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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">We read with great interest the nice article by Etemadi and colleagues&#44; in your journal&#44; <span class="elsevierStyleItalic">Revista Portuguesa de Pneumologia</span>&#44; entitled &#8220;Unexplained pulmonary hypertension in peritoneal dialysis and hemodialysis patients&#8221;&#46;<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> In a retrospective study of chronic hemodialysis and peritoneal dialysis patients&#44; pulmonary hypertension was found in 14 &#40;41&#46;1&#37;&#41; patients of the hemodialysis group and in 6 &#40;18&#46;7&#37;&#41; patients of the peritoneal dialysis group&#44; where pulmonary hypertension was defined as a systolic pulmonary artery pressure &#40;SPAP&#41;<span class="elsevierStyleHsp" style=""></span>&#8805;<span class="elsevierStyleHsp" style=""></span>35<span class="elsevierStyleHsp" style=""></span>mmHg&#46; They concluded that unexplained pulmonary hypertension seems to be more frequent in patients undergoing hemodialysis than with patients in the peritoneal dialysis group&#46; In this context&#44; I would like to make a few points about pulmonary hypertension in dialysis patients&#46; In a study of 102 maintenance hemodialysis patients&#44; we found pulmonary artery pressure of 41&#46;5<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>12&#46;6<span class="elsevierStyleHsp" style=""></span>mmHg&#46; In our study&#44; 76&#46;5&#37; of hemodialysis patients had SPAP<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>35<span class="elsevierStyleHsp" style=""></span>mmHg&#46; In this study we can also see that pulmonary artery pressure had significant positive correlation with the duration and degree of hemodialysis&#46;<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a> In another study we also observed that pulmonary artery pressure had significant positive correlation with serum intact parathormone&#46;<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a> Pulmonary arterial hypertension is a serious cardiac complication among patients with end-stage kidney disease&#44; especially patients on hemodialysis as mentioned in the study by Etemadi et al&#46;&#44; and we need to look for other aggravating factors among dialysis patients&#46;<a class="elsevierStyleCrossRefs" href="#bib0015"><span class="elsevierStyleSup">3&#8211;5</span></a> In order to achieve better understanding about this aspect of dialysis patients&#44; more clinical studies are suggested&#46;</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Ethical disclosures</span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Protection of human and animal subjects</span><p id="par0010" class="elsevierStylePara elsevierViewall">The authors declare that no experiments were performed on humans or animals for this study&#46;</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Confidentiality of data</span><p id="par0015" class="elsevierStylePara elsevierViewall">The authors declare that no patient data appear in this article&#46;</p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Right to privacy and informed consent</span><p id="par0020" class="elsevierStylePara elsevierViewall">The authors declare that no patient data appear in this article&#46;</p></span></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Conflicts of interest</span><p id="par0025" class="elsevierStylePara elsevierViewall">The author has no conflicts of interest to declare&#46;</p></span></span>"
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Letter to the Editor
Unexplained pulmonary hypertension in peritoneal dialysis and hemodialysis patients
Hipertensão pulmonar inexplicável em pacientes em diálise peritoneal e hemodiálise
H. Nasri
Department of Nephrology, Isfahan University of Medical Sciences, Isfahan, Iran
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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">We read with great interest the nice article by Etemadi and colleagues&#44; in your journal&#44; <span class="elsevierStyleItalic">Revista Portuguesa de Pneumologia</span>&#44; entitled &#8220;Unexplained pulmonary hypertension in peritoneal dialysis and hemodialysis patients&#8221;&#46;<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> In a retrospective study of chronic hemodialysis and peritoneal dialysis patients&#44; pulmonary hypertension was found in 14 &#40;41&#46;1&#37;&#41; patients of the hemodialysis group and in 6 &#40;18&#46;7&#37;&#41; patients of the peritoneal dialysis group&#44; where pulmonary hypertension was defined as a systolic pulmonary artery pressure &#40;SPAP&#41;<span class="elsevierStyleHsp" style=""></span>&#8805;<span class="elsevierStyleHsp" style=""></span>35<span class="elsevierStyleHsp" style=""></span>mmHg&#46; They concluded that unexplained pulmonary hypertension seems to be more frequent in patients undergoing hemodialysis than with patients in the peritoneal dialysis group&#46; In this context&#44; I would like to make a few points about pulmonary hypertension in dialysis patients&#46; In a study of 102 maintenance hemodialysis patients&#44; we found pulmonary artery pressure of 41&#46;5<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>12&#46;6<span class="elsevierStyleHsp" style=""></span>mmHg&#46; In our study&#44; 76&#46;5&#37; of hemodialysis patients had SPAP<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>35<span class="elsevierStyleHsp" style=""></span>mmHg&#46; In this study we can also see that pulmonary artery pressure had significant positive correlation with the duration and degree of hemodialysis&#46;<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a> In another study we also observed that pulmonary artery pressure had significant positive correlation with serum intact parathormone&#46;<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a> Pulmonary arterial hypertension is a serious cardiac complication among patients with end-stage kidney disease&#44; especially patients on hemodialysis as mentioned in the study by Etemadi et al&#46;&#44; and we need to look for other aggravating factors among dialysis patients&#46;<a class="elsevierStyleCrossRefs" href="#bib0015"><span class="elsevierStyleSup">3&#8211;5</span></a> In order to achieve better understanding about this aspect of dialysis patients&#44; more clinical studies are suggested&#46;</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Ethical disclosures</span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Protection of human and animal subjects</span><p id="par0010" class="elsevierStylePara elsevierViewall">The authors declare that no experiments were performed on humans or animals for this study&#46;</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Confidentiality of data</span><p id="par0015" class="elsevierStylePara elsevierViewall">The authors declare that no patient data appear in this article&#46;</p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Right to privacy and informed consent</span><p id="par0020" class="elsevierStylePara elsevierViewall">The authors declare that no patient data appear in this article&#46;</p></span></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Conflicts of interest</span><p id="par0025" class="elsevierStylePara elsevierViewall">The author has no conflicts of interest to declare&#46;</p></span></span>"
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ISSN: 08732159
Original language: English
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2016 March 28 15 43
2016 February 35 24 59
2016 January 29 15 44
2015 December 30 13 43
2015 November 20 22 42
2015 October 16 14 30
2015 September 20 15 35
2015 August 23 9 32
2015 July 29 4 33
2015 June 13 3 16
2015 May 29 6 35
2015 April 29 12 41
2015 March 18 11 29
2015 February 30 14 44
2015 January 26 17 43
2014 December 35 26 61
2014 November 33 13 46
2014 October 37 12 49
2014 September 36 16 52
2014 August 25 10 35
2014 July 31 17 48
2014 June 32 19 51
2014 May 38 22 60
2014 April 39 25 64
2014 March 41 20 61
2014 February 32 17 49
2014 January 43 17 60
2013 December 42 20 62
2013 November 46 30 76
2013 October 59 43 102
2013 September 44 23 67
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Pulmonology

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