[Reversible cor pulmonale in central disorder of respiratory regulation].
Irreversible increase of pulmonary vascular resistance is a well known complication of chronic hypoxemia. In our 12 months old patient a central ventilation disorder caused severe hypoxemia and hypercapnea at sleep. With 9 months of age pulmonary hypertension was found echocardiographically and was verified by catheterization. Massive increase of pulmonary vascular resistance was measured. A controlled oxygen therapy normalized oxygen partial pressure at sleep, and a rapid regression of the echocardiographic signs of pulmonary hypertension became evident. However, the central ventilation disorder was not significantly influenced.
Trowitzsch
E
E
Vestische Kinderklinik Datteln.
Schlüter
B
B
D001925:Brain Damage, Chronic / Q000150:complications*; D002245:Carbon Dioxide / Q000097:blood; D004452:Echocardiography; D005500:Follow-Up Studies; D006801:Humans; D006976:Hypertension, Pulmonary / Q000209:etiology*; D007223:Infant; D007231:Infant, Newborn; D010100:Oxygen / Q000097:blood; D011660:Pulmonary Heart Disease / Q000209:etiology*; D011669:Pulmonary Wedge Pressure / Q000502:physiology; D012127:Respiratory Distress Syndrome, Newborn / Q000150:complications*; D012891:Sleep Apnea Syndromes / Q000150:complications*
D002245:Carbon Dioxide; D010100:Oxygen
Reversibles Cor pulmonale bei zentraler Atemregulationsstörung.