Diagnosis of Idiopathic Pulmonary Hypertension by Elderly Patient

Abstract

Objective. To demonstrate the role of echocardiography (EchoCG) in the dispensary observation of patients with pulmonary arterial hypertension (PAH) in the PAH office at the Regional Cardiological Dispensary and Rheumatology Center at the City Clinical Hospital No. 5 in Nizhny Novgorod, taking into account the ongoing therapy and verification of diagnosis using catheterization of the right chambers of the heart on the example of clinical observation. Materials and methods. The results of examination, treatment and subsequent follow up of a patient with pulmonary arterial hypertension, who was suspected at the stage of initial treatment in the PAH office, diagnosed with echocardiography, verified according to catheterization of the right heart during hospitalization, are presented. Results. Specific echocardiographic signs of pulmonary hypertension (PH) and methods for calculating pulmonary artery pressure (PA) made it possible to identify the disease in a timely manner and prescribe appropriate therapy. At the stage of dispensary observation, special attention was paid to the function of the right ventricle (RV) as a   control of the treatment. Conclusion. The complex application of medical history, laboratory data, echocardiography and catheterization of the right heart is important in the diagnosis of pulmonary hypertension. Echocardiography is an integral part of further dynamic follow-up against the background of ongoing treatment of PAH patients.