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Revista médica de Chile

versão impressa ISSN 0034-9887

Resumo

KARMELIC S, Christian; CASTRO G, Pablo  e  PEREZ C, Carlos. Pulmonary hypertension and HIV infection.: Report of one case. Rev. méd. Chile [online]. 1999, vol.127, n.12, pp.1497-1500. ISSN 0034-9887.  http://dx.doi.org/10.4067/S0034-98871999001200013.

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.

Palavras-chave : Calcium channel blockers; HIV infections; Pulmonary circulation; Pulmonary heart disease.

        · texto em Espanhol

 

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