Postcapillary pulmonary hypertension in the course of a fulminant neoplastic disease.

637 Association class IV, but no chest pain. A phys‐ ical examination revealed sinus tachycardia of 130 bpm, blood pressure of 100/80 mmHg, nor‐ mal breath sounds, as well as slightly enlarged left supraclavicular and axillary lymph nodes on both sides. Transthoracic echocardiography (TTE) showed right ventricular dysfunction and dilata‐ tion (FIGurE 1A) as well as the echocardiographic signs of PH (calculated right ventricular systolic pressure, 93 mmHg; calculated mean pulmonary artery pressure [mPAP], 47 mmHg; acceleration A previously healthy 36‐year‐old woman was admitted to our department with an unusual‐ ly fulminant clinical course of a neoplastic dis‐ ease and an atypical clinical picture of severe pul‐ monary hypertension (PH). She was transferred to our department owing to a suspicion of idio‐ pathic PH after exclusion of pulmonary embo‐ lism. Seven weeks before hospitalization, she suf‐ fered from influenza, followed by severe chicken‐ pox. On admission, her condition was severe. She presented with dyspnea at rest, New York Heart