Hipertensión pulmonar e infección por VIH: comunicación de un caso

Pulmonary hypertension associated to HIV infection has been reported in the literature with increased frequency. Apparently, this condition has a faster clinical evolution and a higher mortality than primary pulmonary hypertension. The pathogenic mechanisms of HIV associated pulmonary hypertension and the influence of its treatment on patient’s evolution are not well known. We report a 32 years old homosexual male that developed a severe dyspnea in a period of 2 months. Echocardiogram demonstrated right ventricular dilatation and a systolic pulmonary artery pressure of 86 mm Hg. No other causes for pulmonary hypertension were found. Antiviral therapy and vasodilator treatment with a calcium channel blocker were started and the patient had an important subjective clinical improvement.

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Bibliographic Details
Main Authors: Karmelic S,Christian, Castro G,Pablo, Pérez C,Carlos
Format: Digital revista
Language:Spanish / Castilian
Published: Sociedad Médica de Santiago 1999
Online Access:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98871999001200013
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