Primary pulmonary hypertension with death during right heart catheterization. A case report and a survey of reported fatalities.
Primary pulmonary hypertension with death during right heart catheterization. A case report and a survey of reported fatalities.
复制标题
原发性肺动脉高压导致右心导管插入术期间死亡。
DOI：
10.1016/0002-9149(59)90175-4
复制
发表时间：
1959
期刊：
影响因子：
--
通讯作者：
Murray S. Hoffman
中科院分区：
文献类型：
--
作者：
Paolo Caldint;Paolo Caldint;Goffredo Gensini;Goffredo Gensini;Murray S. Hoffman;Murray S. Hoffman
据报道，一名原发性肺动脉高压患者在右心导管插入术期间死亡。考虑到该病例中发生的一系列事件，并回顾了有关心导管插入术期间致命结果的文献，得出的结论是心导管插入术很可能与患者的死亡无关。然而，导管插入术固有的心理困扰和最小的血流动力学紊乱可能会增加肺血管阻力并降低心输出量，达到导致患有这种疾病的患者晕厥发作和猝死的程度。
Observations regarding the death of a patient with primary pulmonary hypertension during right heart catheterization are reported. After the succession of events in this case is considered, and the literature concerning fatal outcomes during cardiac catheterization reviewed, it is concluded that cardiac catheterization could well have been unrelated to the death of the patient. It is possible, however, that the psychologic distress and the minimal hemodynamic derangement inherent in catheterization can increase pulmonary vascular resistance and lower cardiac output to an extent that would cause a syncopal attack and sudden death in a patient with this disorder.