Lesson of the month 1: Obesity hypoventilation (Pickwickian) syndrome: a reversible cause of severe pulmonary hypertension

被引：5

作者：

Warricker, Frazer ^{[1
]}

Islam, Zafir ^{[2
]}

Shah, Benoy N. ^{[3
]}

机构：

[1] Univ Hosp Southampton, Med CT2, Dept Cardiol, Southampton, Hants, England

[2] Univ Hosp Southampton, Med CT1, Dept Cardiol, Southampton, Hants, England

[3] Univ Hosp Southampton, Dept Cardiol, Southampton, Hants, England

来源：

CLINICAL MEDICINE | 2017年 / 17卷 / 06期

关键词：

obesity hypoventilation syndrome; Pickwickian syndrome; pulmonary hypertension; obstructive sleep apnoea;

D O I：

10.7861/clinmedicine.17-6-578

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Obesity hypoventilation syndrome (OHS) is a condition in which an individual with a body mass index >30 kg/m(2) develops daytime alveolar hypoventilation (defined as a resting PaCO2 >45 mmHg) that cannot be attributed to other pathologies. It is a condition with increasing prevalence and rising cost to healthcare systems worldwide. Right heart failure and pulmonary hypertension are well-known complications of this syndrome. Here, we present the case of a female patient with OHS who presented to our centre with severe pulmonary hypertension, which resolved with appropriate treatment. We also review this clinical condition and its diagnosis and management.

引用

页码：578 / 581

页数：4