[Analysis of the misdiagnoses of obliterative pulmonary hypertension].
In order to reduce the misdiagnostic rate of obliterative pulmonary hypertension (OPH), the clinical data was analysed of 126 cases of OPH, including 83 cases of unexplained pulmonary hypertension (UPH) and 43 cases of thromboembolic pulmonary hypertension (TEPH). The results showed that the misdiagnostic rate of UPH and TEPH was 93.98% and 79.07% respectively, with a total misdiagnostic rate of 88.89%. UPH was frequently misdiagnosed as congenital heart disease (63.86%), valvular heart disease (13.5%) and coronary heart disease (9.64%). TEPH was usually misdiagnosed as cardiomyopathy (37.21%), coronary heart disease (18.61%), and valvular heart disease (18.61%). The possible causes of misdiagnosis were discussed.
Zhao
Y J
YJ
Cardiovascular Institute and Fuwai Hospital, Chinese Academy of Medical Sciences, Beijing.
Cheng
X S
XS
D000293:Adolescent; D000328:Adult; D002648:Child; D003951:Diagnostic Errors; D005260:Female; D006330:Heart Defects, Congenital / Q000175:diagnosis; D006801:Humans; D006976:Hypertension, Pulmonary / Q000175:diagnosis*; D008297:Male; D008875:Middle Aged; D011655:Pulmonary Embolism / Q000175:diagnosis*