Pulmonary hypertension: prevalence and risk factors
| العنوان: | Pulmonary hypertension: prevalence and risk factors |
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| المؤلفون: | Benyounes Ramdani, Mohamed Gharbi Benghanem, S. Khayat, L.M. Abouamrane, Ghislaine Medkouri, Mohamed Zamd, Naoufal Mtiou, Samia Ait faqih, Béfa Noto-Kadou-Kaza |
| المصدر: | International Journal of Cardiology: Heart & Vasculature, Vol 11, Iss C, Pp 87-89 (2016) International Journal of Cardiology. Heart & Vasculature Scipedia Open Access Scipedia SL |
| بيانات النشر: | Elsevier, 2016. |
| سنة النشر: | 2016 |
| مصطلحات موضوعية: | medicine.medical_specialty, lcsh:Diseases of the circulatory (Cardiovascular) system, Cardiac & Cardiovascular Systems, medicine.medical_treatment, 030232 urology & nephrology, 030204 cardiovascular system & hematology, Single Center, Article, 03 medical and health sciences, 0302 clinical medicine, Internal medicine, medicine.artery, medicine, Prevalence, Mitral regurgitation, Vascular disease, business.industry, PAH, medicine.disease, Pulmonary hypertension, Pathophysiology, Pulmonary embolism, Risk factors, lcsh:RC666-701, Hemodialysis, Pulmonary artery, Cardiology, Cardiology and Cardiovascular Medicine, business |
| الوصف: | Introduction Pulmonary arterial hypertension (PAH), defined as a systolic pulmonary artery pressure above 35 mm Hg, is another vascular disease entity recently described in patients receiving hemodialysis. It is a major problem due to its high prevalence and morbidity and mortality. Its pathophysiological mechanism is just known and the strategies for its supported not yet defined. Aims To determine the prevalence of PAH in our hemodialysis patients and its risk factors. Methodology Single center descriptive and analytical cross-sectional study, including 111 hemodialysis patients who had benefit from a trans-thoracic cardiac Doppler ultrasound during 2014. A value greater than or equal to 35 mm Hg is considered PAH and classified as follows: mild PAH (35 50 mm Hg), moderate PAH (50 70 mm Hg), and severe pulmonary hypertension (> 70 mm Hg). Patients with a high probability of secondary PAH, especially those with the following history: chronic obstructive pulmonary disease, pulmonary embolism, were not included. Results The mean age was 44.3 ± 14.2 years. Among the 111 patients, 18 had pulmonary arterial pressure above 35 mm Hg corresponding to 16.22% of PAH prevalence. The average pressure was 45 mm Hg. Of these 18 patients, 11.8% had mild PAH, 3.4% moderate PAH and 0.8% severe PAH. The average hemodialysis duration was significantly associated with PAH (p = 0.003); as well as valvular calcification (p = 0.000), mitral regurgitation (p = 0.001) and tricuspid regurgitation (p = 0.002). Conclusion Primary pulmonary hypertension is a major problem among our hemodialysis because of its high prevalence and its risk factors. |
| اللغة: | English |
| تدمد: | 2352-9067 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::e5e6813d7a2034131fbcde71d383071dTest http://www.sciencedirect.com/science/article/pii/S2352906716300380Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....e5e6813d7a2034131fbcde71d383071d |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 23529067 |
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