Preview

PULMONOLOGIYA

Advanced search

Diagnosis of pulmonary embolism in patients with pulmonary hypertension (a case report)

https://doi.org/10.18093/0869-0189-2019-29-5-620-624

Abstract

The current Russian guideline on diagnosis and treatment of pulmonary hypertension  (PH) includes several diagnostic algorithms allowing diagnosis of PH and estimation of PH functional class in accordance  to PH clinical classification; such approach is aimed the optimal management  of the patient. Authors of this publication described the clinical case of a female patients with idiopathic PH and probable secondary in situ thrombosis at a large pulmonary  artery branch.  The correct diagnosis and the treatment choice require a detailed diagnostic work-up  to assess PH type in the patient with pulmonary artery thrombosis.

About the Authors

A. M. Aleevskaia
Federal National Research Center of Cardiology, Healthcare Ministry of Russia
Russian Federation

Anna M. Aleevskaya - Resident  Physician,  Division  of Pulmonary  Hypertention and  Cardiac  Diseases,  Federal  National  Research  Center  of Cardiology, Healthcare Ministry of Russia.

ul. 3-ya Cherepkovskaya 15A, Moscow, 121552.

tel.: (495) 414-68-02


O. N. Vyborov
Federal National Research Center of Cardiology, Healthcare Ministry of Russia
Russian Federation

Oleg N. Vyborov - Candidate  of Medicine,  Researcher,  Division  of Pulmonary  Hypertention and  Cardiac  Diseases,  Federal  National  Research  Center  of Cardiology, Healthcare Ministry of Russia.

ul. 3-ya Cherepkovskaya 15A, Moscow, 121552.

tel.: (495) 414-68-61


V. V. Gramovich
Federal National Research Center of Cardiology, Healthcare Ministry of Russia
Russian Federation

Vladimir V. Gramovich - Candidate  of Medicine,  Senior  Researcher,  Division of Pulmonary  Hypertention and Cardiac  Diseases, Federal  National  Research Center of Cardiology, Healthcare Ministry of Russia.

ul. 3-ya Cherepkovskaya 15A, Moscow, 121552.

tel.: (495) 414-68-61


T. V. Martynuk
Federal National Research Center of Cardiology, Healthcare Ministry of Russia
Russian Federation

Tamila V. Martynyuk - Doctor of Medicine,  Head of Division of Pulmonary Hypertention and Cardiac Diseases, Federal National Research Center of Cardiology, Healthcare Ministry of Russia.

ul. 3-ya Cherepkovskaya 15A, Moscow, 121552.

tel.: (495) 414-64-50


References

1. Chazova I.E., Martynyuk T.V. [Pulmonary arterial hypertension: on a way from rational diagnosis to a choice of the effective pharmacological therapy]. Sistemnye gipertenzii. 2013; 10 (2): 57–69 (in Russian).

2. Chazova I.E., Martynyuk T.V., eds. [Pulmonary Hypertention]. Moscow: Praktika; 2015 (in Russian).

3. Galiè N., Humbert M., Vachiery J.L. et al. 2015 ESC/ERS Guidelines for the diagnosis and treatment of pulmonary hypertension: The Joint Task Force for the Diagnosis and Treatment of Pulmonary Hypertension of the European Society of Cardiology (ESC) and the European Respiratory Society (ERS): Endorsed by: Association for European Paediatric and Congenital Cardiology (AEPC), International Society for Heart and Lung Transplantation (ISHLT). Eur. Heart J. 2016; 37 (1): 67–119. DOI: 10.1093/eurheartj/ehv317.

4. Chazova I.E., Martynyuk T.V., Avdeev S.N. et al. [A clinical guideline on diagnosis and treatment of pulmonary hypertension]. Evraziyskiy kardiologicheskiy zhurnal. 2014; 4: 4–24 (in Russian).

5. Johnson S.R., Granton J.T., Mehta S. Thrombotic arteriopathy and anticoagulation in pulmonary hypertension. Chest. 2006; 130 (2): 545–552. DOI: 10.1378/chest.130.2.545.

6. McLaughlin V.V., Archer S.L., Badesch D.B. et al. ACCF/ AHA 2009 expert consensus document on pulmonary hypertension: a report of the American College of Cardiology Foundation Task Force on Expert Consensus Documents and the American Heart Association: developed in collaboration with the American College of Chest Physicians, American Thoracic Society, Inc., and the Pulmonary Hypertension Association. Circulation. 2009; 119 (16): 2250–2294. DOI: 10.1161/CIRCULATIONAHA.109.192230.

7. Hassell K.L. Altered hemostasis in pulmonary hypertension. Blood Coagul. FIbrinolysis. 1998; 9 (2): 107–117. DOI: 10.1097/00001721-199803000-00001.


Review

For citations:


Aleevskaia A.M., Vyborov O.N., Gramovich V.V., Martynuk T.V. Diagnosis of pulmonary embolism in patients with pulmonary hypertension (a case report). PULMONOLOGIYA. 2019;29(5):620-624. (In Russ.) https://doi.org/10.18093/0869-0189-2019-29-5-620-624

Views: 972


ISSN 0869-0189 (Print)
ISSN 2541-9617 (Online)