{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T15:40:06Z","timestamp":1756309206145,"version":"3.44.0"},"reference-count":6,"publisher":"BMJ","issue":"12","license":[{"start":{"date-parts":[[2023,12,30]],"date-time":"2023-12-30T00:00:00Z","timestamp":1703894400000},"content-version":"unspecified","delay-in-days":29,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2023,11,18]]},"published-print":{"date-parts":[[2023,12]]},"abstract":"<jats:p>A male patient in his 70s on periodic haemodialysis complained of dysdialysis several months prior and was diagnosed subsequently with pulmonary hypertension (PH). To confirm this diagnosis, a catheter examination was performed after haemodialysis in the dry state. Pulmonary artery wedge pressure (PAWP), mean pulmonary artery (PA) pressure, cardiac index (CI) and pulmonary vascular resistance (PVR) were 9\u2009mm Hg, 42\u2009mm Hg, 2.63\u2009L\/min\/m<jats:sup>2<\/jats:sup> and 5.9 WU, respectively. The pathophysiological diagnosis was precapillary PH, which mimicked idiopathic PH. The pulmonary vasodilators were administered in a careful sequential manner. After initiation of therapy, dysdialysis disappeared within a few months, while mean PA pressure, CI and PVR improved to 24\u2009mm Hg, 3.47\u2009L\/min\/m<jats:sup>2<\/jats:sup> and 2.3 WU, respectively. Although the cause of PH in haemodialysis patients is multifactorial, catheter examination in the dry state is useful for clarifying a patient\u2019s haemodynamic state. In a haemodialysis PH patient with precapillary PH, pulmonary vasodilators are an effective treatment option.<\/jats:p>","DOI":"10.1136\/bcr-2023-255810","type":"journal-article","created":{"date-parts":[[2023,12,30]],"date-time":"2023-12-30T10:35:23Z","timestamp":1703932523000},"page":"e255810","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Haemodialysis patient with chronic kidney disease and pulmonary hypertension treated effectively with pulmonary vasodilators"],"prefix":"10.1136","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5247-3374","authenticated-orcid":false,"given":"Ken","family":"Umetani","sequence":"first","affiliation":[{"name":"Department of Cardiology, Yamanashi Prefectural Central Hospital, Kofu, Yamanashi, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maoko","family":"Atsumi","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Yamanashi Prefectural Central Hospital, Kofu, Yamanashi, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2023,12,30]]},"reference":[{"key":"2025082708210417000_16.12.e255810.1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.123.5.1577"},{"key":"2025082708210417000_16.12.e255810.2","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0035310","article-title":"Pulmonary hypertension in patients with chronic kidney disease on dialysis and without dialysis: results of the PEPPER-study","volume":"7","author":"Pabst","year":"2012","journal-title":"PLoS ONE"},{"key":"2025082708210417000_16.12.e255810.3","doi-asserted-by":"publisher","DOI":"10.1038\/ki.2013.186"},{"key":"2025082708210417000_16.12.e255810.4","first-page":"780","article-title":"Beneficial effects of pulmonary vasodilators on pre-capillary pulmonary hypertension in patients with chronic kidney disease on Hemodialysis","volume":"12","author":"Kimuro","year":"2022","journal-title":"Life (Basel)"},{"key":"2025082708210417000_16.12.e255810.5","doi-asserted-by":"crossref","first-page":"3618","DOI":"10.1093\/eurheartj\/ehac237","article-title":"ESC\/ERS guidelines for the diagnosis and treatment of pulmonary hypertension: developed by the task force for the diagnosis and treatment of pulmonary hypertension of the European society of cardiology (ESC) and the European respiratory society (ERS)","volume":"43","author":"Humbert","year":"2022","journal-title":"Eur Heart J"},{"key":"2025082708210417000_16.12.e255810.6","doi-asserted-by":"crossref","DOI":"10.1183\/13993003.01889-2018","article-title":"Risk stratification and medical therapy of pulmonary artery hypertension","volume":"53","author":"Gali\u00e8","year":"2019","journal-title":"Eur Respir J"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2023-255810","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T15:21:14Z","timestamp":1756308074000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2023-255810"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,12]]},"references-count":6,"journal-issue":{"issue":"12","published-online":{"date-parts":[[2023,12,30]]},"published-print":{"date-parts":[[2023,12]]}},"alternative-id":["10.1136\/bcr-2023-255810"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2023-255810","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2023,12]]}}}