Paciente con síndrome de Eisenmenger complicado por sangrado digestivo alto
Journal Title: Revista Eugenio Espejo - Year 2021, Vol 15, Issue 1
Abstract
Eisenmenger syndrome is a multisystemic disorder characterized by pulmonary hypertension with reversal or bidirectional flow through an intracardiac or aortopulmonary communication. We present the case of a 48-year-old male patient with a history of Pulmonary Hypertension and Heart Failure under treatment, who presented with melena, decay, and hemodynamic instability. Physical examination revealed an ascending systolic murmur in the lung focus, a distended abdomen with the presence of an ascitic wave. In the complementary exams, conventional chest radiography showed an increase in the pulmonary vascular pattern, as well as electrocardiographic alterations were also found. The patient showed an unfavorable evolution, producing heart failure, which led to subsequent death due to cardiorespiratory arrest.
Authors and Affiliations
Edwin Gilberto Choca Alcocer Hospital General Andino, Ecuador Universidad Nacional de Chimborazo, Ecuador https://orcid. org/0000-0003-4889-5395 José Enrique Bombón Chico Universidad Nacional de Chimborazo, Ecuador https://orcid. org/0000-0002-8911-4586 Eida Ortiz Zayas Escuela Superior Politécnica de Chimborazo, Ecuador Hospital Provincial General Docente Riobamba, Ecuador https://orcid. org/0000-0001-5230-7598
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- EP ID EP695015
- DOI https://doi.org/10.37135/ee.04.10.06
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