title: Pulmonary hypertension in schistosomiasis mansoni.
abstract: To evaluate cardiopulmonary involvement in schistosomiasis mansoni, 246 patients from an endemic area of Brazil were examined; 152 had been previously treated for schistosomiasis. Based on stool examination and/or abdominal ultrasonography, the patients were divided into those with schistosomiasis (69%) and those in whom the disease was not present (31%). M mode measurements were similar in the 2 groups. Pulmonary pressure was measured by Doppler echocardiography; 25% of the subjects had pulmonary hypertension. Those with pulmonary hypertension had a higher prevalence of schistosomiasis (80%) than those without (64%; P = 0.03). No case of cor pulmonale was diagnosed by electrocardiography or Doppler echocardiography. The prevalence of pulmonary hypertension correlated neither with periportal fibrosis nor with prior treatment for schistosomiasis.
authors.affiliation: Medical School, Federal University of Minas Gerais, Belo Horizonte, Brazil.
authors.forename: M M
authors.initials: MM
authors.lastname: Barbosa
authors.forename: J A
authors.initials: JA
authors.lastname: Lamounier
authors.forename: E C
authors.initials: EC
authors.lastname: Oliveira
authors.forename: M V
authors.initials: MV
authors.lastname: Souza
authors.forename: D S
authors.initials: DS
authors.lastname: Marques
authors.forename: A A
authors.initials: AA
authors.lastname: Silva
authors.forename: J R
authors.initials: JR
authors.lastname: Lambertucci
mesh_terms: D000328:Adult; D001938:Brazil; D003430:Cross-Sectional Studies; D018618:Echocardiography, Doppler, Color; D004562:Electrocardiography; D005260:Female; D006801:Humans; D006976:Hypertension, Pulmonary / Q000150:complications* / Q000473:pathology / Q000503:physiopathology; D008297:Male; D011446:Prospective Studies; D012555:Schistosomiasis mansoni / Q000150:complications*