<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2176-6223</journal-id>
<journal-title><![CDATA[Revista Pan-Amazônica de Saúde]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Pan-Amaz Saude]]></abbrev-journal-title>
<issn>2176-6223</issn>
<publisher>
<publisher-name><![CDATA[Instituto Evandro Chagas. Secretaria de Vigilância em Saúde e Ambiente. Ministério da Saúde]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2176-62232018000200005</article-id>
<article-id pub-id-type="doi">10.5123/s2176-62232018000200005</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[Hipertensão pulmonar em pacientes com doença renal crônica terminal internados em um hospital de referência em nefrologia do estado do Pará, Brasil]]></article-title>
<article-title xml:lang="en"><![CDATA[Pulmonary hypertension in hospitalized patients with chronic end-stage kidney disease at a referral hospital in nephrology in Pará State, Brazil]]></article-title>
<article-title xml:lang="es"><![CDATA[Hipertensión pulmonar en pacientes con enfermedad renal crónica terminal internados en un hospital de referencia en nefrología del estado de Pará, Brasil]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sousa]]></surname>
<given-names><![CDATA[Hivis da Costa]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Oliveira]]></surname>
<given-names><![CDATA[Joelson Felipe da Silva]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Moreira]]></surname>
<given-names><![CDATA[Brenda Brandão]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pereira]]></surname>
<given-names><![CDATA[Esdras Edgar Batista]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Monteiro]]></surname>
<given-names><![CDATA[José Tadeu Colares]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Fundação Hospital de Clínicas Gaspar Vianna  ]]></institution>
<addr-line><![CDATA[Belém Pará]]></addr-line>
<country>Brasil</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidade Federal do Pará  ]]></institution>
<addr-line><![CDATA[Belém Pará]]></addr-line>
<country>Brazil</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Centro Universitário do Pará Curso de Medicina ]]></institution>
<addr-line><![CDATA[Belém Pará]]></addr-line>
<country>Brazil</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2018</year>
</pub-date>
<volume>9</volume>
<numero>2</numero>
<fpage>37</fpage>
<lpage>42</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iec.gov.br/scielo.php?script=sci_arttext&amp;pid=S2176-62232018000200005&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iec.gov.br/scielo.php?script=sci_abstract&amp;pid=S2176-62232018000200005&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iec.gov.br/scielo.php?script=sci_pdf&amp;pid=S2176-62232018000200005&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[RESUMO  OBJETIVOS:  Verificar a existência de hipertensão arterial pulmonar (HAP) entre os pacientes portadores de doença renal crônica (DRC) em hemodiálise e identificar seus perfis clínicos.  MATERIAIS E MÉTODOS:  Estudo retrospectivo, realizado por meio da análise de prontuários de pacientes internados em um hospital de referência em nefrologia do estado do Pará, Brasil, de janeiro a dezembro de 2014. Pela aplicação de um questionário, foram analisados idade, gênero, comorbidades, motivo da internação, tipo de acesso vascular e informações do ecocardiograma Doppler transtorácico, como a medida da pressão sistólica da artéria pulmonar (PSAP), considerando-se valores &#8805; 35 mmHg sugestivos de HAP.  RESULTADOS:  Dos 101 pacientes investigados, 21,8% apresentavam sinais sugestivos de HAP. Desses, 63,6% pertenciam ao gênero masculino, com média de idade de 60,36 ± 12,35 anos. Constatou-se média de PSAP de 51,13 ± 11,40 mmHg e a maioria das internações foram motivadas por uremia (45,5%) e síndrome coronariana aguda (13,6%). Entre as comorbidades, destacaram-se a hipertensão arterial sistêmica (95,5%) e a diabetes mellitus (50,0%). A maioria dos pacientes usava um acesso vascular de curta permanência do tipo Shilley (95,5%) para hemodiálise, e o desfecho mais reportado foi o óbito (36,4%).  CONCLUSÃO:  O rastreamento de HAP por ecocardiograma pode ser útil para a avaliação cardiopulmonar entre os pacientes urêmicos, havendo necessidade de estudos prospectivos para melhor esclarecer a relação entre HAP e a terapia de hemodiálise em portadores de DRC.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  OBJECTIVES:  To verify the existence of pulmonary arterial hypertension (PAH) among patients with chronic kidney disease (CKD) undergoing hemodialysis, and to identify their clinical profiles.  MATERIALS AND METHODS:  A retrospective study was carried out by analyzing the medical records of patients admitted to a referral hospital in nephrology in Pará State, Brazil, from January to December 2014. Variables as age, gender, comorbidities, reason for hospitalization, type of vascular access were obtained by a questionnaire and analyzed. In addition, transthoracic Doppler echocardiography information, such as pulmonary artery systolic pressure (PASP), with values &#8805; 35 mmHg suggesting PAH, was considered.  RESULTS:  From the total of 101 patients investigated, 21.8% presented signs suggestive of PAH, and 63.6% of those were male with mean age of 60.36 ± 12.35 years. Mean PASP was 51.13 ± 11.40 mmHg and the majority of hospitalizations were due to uremia (45.5%) and acute coronary syndrome (13.6%). Among the main comorbidities identified, systemic arterial hypertension (95.5%) and diabetes mellitus (50.0%) stand out. Most of patients used the Shilley vascular access for hemodialysis (95.5%), and the most reported outcome was death (36.4%).  CONCLUSION:  Screening for PAH by echocardiography may be useful for cardiopulmonary evaluation among uremic patients, and prospective studies are needed to clarify the relationship between PAH and hemodialysis therapy in patients with CKD.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  OBJETIVOS:  Verificar la existencia de hipertensión arterial pulmonar (HAP) entre los pacientes portadores de enfermedad renal crónica (ERC) en hemodiálisis e identificar sus perfiles clínicos.  MATERIALES Y MÉTODOS:  Estudio retrospectivo, realizado por el análisis de historiales de pacientes internados en un hospital de referencia en nefrología del estado de Pará, Brasil, de enero a diciembre de 2014. Se analizaron, a través de un cuestionario, edad, género, comorbilidades, motivo de la internación, tipo de acceso vascular e informaciones del ecocardiograma Doppler transtorácico, como la medida de la presión sistólica de la arteria pulmonar (PSAP), considerando valores &#8805; 35 mmHg sugestivos de HAP.  RESULTADOS:  De los 101 pacientes investigados, 21,8% presentaban señales sugestivas de HAP. De esos, 63,6% pertenecía al género masculino, con promedio de edad de 60,36 ± 12,35 años. Se constató un promedio de PSAP de 51,13 ± 11,40 mmHg y la mayoría de las internaciones fue motivada por uremia (45,5%) y síndrome coronaria aguda (13,6%). Entre las comorbilidades, se destacaron la hipertensión arterial sistémica (95,5%) y la diabetes mellitus (50,0%). La mayoría de los pacientes usaba un acceso vascular de corta permanencia del tipo Shilley (95,5%) para hemodiálisis, y el desenlace más reportado fue el óbito (36,4%).  CONCLUSIÓN:  El rastreo de HAP por ecocardiograma puede ser útil para la evaluación cardiopulmonar entre los pacientes urémicos, habiendo necesidad de estudios prospectivos para mejor aclarar la relación entre HAP y la terapia de hemodiálisis en portadores de ERC.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[Doença Renal Crônica]]></kwd>
<kwd lng="pt"><![CDATA[Hemodiálise]]></kwd>
<kwd lng="pt"><![CDATA[Hipertensão Pulmonar]]></kwd>
<kwd lng="en"><![CDATA[Chronic Kidney Disease]]></kwd>
<kwd lng="en"><![CDATA[Hemodialysis]]></kwd>
<kwd lng="en"><![CDATA[Pulmonary Hypertension]]></kwd>
<kwd lng="es"><![CDATA[Enfermedad Renal Crónica]]></kwd>
<kwd lng="es"><![CDATA[Hemodiálisis]]></kwd>
<kwd lng="es"><![CDATA[Hipertensión Pulmonar]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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