P81 Rapid reversible echocardiographic findings of pulmonary hypertension crisis in meconium aspiration syndrome

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This case highlights the importance of echocardiographic diagnosis: accurately, quickly especially in particularly severe cases for guiding therapy. Ultrasound diagnosis may surprise reversal of the shunts under the influence of simultaneous measurement of BP in all limbs and the influence of concomitant phosphodieterasis inhibitors treatment over the pulmonary blood pressure.


The peculiarity of the case is the decreasing values of PAH in the early hours of treatment. This case outline the difference between PAH and a PAH crisis in meconium aspiration syndrome.

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