Arduous management in treatment of elderly patient with pulmonary arterial hypertension and cardiopulmonary comorbidities

Elderly patients with pulmonary arterial hypertension (PAH) exhibit distinct features and outcomes compared to classical patients. Cardiopulmonary comorbidities are common and likely contribute to the development of pulmonary hypertension (PH). However, solid evidence for treating elderly PAH patien...

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Main Authors: Yu Enomoto, Kei Kusaka, Kengo Sato, Keita Takeda, Masahiro Kawashima, Yoshiteru Morio
Format: Article
Language:English
Published: Elsevier 2025-01-01
Series:Respiratory Medicine Case Reports
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Online Access:http://www.sciencedirect.com/science/article/pii/S2213007125000103
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author Yu Enomoto
Kei Kusaka
Kengo Sato
Keita Takeda
Masahiro Kawashima
Yoshiteru Morio
author_facet Yu Enomoto
Kei Kusaka
Kengo Sato
Keita Takeda
Masahiro Kawashima
Yoshiteru Morio
author_sort Yu Enomoto
collection DOAJ
description Elderly patients with pulmonary arterial hypertension (PAH) exhibit distinct features and outcomes compared to classical patients. Cardiopulmonary comorbidities are common and likely contribute to the development of pulmonary hypertension (PH). However, solid evidence for treating elderly PAH patients with these comorbidities remains lacking, complicating management. We report a case of a 74-year-old male with PAH and cardiopulmonary comorbidities who responded transiently to initial combination therapy with pulmonary vasodilators.
format Article
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institution Kabale University
issn 2213-0071
language English
publishDate 2025-01-01
publisher Elsevier
record_format Article
series Respiratory Medicine Case Reports
spelling doaj-art-736b19d46e9945b08eabea991d339a912025-02-09T05:00:24ZengElsevierRespiratory Medicine Case Reports2213-00712025-01-0153102174Arduous management in treatment of elderly patient with pulmonary arterial hypertension and cardiopulmonary comorbiditiesYu Enomoto0Kei Kusaka1Kengo Sato2Keita Takeda3Masahiro Kawashima4Yoshiteru Morio5Center for Pulmonary Circulation and Hemoptysis, Department of Respiratory Medicine, National Hospital Organization Tokyo National Hospital, 3-1-1 Takeoka Kiyose-shi, Tokyo, 204-8585, Japan; Center for Pulmonary Diseases, Department of Respiratory Medicine, National Hospital Organization Tokyo National Hospital, 3-1-1 Takeoka Kiyose-shi, Tokyo, 204-8585, JapanCenter for Pulmonary Circulation and Hemoptysis, Department of Respiratory Medicine, National Hospital Organization Tokyo National Hospital, 3-1-1 Takeoka Kiyose-shi, Tokyo, 204-8585, Japan; Center for Pulmonary Diseases, Department of Respiratory Medicine, National Hospital Organization Tokyo National Hospital, 3-1-1 Takeoka Kiyose-shi, Tokyo, 204-8585, JapanCenter for Pulmonary Circulation and Hemoptysis, Department of Respiratory Medicine, National Hospital Organization Tokyo National Hospital, 3-1-1 Takeoka Kiyose-shi, Tokyo, 204-8585, Japan; Center for Pulmonary Diseases, Department of Respiratory Medicine, National Hospital Organization Tokyo National Hospital, 3-1-1 Takeoka Kiyose-shi, Tokyo, 204-8585, JapanCenter for Pulmonary Circulation and Hemoptysis, Department of Respiratory Medicine, National Hospital Organization Tokyo National Hospital, 3-1-1 Takeoka Kiyose-shi, Tokyo, 204-8585, Japan; Center for Pulmonary Diseases, Department of Respiratory Medicine, National Hospital Organization Tokyo National Hospital, 3-1-1 Takeoka Kiyose-shi, Tokyo, 204-8585, JapanCenter for Pulmonary Circulation and Hemoptysis, Department of Respiratory Medicine, National Hospital Organization Tokyo National Hospital, 3-1-1 Takeoka Kiyose-shi, Tokyo, 204-8585, Japan; Center for Pulmonary Diseases, Department of Respiratory Medicine, National Hospital Organization Tokyo National Hospital, 3-1-1 Takeoka Kiyose-shi, Tokyo, 204-8585, JapanCenter for Pulmonary Circulation and Hemoptysis, Department of Respiratory Medicine, National Hospital Organization Tokyo National Hospital, 3-1-1 Takeoka Kiyose-shi, Tokyo, 204-8585, Japan; Center for Pulmonary Diseases, Department of Respiratory Medicine, National Hospital Organization Tokyo National Hospital, 3-1-1 Takeoka Kiyose-shi, Tokyo, 204-8585, Japan; Corresponding author. Center for Pulmonary Circulation and Hemoptysis, Department of Respiratory Medicine, National Hospital Organization Tokyo National Hospital, 3-1-1 Takeoka Kiyose-shi, Tokyo, 204-8585, Japan.Elderly patients with pulmonary arterial hypertension (PAH) exhibit distinct features and outcomes compared to classical patients. Cardiopulmonary comorbidities are common and likely contribute to the development of pulmonary hypertension (PH). However, solid evidence for treating elderly PAH patients with these comorbidities remains lacking, complicating management. We report a case of a 74-year-old male with PAH and cardiopulmonary comorbidities who responded transiently to initial combination therapy with pulmonary vasodilators.http://www.sciencedirect.com/science/article/pii/S2213007125000103Elderly pulmonary arterial hypertensionCardiopulmonary comorbiditiesPulmonary vasodilatorInitial combination therapy
spellingShingle Yu Enomoto
Kei Kusaka
Kengo Sato
Keita Takeda
Masahiro Kawashima
Yoshiteru Morio
Arduous management in treatment of elderly patient with pulmonary arterial hypertension and cardiopulmonary comorbidities
Respiratory Medicine Case Reports
Elderly pulmonary arterial hypertension
Cardiopulmonary comorbidities
Pulmonary vasodilator
Initial combination therapy
title Arduous management in treatment of elderly patient with pulmonary arterial hypertension and cardiopulmonary comorbidities
title_full Arduous management in treatment of elderly patient with pulmonary arterial hypertension and cardiopulmonary comorbidities
title_fullStr Arduous management in treatment of elderly patient with pulmonary arterial hypertension and cardiopulmonary comorbidities
title_full_unstemmed Arduous management in treatment of elderly patient with pulmonary arterial hypertension and cardiopulmonary comorbidities
title_short Arduous management in treatment of elderly patient with pulmonary arterial hypertension and cardiopulmonary comorbidities
title_sort arduous management in treatment of elderly patient with pulmonary arterial hypertension and cardiopulmonary comorbidities
topic Elderly pulmonary arterial hypertension
Cardiopulmonary comorbidities
Pulmonary vasodilator
Initial combination therapy
url http://www.sciencedirect.com/science/article/pii/S2213007125000103
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