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>Lesson of the month 1: Obesity hypoventilation (Pickwickian) syndrome: a reversible cause of severe pulmonary hypertension
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Lesson of the month 1: Obesity hypoventilation (Pickwickian) syndrome: a reversible cause of severe pulmonary hypertension
Obesity hypoventilation syndrome (OHS) is a condition in which an individual with a body mass index >30 kg/m2 develops daytime alveolar hypoventilation (defined as a resting PaCO2 >45 mmHg) that cannot be attributed to other pathologies. It is a condition with increasing prevalence and rising cost to healthcare systems worldwide. Right heart failure and pulmonary hypertension are well-known complications of this syndrome. Here, we present the case of a female patient with OHS who presented to our centre with severe pulmonary hypertension, which resolved with appropriate treatment. We also review this clinical condition and its diagnosis and management.
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机译:肥胖通气不足综合征(OHS)是一种体重指数> 30 kg / m 2 sup>的个体发展为白天肺泡通气不足(定义为静息PaCO2> 45 mmHg)的原因,其他病理。这种情况在全球范围内对于医疗保健系统的普及率和成本都在上升。右心衰竭和肺动脉高压是该综合征的众所周知的并发症。在这里,我们介绍了一位OHS女性患者的案例,该患者因严重的肺动脉高压而到我们中心就诊,并通过适当的治疗得以解决。我们还将审查这种临床状况及其诊断和管理。
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