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[Hyperdynamic circulation in Manson's hepatosplenic schistosomiasis]

R de Cleva1, V Pugliese, B Zilberstein

  • 1Departamento de Gastroenterologia, Faculdade de Medicina, Universidade de São Paulo.

Revista Do Hospital Das Clinicas
|July 11, 1998
PubMed
Summary

Hepatosplenic schistosomiasis causes hyperdynamic systemic circulation and pulmonary hypertension in patients requiring surgery. This condition is likely linked to portosystemic shunts, impacting cardiac function and pressures.

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Area of Science:

  • Cardiology
  • Parasitology
  • Gastroenterology

Context:

  • Hepatosplenic schistosomiasis is a significant cause of portal hypertension.
  • Surgical intervention is often indicated for managing complications.
  • Preoperative hemodynamic assessment is crucial for patient management.

Purpose:

  • To prospectively study the hemodynamic alterations in patients with hepatoesplenic schistosomiasis and portal hypertension.
  • To characterize the circulatory changes associated with this condition before surgical treatment.

Summary:

  • Patients with hepatoesplenic schistosomiasis undergoing surgery for portal hypertension exhibited a hyperdynamic systemic circulation.
  • Key findings included increased cardiac index and stroke index, decreased systemic vascular resistance index, elevated pulmonary artery mean pressure, and decreased pulmonary vascular resistance index.

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  • These hemodynamic changes are likely correlated with portosystemic shunting.

    • Impact:

    • Provides critical insights into the pathophysiology of hepatoesplenic schistosomiasis-induced portal hypertension.
    • Informs anesthetic and surgical management strategies for affected patients.
    • Highlights the presence of pulmonary hypertension as a significant comorbidity.