Therapeutic Strategy for Patients with Concomitant Pulmonary Artery Hypertension and Hypertrophic Obstructive Cardiomyopathy: A Rare Case Report
Medicina (Kaunas). 2023 Feb 18;59(2):401. doi: 10.3390/medicina59020401.ABSTRACTCombined cases of hypertrophic obstructive cardiomyopathy (HOCM) and pulmonary arterial hypertension (PAH) are rare and have a management dilemma. Although preload is crucial in the management of HOCM, anti-PAH agents dramatically change the preload, leading to improving or worsening heart failure in patients with HOCM. We had a 74-year-old woman with Sjogren-syndrome-associated PAH. Her heart failure worsened following the initiation of anti-PAH agents due to an incremental preload on the left ventricle, whereas HOCM clinically developed follo...
Source: Medicina (Kaunas) - February 25, 2023 Category: Universities & Medical Training Authors: Toshihide Izumida Teruhiko Imamura Shuhei Tanaka Shuji Joho Koichiro Kinugawa Source Type: research

Therapeutic Strategy for Patients with Concomitant Pulmonary Artery Hypertension and Hypertrophic Obstructive Cardiomyopathy: A Rare Case Report
Medicina (Kaunas). 2023 Feb 18;59(2):401. doi: 10.3390/medicina59020401.ABSTRACTCombined cases of hypertrophic obstructive cardiomyopathy (HOCM) and pulmonary arterial hypertension (PAH) are rare and have a management dilemma. Although preload is crucial in the management of HOCM, anti-PAH agents dramatically change the preload, leading to improving or worsening heart failure in patients with HOCM. We had a 74-year-old woman with Sjogren-syndrome-associated PAH. Her heart failure worsened following the initiation of anti-PAH agents due to an incremental preload on the left ventricle, whereas HOCM clinically developed follo...
Source: Medicina (Kaunas) - February 25, 2023 Category: Universities & Medical Training Authors: Toshihide Izumida Teruhiko Imamura Shuhei Tanaka Shuji Joho Koichiro Kinugawa Source Type: research

Therapeutic Strategy for Patients with Concomitant Pulmonary Artery Hypertension and Hypertrophic Obstructive Cardiomyopathy: A Rare Case Report
Medicina (Kaunas). 2023 Feb 18;59(2):401. doi: 10.3390/medicina59020401.ABSTRACTCombined cases of hypertrophic obstructive cardiomyopathy (HOCM) and pulmonary arterial hypertension (PAH) are rare and have a management dilemma. Although preload is crucial in the management of HOCM, anti-PAH agents dramatically change the preload, leading to improving or worsening heart failure in patients with HOCM. We had a 74-year-old woman with Sjogren-syndrome-associated PAH. Her heart failure worsened following the initiation of anti-PAH agents due to an incremental preload on the left ventricle, whereas HOCM clinically developed follo...
Source: Medicina (Kaunas) - February 25, 2023 Category: Universities & Medical Training Authors: Toshihide Izumida Teruhiko Imamura Shuhei Tanaka Shuji Joho Koichiro Kinugawa Source Type: research

Therapeutic Strategy for Patients with Concomitant Pulmonary Artery Hypertension and Hypertrophic Obstructive Cardiomyopathy: A Rare Case Report
Medicina (Kaunas). 2023 Feb 18;59(2):401. doi: 10.3390/medicina59020401.ABSTRACTCombined cases of hypertrophic obstructive cardiomyopathy (HOCM) and pulmonary arterial hypertension (PAH) are rare and have a management dilemma. Although preload is crucial in the management of HOCM, anti-PAH agents dramatically change the preload, leading to improving or worsening heart failure in patients with HOCM. We had a 74-year-old woman with Sjogren-syndrome-associated PAH. Her heart failure worsened following the initiation of anti-PAH agents due to an incremental preload on the left ventricle, whereas HOCM clinically developed follo...
Source: Medicina (Kaunas) - February 25, 2023 Category: Universities & Medical Training Authors: Toshihide Izumida Teruhiko Imamura Shuhei Tanaka Shuji Joho Koichiro Kinugawa Source Type: research

Therapeutic Strategy for Patients with Concomitant Pulmonary Artery Hypertension and Hypertrophic Obstructive Cardiomyopathy: A Rare Case Report
Medicina (Kaunas). 2023 Feb 18;59(2):401. doi: 10.3390/medicina59020401.ABSTRACTCombined cases of hypertrophic obstructive cardiomyopathy (HOCM) and pulmonary arterial hypertension (PAH) are rare and have a management dilemma. Although preload is crucial in the management of HOCM, anti-PAH agents dramatically change the preload, leading to improving or worsening heart failure in patients with HOCM. We had a 74-year-old woman with Sjogren-syndrome-associated PAH. Her heart failure worsened following the initiation of anti-PAH agents due to an incremental preload on the left ventricle, whereas HOCM clinically developed follo...
Source: Medicina (Kaunas) - February 25, 2023 Category: Universities & Medical Training Authors: Toshihide Izumida Teruhiko Imamura Shuhei Tanaka Shuji Joho Koichiro Kinugawa Source Type: research

Therapeutic Strategy for Patients with Concomitant Pulmonary Artery Hypertension and Hypertrophic Obstructive Cardiomyopathy: A Rare Case Report
Medicina (Kaunas). 2023 Feb 18;59(2):401. doi: 10.3390/medicina59020401.ABSTRACTCombined cases of hypertrophic obstructive cardiomyopathy (HOCM) and pulmonary arterial hypertension (PAH) are rare and have a management dilemma. Although preload is crucial in the management of HOCM, anti-PAH agents dramatically change the preload, leading to improving or worsening heart failure in patients with HOCM. We had a 74-year-old woman with Sjogren-syndrome-associated PAH. Her heart failure worsened following the initiation of anti-PAH agents due to an incremental preload on the left ventricle, whereas HOCM clinically developed follo...
Source: Medicina (Kaunas) - February 25, 2023 Category: Universities & Medical Training Authors: Toshihide Izumida Teruhiko Imamura Shuhei Tanaka Shuji Joho Koichiro Kinugawa Source Type: research

Therapeutic Strategy for Patients with Concomitant Pulmonary Artery Hypertension and Hypertrophic Obstructive Cardiomyopathy: A Rare Case Report
Medicina (Kaunas). 2023 Feb 18;59(2):401. doi: 10.3390/medicina59020401.ABSTRACTCombined cases of hypertrophic obstructive cardiomyopathy (HOCM) and pulmonary arterial hypertension (PAH) are rare and have a management dilemma. Although preload is crucial in the management of HOCM, anti-PAH agents dramatically change the preload, leading to improving or worsening heart failure in patients with HOCM. We had a 74-year-old woman with Sjogren-syndrome-associated PAH. Her heart failure worsened following the initiation of anti-PAH agents due to an incremental preload on the left ventricle, whereas HOCM clinically developed follo...
Source: Medicina (Kaunas) - February 25, 2023 Category: Universities & Medical Training Authors: Toshihide Izumida Teruhiko Imamura Shuhei Tanaka Shuji Joho Koichiro Kinugawa Source Type: research

Therapeutic Strategy for Patients with Concomitant Pulmonary Artery Hypertension and Hypertrophic Obstructive Cardiomyopathy: A Rare Case Report
Medicina (Kaunas). 2023 Feb 18;59(2):401. doi: 10.3390/medicina59020401.ABSTRACTCombined cases of hypertrophic obstructive cardiomyopathy (HOCM) and pulmonary arterial hypertension (PAH) are rare and have a management dilemma. Although preload is crucial in the management of HOCM, anti-PAH agents dramatically change the preload, leading to improving or worsening heart failure in patients with HOCM. We had a 74-year-old woman with Sjogren-syndrome-associated PAH. Her heart failure worsened following the initiation of anti-PAH agents due to an incremental preload on the left ventricle, whereas HOCM clinically developed follo...
Source: Medicina (Kaunas) - February 25, 2023 Category: Universities & Medical Training Authors: Toshihide Izumida Teruhiko Imamura Shuhei Tanaka Shuji Joho Koichiro Kinugawa Source Type: research

Therapeutic Strategy for Patients with Concomitant Pulmonary Artery Hypertension and Hypertrophic Obstructive Cardiomyopathy: A Rare Case Report
Medicina (Kaunas). 2023 Feb 18;59(2):401. doi: 10.3390/medicina59020401.ABSTRACTCombined cases of hypertrophic obstructive cardiomyopathy (HOCM) and pulmonary arterial hypertension (PAH) are rare and have a management dilemma. Although preload is crucial in the management of HOCM, anti-PAH agents dramatically change the preload, leading to improving or worsening heart failure in patients with HOCM. We had a 74-year-old woman with Sjogren-syndrome-associated PAH. Her heart failure worsened following the initiation of anti-PAH agents due to an incremental preload on the left ventricle, whereas HOCM clinically developed follo...
Source: Medicina (Kaunas) - February 25, 2023 Category: Universities & Medical Training Authors: Toshihide Izumida Teruhiko Imamura Shuhei Tanaka Shuji Joho Koichiro Kinugawa Source Type: research

Therapeutic Strategy for Patients with Concomitant Pulmonary Artery Hypertension and Hypertrophic Obstructive Cardiomyopathy: A Rare Case Report
Medicina (Kaunas). 2023 Feb 18;59(2):401. doi: 10.3390/medicina59020401.ABSTRACTCombined cases of hypertrophic obstructive cardiomyopathy (HOCM) and pulmonary arterial hypertension (PAH) are rare and have a management dilemma. Although preload is crucial in the management of HOCM, anti-PAH agents dramatically change the preload, leading to improving or worsening heart failure in patients with HOCM. We had a 74-year-old woman with Sjogren-syndrome-associated PAH. Her heart failure worsened following the initiation of anti-PAH agents due to an incremental preload on the left ventricle, whereas HOCM clinically developed follo...
Source: Medicina (Kaunas) - February 25, 2023 Category: Universities & Medical Training Authors: Toshihide Izumida Teruhiko Imamura Shuhei Tanaka Shuji Joho Koichiro Kinugawa Source Type: research

Therapeutic Strategy for Patients with Concomitant Pulmonary Artery Hypertension and Hypertrophic Obstructive Cardiomyopathy: A Rare Case Report
Medicina (Kaunas). 2023 Feb 18;59(2):401. doi: 10.3390/medicina59020401.ABSTRACTCombined cases of hypertrophic obstructive cardiomyopathy (HOCM) and pulmonary arterial hypertension (PAH) are rare and have a management dilemma. Although preload is crucial in the management of HOCM, anti-PAH agents dramatically change the preload, leading to improving or worsening heart failure in patients with HOCM. We had a 74-year-old woman with Sjogren-syndrome-associated PAH. Her heart failure worsened following the initiation of anti-PAH agents due to an incremental preload on the left ventricle, whereas HOCM clinically developed follo...
Source: Medicina (Kaunas) - February 25, 2023 Category: Universities & Medical Training Authors: Toshihide Izumida Teruhiko Imamura Shuhei Tanaka Shuji Joho Koichiro Kinugawa Source Type: research

Therapeutic Strategy for Patients with Concomitant Pulmonary Artery Hypertension and Hypertrophic Obstructive Cardiomyopathy: A Rare Case Report
Medicina (Kaunas). 2023 Feb 18;59(2):401. doi: 10.3390/medicina59020401.ABSTRACTCombined cases of hypertrophic obstructive cardiomyopathy (HOCM) and pulmonary arterial hypertension (PAH) are rare and have a management dilemma. Although preload is crucial in the management of HOCM, anti-PAH agents dramatically change the preload, leading to improving or worsening heart failure in patients with HOCM. We had a 74-year-old woman with Sjogren-syndrome-associated PAH. Her heart failure worsened following the initiation of anti-PAH agents due to an incremental preload on the left ventricle, whereas HOCM clinically developed follo...
Source: Medicina (Kaunas) - February 25, 2023 Category: Universities & Medical Training Authors: Toshihide Izumida Teruhiko Imamura Shuhei Tanaka Shuji Joho Koichiro Kinugawa Source Type: research

Therapeutic Strategy for Patients with Concomitant Pulmonary Artery Hypertension and Hypertrophic Obstructive Cardiomyopathy: A Rare Case Report
Medicina (Kaunas). 2023 Feb 18;59(2):401. doi: 10.3390/medicina59020401.ABSTRACTCombined cases of hypertrophic obstructive cardiomyopathy (HOCM) and pulmonary arterial hypertension (PAH) are rare and have a management dilemma. Although preload is crucial in the management of HOCM, anti-PAH agents dramatically change the preload, leading to improving or worsening heart failure in patients with HOCM. We had a 74-year-old woman with Sjogren-syndrome-associated PAH. Her heart failure worsened following the initiation of anti-PAH agents due to an incremental preload on the left ventricle, whereas HOCM clinically developed follo...
Source: Medicina (Kaunas) - February 25, 2023 Category: Universities & Medical Training Authors: Toshihide Izumida Teruhiko Imamura Shuhei Tanaka Shuji Joho Koichiro Kinugawa Source Type: research

Therapeutic Strategy for Patients with Concomitant Pulmonary Artery Hypertension and Hypertrophic Obstructive Cardiomyopathy: A Rare Case Report
Medicina (Kaunas). 2023 Feb 18;59(2):401. doi: 10.3390/medicina59020401.ABSTRACTCombined cases of hypertrophic obstructive cardiomyopathy (HOCM) and pulmonary arterial hypertension (PAH) are rare and have a management dilemma. Although preload is crucial in the management of HOCM, anti-PAH agents dramatically change the preload, leading to improving or worsening heart failure in patients with HOCM. We had a 74-year-old woman with Sjogren-syndrome-associated PAH. Her heart failure worsened following the initiation of anti-PAH agents due to an incremental preload on the left ventricle, whereas HOCM clinically developed follo...
Source: Medicina (Kaunas) - February 25, 2023 Category: Universities & Medical Training Authors: Toshihide Izumida Teruhiko Imamura Shuhei Tanaka Shuji Joho Koichiro Kinugawa Source Type: research

Therapeutic Strategy for Patients with Concomitant Pulmonary Artery Hypertension and Hypertrophic Obstructive Cardiomyopathy: A Rare Case Report
Medicina (Kaunas). 2023 Feb 18;59(2):401. doi: 10.3390/medicina59020401.ABSTRACTCombined cases of hypertrophic obstructive cardiomyopathy (HOCM) and pulmonary arterial hypertension (PAH) are rare and have a management dilemma. Although preload is crucial in the management of HOCM, anti-PAH agents dramatically change the preload, leading to improving or worsening heart failure in patients with HOCM. We had a 74-year-old woman with Sjogren-syndrome-associated PAH. Her heart failure worsened following the initiation of anti-PAH agents due to an incremental preload on the left ventricle, whereas HOCM clinically developed follo...
Source: Medicina (Kaunas) - February 25, 2023 Category: Universities & Medical Training Authors: Toshihide Izumida Teruhiko Imamura Shuhei Tanaka Shuji Joho Koichiro Kinugawa Source Type: research