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Volume 75
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10.5603/ARM.28009
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Advances in Respiratory Medicine is published by MDPI from Volume 90 Issue 4 (2022). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with Via Medica.
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Case Report

Unusual Cause of Right Heart Failure Decompensation in 21-Years Old Patient with Idiopathic Pulmonary Arterial Hypertension—A Case Report

by
Michał Florczyk
1,*,
Anna Stawecka-Pawełczyk
1,
Marcin Kurzyna
1,
Anna Fijałkowska
1,
Janusz Burakowska
2,
Joanna Żyłkowska
1,
Monika Szturmowicz
1,
Liliana Wawrzyńska
1,
Witold Tomkowski
2 and
Adam Torbicki
1
1
Klinika Chorób Wewnętrznych Klatki Piersiowej, Instytut Gruźlicy i Chorób Płuc w Warszawie, ul. Płocka 26, 01-138 Warszawa, Poland
2
Oddział Intensywnej Opieki Kardiologiczno-Pneumonologicznej, Instytut Gruźlicy i Chorób Płuc w Warszawie, ul. Płocka 26, 01-138 Warszawa, Poland
*
Author to whom correspondence should be addressed.
Adv. Respir. Med. 2007, 75(1), 95-99; https://doi.org/10.5603/ARM.28009
Submission received: 22 December 2006 / Revised: 13 April 2007 / Accepted: 13 April 2007 / Published: 13 April 2007

Abstract

The authors describe a case of 21-years old woman with idiopathic pulmonary arterial hypertension with atypical clinical consequences of massive internal bleeding. Despite significant hypovolemia clinical and laboratory presentation was one of RV failure with dilatation of right heart ventricle and increased plasma level of markers of myocardial stretch and injury (NT-proBNP and troponin, respectively). This is attributed to impaired right ventricular coronary perfusion and hypoxia. Intensive treatment restored baseline RV conditions and at 15 months follow-up no persistent right heart impairment was observed. This case demonstrates that bleeding should be also considered in differential diagnosis of exacerbation of right ventricular failure in patients with pulmonary arterial hypertension.
Keywords: idiopathic pulmonary arterial hypertension; right heart failure decompensation; troponin idiopathic pulmonary arterial hypertension; right heart failure decompensation; troponin

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MDPI and ACS Style

Florczyk, M.; Stawecka-Pawełczyk, A.; Kurzyna, M.; Fijałkowska, A.; Burakowska, J.; Żyłkowska, J.; Szturmowicz, M.; Wawrzyńska, L.; Tomkowski, W.; Torbicki, A. Unusual Cause of Right Heart Failure Decompensation in 21-Years Old Patient with Idiopathic Pulmonary Arterial Hypertension—A Case Report. Adv. Respir. Med. 2007, 75, 95-99. https://doi.org/10.5603/ARM.28009

AMA Style

Florczyk M, Stawecka-Pawełczyk A, Kurzyna M, Fijałkowska A, Burakowska J, Żyłkowska J, Szturmowicz M, Wawrzyńska L, Tomkowski W, Torbicki A. Unusual Cause of Right Heart Failure Decompensation in 21-Years Old Patient with Idiopathic Pulmonary Arterial Hypertension—A Case Report. Advances in Respiratory Medicine. 2007; 75(1):95-99. https://doi.org/10.5603/ARM.28009

Chicago/Turabian Style

Florczyk, Michał, Anna Stawecka-Pawełczyk, Marcin Kurzyna, Anna Fijałkowska, Janusz Burakowska, Joanna Żyłkowska, Monika Szturmowicz, Liliana Wawrzyńska, Witold Tomkowski, and Adam Torbicki. 2007. "Unusual Cause of Right Heart Failure Decompensation in 21-Years Old Patient with Idiopathic Pulmonary Arterial Hypertension—A Case Report" Advances in Respiratory Medicine 75, no. 1: 95-99. https://doi.org/10.5603/ARM.28009

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