Academic Journal
A case of combined treatment of severe chronic thromboembolic pulmonary hypertension
| Τίτλος: | A case of combined treatment of severe chronic thromboembolic pulmonary hypertension |
|---|---|
| Συγγραφείς: | R. S. Akchurin, I. E. Chazova, K. V. Mershin, T. V. Martynyuk, T. V. Vdovenko, N. M. Danilov |
| Πηγή: | Медицинский совет, Vol 0, Iss 8, Pp 10-13 (2015) |
| Στοιχεία εκδότη: | Remedium Group LLC, 2015. |
| Έτος έκδοσης: | 2015 |
| Συλλογή: | LCC:Medicine |
| Θεματικοί όροι: | хроническая тромбоэмболическая легочная гипертензия, тромбэндартерэктомия медикаментозная терапия, chronic thromboembolic pulmonary hypertension, thromboendarterectomy, drug therapy, Medicine |
| Περιγραφή: | Chronic thromboembolic pulmonary hypertension (CTEPH) is a rare disease which occurs in 1-3% of patients [2, 11] after pulmonary embolism. The incidence of CTEPH is 5-10 cases per 1 million population per year. Similar to other diseases associated with pulmonary hypertension (PH), CTEPH is malignant and has a poor prognosis. [4, 6, 8] There are a number of objective difficulties in the diagnosis of the disease: complaints and symptoms are very non-specific, there are often no X-ray aor ECG changes, echocardiographic signs of overload of right heart chambers are observed in the final stages of the disease. [9, 3] A strong inclination of doctors to primarily seek problems in the left heart chambers also plays a part in this. As a result, a patient may be visiting various specialists for years and receive treatment from different ailments including heart failure, asthma, pulmonary fibrosis, obstructive bronchitis. We had a case where a female patient with CTEPH received prednisolone for asthma for a long time while she had normal spirometry! |
| Τύπος εγγράφου: | article |
| Περιγραφή αρχείου: | electronic resource |
| Γλώσσα: | Russian |
| ISSN: | 2079-701X 2658-5790 |
| Relation: | https://www.med-sovet.pro/jour/article/view/220; https://doaj.org/toc/2079-701X; https://doaj.org/toc/2658-5790 |
| DOI: | 10.21518/2079-701X-2015-8-10-13 |
| Σύνδεσμος πρόσβασης: | https://doaj.org/article/fb2ab5177a1a4f3db076b0e17c5ebb30 |
| Αριθμός Καταχώρησης: | edsdoj.fb2ab5177a1a4f3db076b0e17c5ebb30 |
| Βάση Δεδομένων: | Directory of Open Access Journals |
| ISSN: | 2079701X 26585790 |
|---|---|
| DOI: | 10.21518/2079-701X-2015-8-10-13 |