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Pregnancy as a Possible Trigger for Heritable Pulmonary Arterial Hypertension:

机译:妊娠是遗传性肺动脉高压的可能诱因:

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It is unclear whether pregnancy is a trigger or accelerant for idiopathic pulmonary arterial hypertension (PAH). Alternatively, its frequency close to the onset of symptoms and diagnosis in the idiopathic PAH population may represent a coincidence in a disease that predominates in young women. We describe a carrier of a BMPR2 gene mutation who had an uneventful first pregnancy but had aggressive PAH during her second pregnancy and now has ongoing heritable PAH. The possible role of pregnancy as a trigger in this vulnerable patient is discussed. Databases of patients with heritable PAH should be explored to see whether pregnancy is related to overt manifestation of the disease.
机译:目前尚不清楚怀孕是特发性肺动脉高压(PAH)的触发因素还是促进因素。另外,在特发性PAH人群中,其频率接近症状发作和诊断的频率可能代表了在年轻女性中占主导地位的疾病的巧合。我们描述了一个BMPR2基因突变的携带者,她的初次怀孕很顺利,但是在她的第二次怀孕期间有侵略性PAH,现在正在进行可遗传的PAH。讨论了在这名易受伤害的患者中怀孕作为触发因素的可能作用。应该探索遗传性PAH患者的数据库,以了解怀孕是否与该疾病的明显表现有关。

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