PDF(Pubmed)
Abstract：
Pulmonary hypertension (PH) is rarely a cause of syncope. We highlight an unusual presentation of pulmonary hypertension where management was a veritable challenge. We present a case report of a 35-year-old female with a history of stage 2 hypertension, polycystic ovarian syndrome, and obesity who presented to the hospital with a six-month history of progressive shortness of breath, lower extremity swelling, and recurrent syncope. Further evaluation with transthoracic echocardiography showed features consistent with severe pulmonary hypertension. This untreated severe pulmonary hypertension culminated in cardiogenic shock due to right ventricular (RV) failure. Successful care in this patient population entails preventing the acute downward spiral of decompensated right ventricular failure.
摘要：
肺动脉高压（PH）很少是晕厥的原因。我们强调了肺动脉高压的不寻常表现，其中管理是名副其实的挑战。我们提供了一个35岁的女性，有2期高血压病史的病例报告，多囊卵巢综合征,和肥胖患者出现在医院六个月的进行性呼吸急促病史，下肢肿胀,和反复发作的晕厥.经胸超声心动图进一步评估显示与严重肺动脉高压一致的特征。由于右心室（RV）衰竭，这种未经治疗的严重肺动脉高压最终导致心源性休克。在该患者人群中成功的护理需要防止失代偿性右心室衰竭的急性下行。
