The occurrence of pulmonary hypertension in patients with systemic sclerosis hospitalized in The Department of Rheumatology and Internal Diseases Medical University of Białystok in years 2003-2004

Gińdzieńska-Sieśkiewicz E, Kowal-Bielecka O, Kita J, Lisowska A, Domysławska I, Musiał W, Sierakowski S

Pulmonary hypertension (PH) is one the most fatal complications of systemic sclerosis (SSc). The aim of the present study was to investigate the occurrence of PH in SSc patients hospitalized in Department of Rheumatology and Internal Diseases University Hospital of Białystok in years 2003-2004. PH was defined as pulmonary artery systolic pressure (PASP) higher than 35 mmHg as evaluated by ECHO-Doppler.
We found PH in 23 out of 53 (43%) SSc patients included in the study. In the majority of patients 20/23 (87%) PH coexisted with the presence of scleroderma lung disease as evaluated by high resolution computed tomography of the lungs. In the remaining 3/23 (13%) patients isolated (arterial) PH was detected. Patients with isolated PH tend to have higher values of PASP (82±39.0 mmHg) than those with PH and interstitial lung disease (42.5±6.4 mmHg).
The results of our study indicate that PH is a frequent complication of SSc