Open AccessReversal of Pulmonary Hypertension in a Patient with Chronic Mountain Sickness after Relocation to Low Altitude
Author(s) -
Abdirashit Maripov,
Kubatbek Muratali Uulu,
Samatbek Satybaldyev,
Nadira Kushubakova,
Akpay Sarybaev
Publication year - 2021
Publication title -
journal of clinical and diagnostic research
Language(s) - English
Resource type - Journals
eISSN - 2249-782X
pISSN - 0973-709X
DOI - 10.7860/jcdr/2021/48309.14886
Subject(s) - relocation , pulmonary hypertension , low altitude , medicine , ventricle , effects of high altitude on humans , altitude (triangle) , pulmonary artery , cardiology , residence , anatomy , geometry , mathematics , demography , sociology , computer science , programming language
Long-term high altitude residence can be complicated by development of Chronic Mountain Sickness (CMS) characterised by excessive erythrocytosis and neurological symptoms. In some patients, CMS may be associated with various degrees of Pulmonary Hypertension (PH). There have been no reports on changes in the pulmonary circulation and Right Ventricular (RV) structure following translocation to low altitude of patients with CMS. Here the authors report a case of 56 years old female patient, resident of Sary Mogol (3,000 m, Kyrgyzstan), diagnosed of CMS on clinical and laboratory examination. Transthoracic echocardiography revealed slightly dilated Right ventricle and significantly enlarged Pulmonary Artery diameter was found. The patient undergone complete resolution of symptoms and alleviation of PH within three years of residence at low altitude. Thus, relocation to low altitude cures CMS and reverses PH.