ABSTRACT

Pulmonary hypertension (PHT) is an unusual and unknown illness but with high morbi-mortality. It shown different etiology and comorbidity so its studied by many specialities, this is a reason for existing experts about this pathology and a lot of complementary test for doing a correct diagnosis. We suggest a systematic study, following the actual practical clinical guidelines, about patients less than 75 years old with severe PHT (PBPS › 60 mmHg) with echocardiography from January 1995 through August 2007 in area 3 of Aragones Health Service. We compiled 58 cases of severe PHT with suspected diagnosis based only in clinical details. Later we realize tests recommended in guidelines and in a second interview we report the results and give them a definitive diagnosis if we would have achieved it. In 54 patients we had a final diagnosis (93.1%) and it wasn’t possible in 4 (6.9%). In 42 cases (70.7%) was confirmed the initial suspect, but in 17 patients (29.3%) the final diagnosis was different than the initial. The more frequent etiology was PHT associated to left heart illness, mainly valve disease in 50% of them.

KEYWORDS

Pulmonary hypertension, etiology, diagnosis, practical clinical guidelines, BMPR2 mutations.

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