Pulmonary hypertension due to acute respiratory distress syndrome

S.A. Ñamendys-Silva
L.E. Santos-Martínez
T. Pulido
E. Rivero-Sigarroa
J.A. Baltazar-Torres
G. Domínguez-Cherit
J. Sandoval

Open link

Publication date

October 2014

DOI

10.1590/1414-431X20143316

Publisher

Associação Brasileira de Divulgação Científica

ISSN

1414-431X

Journal

issn:1414-431X

Abstract

Our aims were to describe the prevalence of pulmonary hypertension in patients with acute respiratory distress syndrome (ARDS), to characterize their hemodynamic cardiopulmonary profiles, and to correlate these parameters with outcome. All consecutive patients over 16 years of age who were in the intensive care unit with a diagnosis of ARDS and an in situ pulmonary artery catheter for hemodynamic monitoring were studied. Pulmonary hypertension was diagnosed when the mean pulmonary artery pressure was >25 mmHg at rest with a pulmonary artery occlusion pressure or left atrial pressure <15 mmHg. During the study period, 30 of 402 critically ill patients (7.46%) who were admitted to the ICU fulfilled the criteria for ARDS. Of the 30 patients wi...