Case Report

Constrictive-Like Physiology in Severe Pulmonary Hypertension: The Effect of the Valsalva Maneuver

We describe the case of a 37-year-old female with severe pulmonary hypertension on intravenous Remodulin® and Tracleer® who experienced presyncope following a six-minute walk. A transthoracic echocardiogram, in addition to showing the usual findings of chronic pulmonary hypertension, also demonstrated a noticeable increase in both mitral annular systolic and early…