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동기능부전증후군으로 발생한 폐고혈압 1예

Other Titles
 Reversible Pulmonary Hypertension due to Sick Sinus Syndrome 
Authors
 박제욱  ;  엄재선  ;  김동준  ;  박동혁  ;  김규  ;  조현수  ;  장혁재 
Citation
 Korean Journal of Medicine, Vol.90(6) : 528-532, 2016 
Journal Title
 Korean Journal of Medicine 
ISSN
 1738-9364 
Issue Date
2016
Abstract
A 60-year-old man visited the hospital after experiencing dyspnea after exertion for 2 weeks. An electrocardiogram showed sinus arrest with junctional escape rhythm at 40 beats/min. Transthoracic echocardiography showed that the right ventricular systolic pressure (RVSP) was approximately 71 mmHg and that the left ventricular ejection fraction was preserved. The ratio of peak early diastolic transmitral inflow velocity to early diastolic peak mitral annular velocity (E/E’) was 29. Cardiac catheterization revealed a systolic pulmonary artery pressure (SPAP) of 63 mmHg, a mean pulmonary artery pressure of 27 mmHg, and a pulmonary capillary wedge pressure of 22 mmHg with a rhythm of 40 beats/min. The patient was diagnosed with pulmonary hypertension (group 2) due to sick sinus syndrome. SPAP decreased to 48 mmHg during atrial pacing at 60 beats/min. After permanent pacemaker insertion, RVSP decreased from 71 mmHg to 44 mmHg. In this case, passive group 2 pulmonary hypertension occurred due to sick sinus syndrome.
Files in This Item:
T201605516.pdf Download
DOI
10.3904/kjm.2016.90.6.528
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Kyu(김규)
Park, Dong Hyuk(박동혁)
Park, Je Wook(박제욱)
Uhm, Jae Sun(엄재선) ORCID logo https://orcid.org/0000-0002-1611-8172
Chang, Hyuk-Jae(장혁재) ORCID logo https://orcid.org/0000-0002-6139-7545
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/152844
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