Diagnosis of Idiopathic Pulmonary Hypertension by Elderly Patient.
https://doi.org/10.52560/2713-0118-2025-3-74-87
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.
About the Authors
R. V. SadyrinRussian Federation
Sadyrin Roman Viktorovich, Assistant of the Department of Faculty Therapy named after A.I. Gefter
E. B. Petrova
Russian Federation
Petrova Ekaterina Borisovna, D. Med., Associate Professor, Professor of the Department of Radiology, Faculty
of Doctors Advanced Training
E. B. Shakhov
Russian Federation
Shakhov Evgeniy Borisovich, M. D. Med., associate professor, Professor of the endovascular diagnostic and
treatment department on faculty of additional professional education
E. S. Timoshchenko
Russian Federation
Timoshchenko Elena Sergeevna, Ph. D. Med, Head of Regional Cardiological Dispensary and Rheumatology
Center
A. A. Nekrasov
Russian Federation
Nekrasov Anatoliy Alekseevich, Student of the Faculty of Medicine
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Review
For citations:
Sadyrin R.V., Petrova E.B., Shakhov E.B., Timoshchenko E.S., Nekrasov A.A. Diagnosis of Idiopathic Pulmonary Hypertension by Elderly Patient. Radiology - Practice. 2025;(3):74-87. (In Russ.) https://doi.org/10.52560/2713-0118-2025-3-74-87