazines / therapeutic use*
  • Purines / therapeutic use
  • Sildenafil Citrate
  • Sulfonamides / therapeutic use
  • Sulfones / therapeutic use*
  • Thromboembolism / diagnostic imaging
  • Thromboembolism / physiopathology*
  • Vascular Resistance
  • Vasodilator Agents / therapeutic use*
  • Ventricular Dysfunction, Right / diagnostic imaging
  • Ventricular Dysfunction, Right / drug therapy*
  • Ventricular Dysfunction, Right / physiopathology*

Substances

  • Antihypertensive Agents
  • Piperazines
  • Purines
  • Sulfonamides
  • Sulfones
  • Vasodilator Agents
  • Sildenafil Citrate
  • Bosentan