특발성 폐동맥고혈압과 만성혈전색전성 폐고혈압의 임상상 비교
- Alternative Title
- Comparison of Clinical Features between Idiopathic Pulmonary Arterial Hypertension and Chronic Thromboembolic Pulmonary Hypertension
- Abstract
- Background : Idiopathic pulmonary arterial hypertension (IPAH) and chronic thromboembolic pulmonary hypertension (CTEPH) are rare but significantly imperative in inducing chronic pulmonary hypertension. Clinically, it is difficult to distinguish between IPAH and CTEPH. However, the treatment of pulmonary hypertension is different depending on the disease. The present study was performed to analyze the similarities and differences in clinical features between IPAH and CTEPH. Methods : During a nine-year period, thirty-three patients with IPAH and twenty-two patients with CTEPH were enrolled. Symptoms, physical findings, chest radiograph, electrocardiograph, pulmonary function test, echocardiograph, perfusion lung scan, right heart catheterization results were analyzed between both the groups. Results : The median age of IPAH group was 33 (6~70) years that was lower than that (52(27~80) years) of CTEPH group. Amongst the IPAH patients, there was female predominance (76 %) and there was no sex difference between the patients with CTEPH. Both the groups exhibited similarity in the results of chest radiograph, electrocardiograph, pulmonary function test, and echocardiograph. In the perfusion lung scan, all IPAH patients exhibited findings with normal (28%) or low probability (72%) of pulmonary embolism and all CTEPH patients exhibited findings with high probability of pulmonary embolism. Conclusion : Although IPAH and CTEPH bear similarities in terms of symptoms, physical signs and general investigation results, there were differences in age distribution, sex predominance and results of perfusion lung scan.
- All Author(s)
- 김현국
; 나주옥
; 안종준
; 박용범
; 임재민
; 홍상범
; 오연목
; 심태선
; 임채만
; 고윤석
; 김우성
; 김동순
; 김원동
; 이상도
- Issued Date
- 2005
- Type
- Article
- Keyword
- Idiopathic pulmonary arterial hypertension; Chronic thromboembolic pulmonary hypertension; Perfusion lung scan; Differential diagnosis
- Publisher
- 대한결핵및호흡기학회
- ISSN
- 0378-0066
; 1738-3536
; 2005-6184
- Citation Title
- 결핵 및 호흡기질환
Tuberculosis and Respiratory Disease
- Citation Volume
- 59
- Citation Number
- 2
- Citation Start Page
- 170
- Citation End Page
- 178
- Language(ISO)
- kor
- DOI
- 10.4046/trd.2005.59.2.170
- URI
- http://schca-ir.schmc.ac.kr/handle/2022.oak/579
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