[PP.06.18] PROPERTIES OF CLINICAL SYMPTOMS AND PHYSICAL EXAMINATION IN PATIENTS WITH DIFFERENT FORMS OF PULMONARY ARTERIAL HYPERTENSION

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Abstract

Objective:

to assess the frequency of clinical symptoms and physical examination signs, allowing to differentiate forms of pulmonary hypertension (IPAH - idiopathic pulmonary arterial hypertension, PAH due to CHD - congenital heart disease)

Design and method:

We studied 70 patients with IPAH and 29 patients with PAH-CHD

Results:

In patients with IPAH compared to patients with PAH-CHD were more frequent clinical symptoms - syncope, cough (p < 0,05). While in PAH-CHD- shortness of breath, fatigue(p < 0,05).

Results:

Most often signs of the physical examination in IPAH were ankle oedema, accentuated pulmonary component of the second heart sound, lung crackels (p < 0,05). At the same time the most frequent finding in patients with CHD was cyanosis (Table 1)

Conclusions:

Careful questioning of each PAH patient about the history of symptoms and signs, clinical examination may suggest an underlying cause of PAH at early stage of the disease.

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