Although primary pulmonary hypertension is rare, its incidence has increased with use of dexfenfluramine-derived anorexigens. Therefore, physicians should be alert for signs of the condition, which usually progresses rapidly and leads to right ventricular failure within a few years. In this article, the authors discuss triggers and presentation of primary pulmonary hypertension. They also provide a diagnostic algorithm and a summary of therapeutic methods that can improve quality of life and extend survival. Part 1 of this article, which described normal pulmonary vascular physiology and secondary pulmonary hypertension, appeared in the February 1999 issue.
Original Publication Date: March 1999
Solve a murder, save her mother, and stop the apocalypse? No problem. She has a foul-mouthed troll on her side. For Austin homicide detective Leira Berens, happy is running down bad guys and solving crimes. And she’s damn good at it. Which is why when the Light Elf prince is murdered, the king breaks a centuries old treaty and crosses between worlds to seek her help. Wait a min...
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