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Yeungnam Univ J Med > Volume 25(1); 2008 > Article
Yeungnam University Journal of Medicine 2008;25(1):50-57.
DOI:    Published online June 30, 2008.
Chronic Obstructive Pulmonary Disease with Severe Pulmonary Hypertension: A Case Report.
Chan Soh Park, Hyun Jung Chin, Seok Min Kim, Chang Woo Son, Sung Ken Yu, Jin Hong Chung, Kwan Ho Lee
Department of Internal Medicine, College of Medicine, Yeungnam University, Daegu, Korea.
Pulmonary hypertension is an increase in blood pressure in the pulmonary artery, pulmonary vein or pulmonary capillaries. Depending on the cause, pulmonary hypertension can be a severe disease with markedly decreased exercise tolerance and right-sided heart failure. Pulmonary hypertension can present as one of five different types: arterial, venous, hypoxic, thromboembolic, or miscellaneous. Chronic obstructive pulmonary disease with severe pulmonary hypertension is a rare disease. A 52-year-old man presented with a complaint of aggravating dyspnea. The mean pulmonary arterial pressure was 61.5 mmHg by Doppler echocardiogram. The patient was prescribed diuretics, digoxin, bronchodilator, sildenafil, bosentan and an oxygen supply. However, he ultimately died of cor pulmonale. Thus, diagnosis and early combination therapy are important.
Key Words: Pulmonary hypertension, COPD


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