4,380 results match your criteria Congestive Heart Failure and Pulmonary Edema


Takayasu arteritis with congestive heart failure in 26-year-old male: a case report.

Egypt Heart J 2022 May 21;74(1):41. Epub 2022 May 21.

Faculty of Medicine, University of Jember, Jl. Kalimantan No. 37, Jember, East Java, 68121, Indonesia.

Background: Takayasu arteritis (TA) is included in large vessel vasculitis with unknown aetiopathogenesis. TA is one of the rare diseases with a predilection for young women. The diagnosis of TA is difficult due to variation in clinical presentations and non-specific initial symptoms. Read More

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The Dropsy of Popes (1555-1978): A Bad Prognostic Sign Foreboding of Death.

J Relig Health 2022 May 20. Epub 2022 May 20.

Division of Heart Surgery, University of Campania Luigi Vanvitelli, Naples, Italy.

The purpose of this study is to explore the historical background of edema as a prognostic sign in popes, a special category of medical subjects whose health status was closely monitored and chronicled because of their unique important status in the events of their times. Nine out of 51 popes, who reigned in the years 1555-1978, died edematous at a mean age of 75.5 years of age. Read More

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Perioperative outcomes of pheochromocytoma/paraganglioma surgery preceded by Takotsubo-like cardiomyopathy.

Surgery 2022 May 16. Epub 2022 May 16.

Department of Digestive, Hepato-biliary and Endocrine Surgery, Referral Center for Rare Adrenal Diseases, Cochin Hospital, APHP, Paris, France; Department of Hepato-Biliary and Pancreatic Surgery and Liver Transplantation, AP-HP Pitié-Salpêtrière Hospital, Paris, France; Department of General, Visceral, and Endocrine Surgery, Pitié-Salpêtrière Hospital, AP-HP, Paris, France; Sorbonne University, Paris, France. Electronic address:

Background: Pheochromocytomas and paragangliomas can induce severe cardiovascular manifestations such as Takotsubo-like cardiomyopathy. What the perioperative outcomes are of patients presenting with pheochromocytomas/paragangliomas preceded by Takotsubo-like cardiomyopathy remains an unresolved question.

Methods: From 2006 to 2019, all patients who underwent surgery for pheochromocytomas/paragangliomas preceded by Takotsubo-like cardiomyopathy were included from 3 high-volume centers, with specific attention to perioperative hemodynamic instability and postoperative outcomes. Read More

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B-Lines by Lung Ultrasound Can Predict Worsening Heart Failure in Acute Myocardial Infarction During Hospitalization and Short-Term Follow-Up.

Front Cardiovasc Med 2022 2;9:895133. Epub 2022 May 2.

Department of Cardiology, Guangdong Cardiovascular Institute, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, China.

Background: Acute myocardial infarction (AMI) with pulmonary edema shows a worse prognosis. Lung ultrasound (LUS) is a new tool for evaluating subclinical pulmonary congestion. It has been proved to predict prognosis in heart failure; however, whether it can be used as a short-term prognostic marker in AMI and provide incremental value to Killip classification is unknown. Read More

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Mechanical Circulatory Support Weaning with Angiotensin Receptor/Neprilysin Inhibitor (ARNI) in Cardiogenic Shock.

Can J Cardiol 2022 May 13. Epub 2022 May 13.

Unit of Cardiac Intensive Care Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy.

This case highlights the potent afterload-reducing effect of intra-aortic balloon pump (IABP) in acute heart failure with reduced ejection fraction (AHFrEF). The AHFrEF is characterized by prominent afterload sensitivity and IABP removal may precipitate pulmonary edema and cardiogenic shock even after adequate decongestion; angiotensin receptor/neprilysin inhibitor initiation during IABP support may bridge towards IABP weaning in such afterload-sensitive patients. Read More

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Safety of a Cardiac Resynchronization Therapy Device Implantation in a Patient with Unstable Heart Failure Who Require Impella-Device Assistance.

Int Heart J 2022 May 14. Epub 2022 May 14.

Division of Cardiology, Internal Medicine III, Hamamatsu University School of Medicine.

Implantation of a cardiac resynchronization therapy (CRT) device is usually scheduled in the compensated phase of heart failure; however, procedural safety may be sometimes disturbed in the decompensated phase. We report a case of a successful semi-urgent implantation of a CRT device temporary assisted with Impella in a patient with the decompensated phase of severe heart failure dependent on inotropic agents and who cannot maintain the supine position. Impella assistance with left ventricular (LV) unloading and maintenance of end-organ perfusion contributed to early recovery from acute heart failure. Read More

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Reduced risk of arterial thromboembolism in cats with pleural effusion due to congestive heart failure.

J Feline Med Surg 2022 May 13:1098612X221094663. Epub 2022 May 13.

Division of Internal Medicine, San Marco Veterinary Clinic, Veggiano (PD), Italy.

Objectives: The aim of the study was to determine whether cardiogenic pleural effusion in cats is associated with a lower risk of arterial thromboembolism (ATE) compared with cats with cardiac disease without evidence of pleural effusion.

Methods: A cross-sectional study was conducted on owned cats with natural occurring cardiac diseases. Cats included were classified in three groups: those with cardiac disease but no evidence of congestive heart failure (CHF); those with evidence of cardiogenic pulmonary oedema; and those with evidence of cardiogenic pleural effusion. Read More

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Assessment of clinical and hemodynamic congestion as predictors of mortality in elderly outpatients with heart failure.

Rev Clin Esp (Barc) 2022 May 7. Epub 2022 May 7.

Servicio de Medicina Interna, Hospital Universitario de la Princesa. Fundación Investigación Biosanitaria del Hospital de la Princesa, Madrid, Spain.

Introduction: This work aims to evaluate whether a clinical examination and measurement of N-terminal pro-brain natriuretic peptide can predict poor prognosis in outpatients with heart failure.

Patients And Methods: We carried out a retrospective study from 2010 to 2018 in 238 patients diagnosed with heart failure. At baseline, we evaluated the presence of pulmonary rales and bilateral leg edema (clinical congestion) together with N-terminal pro-brain natriuretic peptide ≥ 1500 pg/mL (hemodynamic congestion). Read More

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Left Atrial Decompression in Pediatric Patients Supported With Extracorporeal Membrane Oxygenation for Failure to Wean From Cardiopulmonary Bypass: A Propensity-Weighted Analysis.

J Am Heart Assoc 2022 May 10:e023963. Epub 2022 May 10.

Department of Cardiology Boston Children's HospitalHarvard Medical School Boston MA.

Background Left atrial (LA) decompression on extracorporeal membrane oxygenation (ECMO) can reduce left ventricular distension, allowing myocardial rest and recovery, and protect from lung injury secondary to cardiogenic pulmonary edema. However, clinical benefits remain unknown. We sought to evaluate the association between LA decompression and in-hospital adverse outcome (mortality, transplant on ECMO, or conversion to ventricular assist device) in patients who failed to wean from cardiopulmonary bypass using a propensity score to adjust for baseline differences. Read More

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End-stage renal disease at dialysis initiation: Epidemiology and mortality risks during the first year of hemodialysis.

Saudi J Kidney Dis Transpl 2021 Sep-Oct;32(5):1407-1417

Department of Nephrology, Charles Nicolle Hospital, Tunis, Tunisia.

Chronic kidney disease (CKD) treated by hemodialysis (HD) is a worldwide major public health problem. Its incidence is getting higher and higher, leading to an alarming social and economic impact. The survival of these patients is significantly low, especially during the first year of treatment. Read More

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Cardiomyopathy and heart failure secondary to anabolic-androgen steroid abuse.

Proc (Bayl Univ Med Cent) 2022 17;35(3):363-365. Epub 2022 Mar 17.

Department of Hematology/Oncology, University of Alabama at Birmingham, Birmingham, Alabama.

Bodybuilders often use anabolic-androgenic steroids to improve performance. We report a case of a 30-year-old male bodybuilder with anabolic-androgen steroid abuse while getting ready for a bodybuilding contest. He had New York Heart Association class IV heart failure, severe nonischemic dilated cardiomyopathy, new-onset atrial fibrillation, cardiogenic pulmonary edema, and acute respiratory distress requiring mechanical ventilation. Read More

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On-X mitral valve leaflet embolization presenting as acute pulmonary oedema.

Egypt Heart J 2022 May 4;74(1):36. Epub 2022 May 4.

Department of Cardiothoracic Surgery, Inkosi Albert Luthuli Central Hospital, Nelson R Mandela School of Medicine, University of Kwa Zulu Natal, Durban, South Africa.

Background: Structural valve failure in the form of leaflet fracture and embolization is an uncommon complication. Severe valve regurgitation with pulmonary oedema in a patient with a history of a prosthetic cardiac valve requires urgent diagnosis. An echocardiogram is essential in identifying the cause of valve failure. Read More

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Meta-Analysis of Point-of-Care Lung Ultrasonography Versus Chest Radiography in Adults With Symptoms of Acute Decompensated Heart Failure.

Am J Cardiol 2022 Apr 30. Epub 2022 Apr 30.

New York Presbyterian Hospital/Columbia University Irving Medical Center, Columbia University Vagelos College of Physicians and Surgeons, Columbia University, New York, New York. Electronic address:

Acute decompensated heart failure (ADHF) is a primary cause of older adults presenting to the emergency department with acute dyspnea. Point-of-care lung ultrasound (LUS) has shown comparable or superior diagnostic accuracy in comparison with a chest x-ray (CXR) in patients presenting with symptoms of ADHF. The systematic review and meta-analysis aimed to elucidate the sensitivity and specificity of LUS in comparison with CXR for diagnosing ADHF and summarize the rapidly growing body of evidence in this domain. Read More

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Central volume shift in acute heart failure revealed by blood volume monitoring during haemodialysis.

Clin Kidney J 2022 May 20;15(5):1007-1009. Epub 2021 Dec 20.

Division of Nephrology and Hypertension, Kawasaki Municipal Tama Hospital, Kawasaki, Japan.

Central volume shift is one of the major pathophysiological mechanisms of acute pulmonary oedema in acute heart failure (AHF). Pathological vasoconstriction results in central volume shift; however, its onset and course have been rarely detected or recorded in clinical practice. We report an exceptional case of AHF developing during haemodialysis, with marked blood pressure (BP) elevation and paradoxical repeated reduction in blood volume (BV) detected by real-time BV monitoring, accompanied by worsening dyspnoea. Read More

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Influence of concurrent lower respiratory tract disease on point-of-care lung ultrasound in small-breed dogs with myxomatous mitral valve disease.

J Vet Intern Med 2022 Apr 27. Epub 2022 Apr 27.

Section of Respiratory Therapy, Department of Integrated Diagnostics and Therapeutics, National Taiwan University Hospital, National Taiwan University, Taipei, Taiwan.

Background: Small-breed dogs commonly have concurrent myxomatous mitral valve disease (MMVD) and lower respiratory tract disease (LRTD).

Hypothesis: Small-breed dogs with preclinical MMVD and concurrent LRTD have more B-lines on point-of-care lung ultrasound (POC-LUS) compared to dogs without concurrent LRTD and are prone to misdiagnose as cardiogenic pulmonary edema (CPE).

Animals: A total of 114 small-breed dogs with preclinical MMVD. Read More

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Repeated extracorporeal membrane oxygenation for support of an Adult with Congenital Heart Disease and reperfusion pulmonary oedema.

Cardiol Young 2022 Apr 25:1-5. Epub 2022 Apr 25.

Congenital Heart Center, Division of Cardiovascular Surgery, Departments of Surgery and Pediatrics, University of Florida, Gainesville, FL, USA.

We present the case of 28-year-old woman with a history of complex congenital cardiac surgery who developed cardiovascular collapse with reperfusion pulmonary oedema and right ventricular failure after surgical replacement of a severely stenosed right ventricle to pulmonary artery conduit. She required two separate episodes of support with extracorporeal membrane oxygenation and is alive and well 6 months after her initial cardiorespiratory crisis. We believe that consideration of a second period of support with extracorporeal membrane oxygenation is appropriate for select adults with CHD, provided they have a potentially reversible cause of postoperative cardiorespiratory collapse. Read More

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Unilateral pulmonary oedema: a case report and literature review.

J Int Med Res 2022 Apr;50(4):3000605221093678

Department of Critical Care Medicine, Xuanwu Hospital Capital Medical University, Beijing, China.

Acute myocarditis is often secondary to an acute virus infection, which can be the first manifestation of upper respiratory tract symptoms, followed by chest tightness, shortness of breath, palpitations, chest pain and other non-specific symptoms. In severe cases, it can quickly progress to serious complications such as heart failure, shock and respiratory failure. Laboratory examinations can show an increase of myocardial injury markers, infection and inflammatory indicators. Read More

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Mean Platelet Volume: A Possible Predictor for Patients with Decompensated Chronic Heart Failure.

Int J Gen Med 2022 16;15:4131-4140. Epub 2022 Apr 16.

University of Medicine and Pharmacy "Carol Davila", Bucharest, Romania.

Purpose: Despite all medical efforts and discoveries, heart failure (HF) remains one of the most important and common public health problems, with high mortality and hospitalization rates, due to decompensation of HF. In the present study, we aimed to identify a predictive factor through which we can evaluate the risk of readmission and mortality in the first year, given the initial admission of a patient with decompensated heart failure.

Patients And Methods: The parameter we have investigated is the mean platelet volume (MPV). Read More

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Sodium-Glucose Cotransporter-2 Inhibitors Improve Heart Failure with Reduced Ejection Fraction Outcomes by Reducing Edema and Congestion.

Diagnostics (Basel) 2022 Apr 14;12(4). Epub 2022 Apr 14.

Department of Medicine, College of Medicine-Phoenix, University of Arizona, Phoenix, AZ 85004, USA.

Pathological sodium-water retention or edema/congestion is a primary cause of heart failure (HF) decompensation, clinical symptoms, hospitalization, reduced quality of life, and premature mortality. Sodium-glucose cotransporter-2 inhibitors (SGLT-2i) based therapies reduce hospitalization due to HF, improve functional status, quality, and duration of life in patients with HF with reduced ejection fraction (HFrEF) independently of their glycemic status. The pathophysiologic mechanisms and molecular pathways responsible for the benefits of SGLT-2i in HFrEF remain inconclusive, but SGLT-2i may help HFrEF by normalizing salt-water homeostasis to prevent clinical edema/congestion. Read More

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Pulmonary thromboendarterectomy in chronic thromboembolic pulmonary hypertension: the Spanish experience.

Ann Cardiothorac Surg 2022 Mar;11(2):151-160

Department of Cardiac Surgery, Unidad Multidisciplinar de Hipertensión Pulmonar, European Reference Network for Respiratory Diseases (ERN-lung), Hospital Universitario 12 de Octubre, Madrid, Spain.

Background: Chronic thromboembolic pulmonary hypertension (CTEPH) can be cured by pulmonary endarterectomy (PEA). It is considered the best and only curable treatment option for patients with accessible lesions evaluated as optimal candidates. We describe the experience of the two reference centers in Spain, in order to reinforce the need for referring CTEPH patients to a specialized center to be assessed by a Multidisciplinary Expert Team. Read More

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Paravalvular Leak.

Methodist Debakey Cardiovasc J 2022 1;18(1):7-9. Epub 2022 Apr 1.

Houston Methodist DeBakey Heart & Vascular Center, Houston, Texas, US.

Despite improvements and advancements in surgical technique, paravalvular leaks (PVL) continue to present a challenge when caring for patients with prosthetic valve disease. Paravalvular leaks result from dehiscence of the surgical ring from the mitral annulus. Some theories suggest that uneven distribution of collagen fibers in the mitral annulus leaves the posterior mitral annulus without a well-formed fibrous structure, which may predispose it to recurrent mechanical injury that leads to PVL. Read More

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Cardiorenal Syndrome Triggered by Slowly Progressive Drugs Toxicity-Induced Renal Failure along with Minimal Mitral Disease: A Case Report.

Endocr Metab Immune Disord Drug Targets 2022 Apr 12. Epub 2022 Apr 12.

Department of Emergency and Organ Transplantation, Unit of Cardiovascular Diseases, University of Bari, Bari, Italy.

Background: We report the case of a 93-year-old patient with normal left ventricular function and severe mitral annulus calcification, with mild mitral steno-insufficiency.

Case Presentation: She had developed creeping drugs-induced renal toxicity that is generally totally overlooked, due mainly to statins, a proton pump inhibitor, and aspirin. The Na and fluid retention, along with hypertension that ensued, although not severe, caused acute heart failure (sub-pulmonary edema) by worsening the mitral insufficiency. Read More

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Predicting outcome after cardiac resynchronisation therapy defibrillator implantation: the CRT-D Futility score.

Heart 2022 Apr 11. Epub 2022 Apr 11.

Cardiology, Trousseau University Hospital, Tours, France.

Background: Risk-benefit for cardiac resynchronisation therapy (CRT) defibrillator (CRT-D) over CRT pacemaker remains a matter of debate. We aimed to identify patients with a poor outcome within 1 year of CRT-D implantation, and to develop a CRT-D Futility score.

Methods: Based on an administrative hospital-discharge database, all consecutive patients treated with prophylactic CRT-D implantation in France (2010-2019) were included. Read More

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Effective collaboration between hematologists and cardiologists facilitated successful control of reversible dasatinib-related pulmonary arterial hypertension and treatment-free remission of chronic myeloid leukemia: a case report.

Int Cancer Conf J 2022 Apr 21;11(2):142-146. Epub 2022 Feb 21.

Department of Onco-Cardiology/Cardiovascular Medicine, The Cancer Institute Hospital of Japanese Foundation for Cancer Research, 3-8-31 Ariake, Koto-ku, Tokyo, 135-8550 Japan.

The BCR-ABL1 tyrosine kinase inhibitor dasatinib is effective in chronic myeloid leukemia (CML) treatment. The major known adverse effects of dasatinib include pleural effusion and pulmonary arterial hypertension (PAH); however, the underlying mechanisms remain unclear. This case report describes a two-step dasatinib dose reduction decided by multi-disciplinary collaboration between cardiologists and hematologists for the management of PAH that led to treatment-free remission (TFR), suggesting an important improvement in the field. Read More

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Detection of Pulmonary Congestion in Heart Failure With Preserved Ejection Fraction Using Quantitative Chest CT.

JACC Cardiovasc Imaging 2022 04;15(4):638-640

Department of Radiology at University of Massachusetts Memorial Medical Center, Worcester, Massachusetts, USA.

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Adrenal pheochromocytoma as a rare cause of reversible left ventricular systolic dysfunction and malignant arrhythmias: a case series.

Eur Heart J Case Rep 2022 Mar 7;6(3):ytac098. Epub 2022 Mar 7.

Department of Cardiology, Institute for Clinical and Experimental Medicine, Vídeňská 1958/9, Prague, Czech Republic.

Background: Pheochromocytoma is a neuroendocrine tumour originating from the chromaffin cells of adrenal glands or sympathetic paraganglia. It produces most frequently norepinephrine, epinephrine, and dopamine. As a result of non-specific and variable clinical presentation, pheochromocytoma is difficult to diagnose. Read More

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Negative-Pressure Pulmonary Edema and Takotsubo Cardiomyopathy in the Older Adults.

Cureus 2022 Feb 27;14(2):e22661. Epub 2022 Feb 27.

Cardiology, Shimane University Faculty of Medicine, Izumo, JPN.

Negative-pressure pulmonary edema (NPPE) is a non-cardiogenic pulmonary edema caused by a sudden drop in the intrathoracic pressure associated with upper airway obstruction. Takotsubo cardiomyopathy (TCM) can often be triggered by intense stress and is more common in older women. In this case report, we describe a case of NPPE associated with upper airway obstruction and TCM associated with stress by upper airway obstruction in an 85-year-old woman. Read More

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February 2022

Quantitative Lung Ultrasonography for the Nephrologist: Applications in Dialysis and Heart Failure.

Kidney360 2022 Jan 11;3(1):176-184. Epub 2021 Nov 11.

Division of Nephrology, Medical College of Wisconsin, Milwaukee, Wisconsin.

Volume overload, and its attendant increase in acute care utilization and cardiovascular morbidity and mortality, represents a critical challenge for the practicing nephrologist. This is particularly true among patients with ESKD on HD, where predialysis volume overload and intradialytic and postdialytic hypovolemia account for almost a third of all cost for the Medicare dialysis benefit. Quantitative lung ultrasound is a tool for assessing the extent of extravascular lung water that outperforms physical exam and plain chest radiography. Read More

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January 2022

Utility of non-invasive synchronized intermittent mandatory ventilation in acute cardiogenic pulmonary edema.

Am J Emerg Med 2022 Jun 27;56:71-76. Epub 2022 Mar 27.

Department of Emergency Medicine, Faculty of Medicine Ataturk University, Istanbul, Turkey.

Backgrounds: Acute cardiogenic pulmonary edema (ACPE), one of the outcomes of acute heart failure (AHF), is a common reason in a critical condition with respiratory distress. Non-invasive synchronized intermittent mandatory ventilation(nSIMV) mode, which includes inspiratory pressure in addition to positive end expiratory pressure with/without pressure support provided in the non-invasive continuous positive airway pressure plus/pressure support(nCPAP/PS) mode can be effective in hypercarbia and the associated changes in consciousness. This study aimed to demonstrate the efficacy of nSIMV in ACPE. Read More

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Long-Term Outcomes After Percutaneous Transluminal Pulmonary Angioplasty in Patients With Takayasu Arteritis and Pulmonary Hypertension.

Front Immunol 2022 11;13:828863. Epub 2022 Mar 11.

Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.

Objective: To investigate the long-term efficacy of percutaneous transluminal pulmonary angioplasty (PTPA) in patients with Takayasu arteritis (TA) and pulmonary artery stenosis and pulmonary hypertension (PH).

Methods: Data from 183 lesions from 79 surgeries performed on 32 patients with TA and PH were analyzed. Symptoms, laboratory investigation results, World Health Organization (WHO) functional class, 6-min walk distance (6 MWD), hemodynamic parameters, and prognosis were analyzed at baseline and follow-up. Read More

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