A case of combined treatment of severe chronic thromboembolic pulmonary hypertension
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...
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| Format: | Article |
| Language: | Russian |
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Remedium Group LLC
2015-12-01
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| Series: | Медицинский совет |
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| Online Access: | https://www.med-sovet.pro/jour/article/view/220 |
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| author | R. S. Akchurin I. E. Chazova K. V. Mershin T. V. Martynyuk T. V. Vdovenko N. M. Danilov |
| author_facet | R. S. Akchurin I. E. Chazova K. V. Mershin T. V. Martynyuk T. V. Vdovenko N. M. Danilov |
| author_sort | R. S. Akchurin |
| collection | DOAJ |
| description | 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! |
| first_indexed | 2024-04-09T16:36:31Z |
| format | Article |
| id | doaj.art-fb2ab5177a1a4f3db076b0e17c5ebb30 |
| institution | Directory Open Access Journal |
| issn | 2079-701X 2658-5790 |
| language | Russian |
| last_indexed | 2024-04-09T16:36:31Z |
| publishDate | 2015-12-01 |
| publisher | Remedium Group LLC |
| record_format | Article |
| series | Медицинский совет |
| spelling | doaj.art-fb2ab5177a1a4f3db076b0e17c5ebb302023-04-23T06:56:53ZrusRemedium Group LLCМедицинский совет2079-701X2658-57902015-12-0108101310.21518/2079-701X-2015-8-10-13220A case of combined treatment of severe chronic thromboembolic pulmonary hypertensionR. S. Akchurin0I. E. Chazova1K. V. Mershin2T. V. Martynyuk3T. V. Vdovenko4N. M. Danilov5Russian Cardiology Research and Production ComplexRussian Cardiology Research and Production ComplexRussian Cardiology Research and Production ComplexRussian Cardiology Research and Production ComplexRussian Cardiology Research and Production ComplexRussian Cardiology Research and Production ComplexChronic 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!https://www.med-sovet.pro/jour/article/view/220хроническая тромбоэмболическая легочная гипертензиятромбэндартерэктомия медикаментозная терапияchronic thromboembolic pulmonary hypertensionthromboendarterectomydrug therapy |
| spellingShingle | R. S. Akchurin I. E. Chazova K. V. Mershin T. V. Martynyuk T. V. Vdovenko N. M. Danilov A case of combined treatment of severe chronic thromboembolic pulmonary hypertension Медицинский совет хроническая тромбоэмболическая легочная гипертензия тромбэндартерэктомия медикаментозная терапия chronic thromboembolic pulmonary hypertension thromboendarterectomy drug therapy |
| title | A case of combined treatment of severe chronic thromboembolic pulmonary hypertension |
| title_full | A case of combined treatment of severe chronic thromboembolic pulmonary hypertension |
| title_fullStr | A case of combined treatment of severe chronic thromboembolic pulmonary hypertension |
| title_full_unstemmed | A case of combined treatment of severe chronic thromboembolic pulmonary hypertension |
| title_short | A case of combined treatment of severe chronic thromboembolic pulmonary hypertension |
| title_sort | case of combined treatment of severe chronic thromboembolic pulmonary hypertension |
| topic | хроническая тромбоэмболическая легочная гипертензия тромбэндартерэктомия медикаментозная терапия chronic thromboembolic pulmonary hypertension thromboendarterectomy drug therapy |
| url | https://www.med-sovet.pro/jour/article/view/220 |
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