More than a rare cause of pulmonary hypertension in the elderly

Plácido, RuiSousa, IsabelAntunes, DulceGuimarães, TatianaPinto, Fausto J.2020-06-252020-06-252020Rev Port Cardiol 2020; 39(3): 175-1760870-2551http://hdl.handle.net/10451/43904© 2020 Sociedade Portuguesa de Cardiologia. Published by Elsevier España, S.L.U. This is an open access article under the CC-BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).An 80-year-old woman with a history of systemic hypertension and dual-chamber pacemaker implantation for sick sinus syndrome presented to the hospital with worsening dyspnea and fatigue for several months. The chest X-ray (Figure 1A) showed a markedly enlarged cardiac silhouette along with a tubular opacity (dotted lines) paralleling the right heart border. Echocardiographic examination depicted dilated right heart chambers, right ventricular dysfunction and a high probability of pulmonary hypertension.engMore than a rare cause of pulmonary hypertension in the elderlyMais do que uma causa rara de hipertensão arterial pulmonar no idosojournal article10.1016/j.repc.2019.06.0072174-2030