Cargando…

Continuous cardiac monitoring in a patient with terminal pulmonary hypertension and eventual bilateral lung transplantation

As pulmonary arterial hypertension (PAH) progress, arrhythmias are becoming an increasingly prominent phenomenon. Supraventricular tachycardias have been shown to have an incidence of up to 35% in pulmonary hypertension. Continuous cardiac monitoring was deployed in a patient with severe PAH 100 day...

Descripción completa

Detalles Bibliográficos
Autores principales: Andersen, Mads Ørbæk, Diederichsen, Søren Zöga, Svendsen, Jesper Hastrup, Carlsen, Jørn
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9171191/
https://www.ncbi.nlm.nih.gov/pubmed/35667702
http://dx.doi.org/10.1136/bcr-2021-248304
_version_ 1784721610564960256
author Andersen, Mads Ørbæk
Diederichsen, Søren Zöga
Svendsen, Jesper Hastrup
Carlsen, Jørn
author_facet Andersen, Mads Ørbæk
Diederichsen, Søren Zöga
Svendsen, Jesper Hastrup
Carlsen, Jørn
author_sort Andersen, Mads Ørbæk
collection PubMed
description As pulmonary arterial hypertension (PAH) progress, arrhythmias are becoming an increasingly prominent phenomenon. Supraventricular tachycardias have been shown to have an incidence of up to 35% in pulmonary hypertension. Continuous cardiac monitoring was deployed in a patient with severe PAH 100 days before bilateral lung transplantation (BLTX). Despite being graded as WHO functional class IV, no arrhythmias were observed before BLTX. Furthermore, the case describes clinical improvement, along with a significant increase in heart rate variability (HRV) and decrease in night-time heart rate in the post-transplantation period. No arrhythmias were observed preoperatively during continuous monitoring in a 100-day period despite the patient’s intrinsically high risk for arrhythmias. Increasing HRV and lower resting heart rate were observed after BLTX. Since these parameters correlate with the clinical condition, they might be valuable in risk assessment in patients with pulmonary hypertension.
format Online
Article
Text
id pubmed-9171191
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher BMJ Publishing Group
record_format MEDLINE/PubMed
spelling pubmed-91711912022-06-16 Continuous cardiac monitoring in a patient with terminal pulmonary hypertension and eventual bilateral lung transplantation Andersen, Mads Ørbæk Diederichsen, Søren Zöga Svendsen, Jesper Hastrup Carlsen, Jørn BMJ Case Rep Case Reports: Learning from unexpected outcome (positive or negative) As pulmonary arterial hypertension (PAH) progress, arrhythmias are becoming an increasingly prominent phenomenon. Supraventricular tachycardias have been shown to have an incidence of up to 35% in pulmonary hypertension. Continuous cardiac monitoring was deployed in a patient with severe PAH 100 days before bilateral lung transplantation (BLTX). Despite being graded as WHO functional class IV, no arrhythmias were observed before BLTX. Furthermore, the case describes clinical improvement, along with a significant increase in heart rate variability (HRV) and decrease in night-time heart rate in the post-transplantation period. No arrhythmias were observed preoperatively during continuous monitoring in a 100-day period despite the patient’s intrinsically high risk for arrhythmias. Increasing HRV and lower resting heart rate were observed after BLTX. Since these parameters correlate with the clinical condition, they might be valuable in risk assessment in patients with pulmonary hypertension. BMJ Publishing Group 2022-06-05 /pmc/articles/PMC9171191/ /pubmed/35667702 http://dx.doi.org/10.1136/bcr-2021-248304 Text en © BMJ Publishing Group Limited 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) .
spellingShingle Case Reports: Learning from unexpected outcome (positive or negative)
Andersen, Mads Ørbæk
Diederichsen, Søren Zöga
Svendsen, Jesper Hastrup
Carlsen, Jørn
Continuous cardiac monitoring in a patient with terminal pulmonary hypertension and eventual bilateral lung transplantation
title Continuous cardiac monitoring in a patient with terminal pulmonary hypertension and eventual bilateral lung transplantation
title_full Continuous cardiac monitoring in a patient with terminal pulmonary hypertension and eventual bilateral lung transplantation
title_fullStr Continuous cardiac monitoring in a patient with terminal pulmonary hypertension and eventual bilateral lung transplantation
title_full_unstemmed Continuous cardiac monitoring in a patient with terminal pulmonary hypertension and eventual bilateral lung transplantation
title_short Continuous cardiac monitoring in a patient with terminal pulmonary hypertension and eventual bilateral lung transplantation
title_sort continuous cardiac monitoring in a patient with terminal pulmonary hypertension and eventual bilateral lung transplantation
topic Case Reports: Learning from unexpected outcome (positive or negative)
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9171191/
https://www.ncbi.nlm.nih.gov/pubmed/35667702
http://dx.doi.org/10.1136/bcr-2021-248304
work_keys_str_mv AT andersenmadsørbæk continuouscardiacmonitoringinapatientwithterminalpulmonaryhypertensionandeventualbilaterallungtransplantation
AT diederichsensørenzoga continuouscardiacmonitoringinapatientwithterminalpulmonaryhypertensionandeventualbilaterallungtransplantation
AT svendsenjesperhastrup continuouscardiacmonitoringinapatientwithterminalpulmonaryhypertensionandeventualbilaterallungtransplantation
AT carlsenjørn continuouscardiacmonitoringinapatientwithterminalpulmonaryhypertensionandeventualbilaterallungtransplantation