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Hypertension of the Pulmonary Circulation. Its Causes, Dynamics and Relation to Other Circulatory States.

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By MOSCHOWITZ ELI.  (Amer. Jour. of Med. Sc.. , Sept.1927; , p. 388.).

Ann Intern Med. 1927;1(5):356. doi:10.7326/0003-4819-1-5-356_1
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Hypertension of the lesser circulation is common. It passes generally under the name of "pulmonary congestion," "rightsided insufficiency," or arteriosclerosis of the pulmonary vessels." It is caused by any lesion that increases the peripheral resistance within the lesser circulation. The most common causes are mitral disease, especially mitral stenosis, emphysema, whether primary (senile) or secondary (asthmatic), infiltrating lesions of the lung (chronic tuberculosis with induration, bilateral pleural synechiae, chronic interstitial pneumonia, tumors), kyphoscoliosis, patent ductus arteriosus and communications between the two sides of the heart. A sustained hypertension of the lesser circulation leads to arteriosclerosis of the pulmonary vessels. A


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