Pulmonology:
Pulmonary hypertension — Diagnosis and conservative treatment. Treatment abroad

Pulmonary hypertension (PH) is a life-threatening condition caused by increased pressure in the pulmonary vasculature. The prevalence of this disease is 15 cases per 1 million people. It affects mainly women 30 to 40 years old; males are diagnosed with this disorder 4 times less frequently. Hemodynamic disorders threaten the development of the right ventricular failure, so all patients with PH require increased surveillance and continuous therapy.

Monitoring 

Examination of patients is repeated every 3 months in order to assess the dynamics of the disease and effectiveness of the chosen treatment. The range of mandatory monitoring activities includes:

  • Clinical examination. The physician listens to the heart sounds, examines the skin and limbs of the patient.
  • ECG. The changes in the right ventricle are diagnosed.
  • Echocardiography. It allows determining the condition of all vessels and chambers of the heart.
  • Cardiopulmonary exercise test and 6-minute walk test. The lung ventilation and work of the heart during exercise is assessed.
  • Right heart part catheterization. The probe is introduced into the heart chambers, through which the intracardiac pressure is measured.

The unscheduled studies are conducted upon deterioration of the patient’s condition.

Drug Therapy

PG treatment is aimed at suppression of symptoms and prevention of blood clots in the pulmonary artery. The basis of drug therapy is:

  • Anticoagulants. They reduce the blood viscosity, prevent the formation of blood clots. Typically, the patients are prescribed warfarin. The drug must be taken subject to blood clotting monitoring.
  • Vasodilators. They lower the pressure in the pulmonary vasculature. They are effective at early stages of the disease. Therapy begins with small doses, gradually increasing to the permanent ones.
  • Diuretics. They lower the blood pressure and shortness of breath. They are recommended at the first signs of the right ventricular failure. Upon pronounced edemas, the drugs are prescribed in high doses.
  • Oxygen. It is prescribed for severe right ventricular failure. By eliminating hypoxia, the drug improves the general condition of the patient.

When conservative methods prove to be inefficient, the surgical treatment is conducted.

If any PG version, the patients are recommended to limit their physical activity and treat the pulmonary infections actively.

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University Hospital Cologne

8.9/10 from 82 Votes

Pulmonary hypertension conservative treatment and holter monitoring

The Department of Cardiology, Angiology, Pneumology and Intensive Care Medicine of the University Hospital Cologne is part of the Heart Center Cologne. The Department offers its patients treatment at the highest level with the use of all innovations for treating coronary artery stenosis, arrhythmias and hypertension.


Duration 3 days
Type of Treatment: Outpatient
location_onCountry: Germany
location_searchingCity: Cologne

Price 3808.00

University Hospital Frankfurt

8.5/10 from 97 Votes

Pulmonary hypertension conservative treatment and holter monitoring

The Department of Gastroenterology, Pneumology and Endocrinology is the department №1 at the University Hospital Frankfurt. Its focuses include gastroenterology and  hepatologym  pneumology and allergology, endocrinology and diabetology as well as nutritional medicine.


Duration 3 days
Type of Treatment: Outpatient
location_onCountry: Germany
location_searchingCity: Frankfurt am Main

Price 4521.00

University Hospital rechts der Isar der TU München

8.3/10 from 70 Votes

Pulmonary hypertension conservative treatment and holter monitoring

A team of experts from the Department of Internal Medicine at the university hospital Klinikum rechts der Isar treats patients with cardiovascular diseases.


Duration 3 days
Type of Treatment: Outpatient
location_onCountry: Germany
location_searchingCity: Munich

Price 4488.00

RWTH University Hospital Aachen

8.7/10 from 41 Votes

Pulmonary hypertension conservative treatment and holter monitoring

The focuses of the Medical Department I are Cardiology, Pneumology, Angiology and Internal Intensive Medicine. In cooperation with the medical departments II and IV, there is treated the entire spectrum of internal diseases at the highest level.


Duration 3 days
Type of Treatment: Outpatient
location_onCountry: Germany
location_searchingCity: Aachen

Price 3504.00

University Hospital Heidelberg

9/10 from 57 Votes

Pulmonary hypertension conservative treatment and holter monitoring

The Department of Cardiology, Angiology, and Pneumology at the Heidelberg University Hospital with the staff of over 500 members is the largest department of the Heidelberg University Hospital. The Department constanly expands the specialization of its clinical and scientific activities.


Duration 3 days
Type of Treatment: Outpatient
location_onCountry: Germany
location_searchingCity: Heidelberg

Price 4424.00

Alfried Krupp Hospital in Essen-Ruettenscheid

9.9/10 from 42 Votes

Pulmonary hypertension conservative treatment and holter monitoring

The main treatment areas of the Department of Internal Medicine I, headed by Prof. Dr. med. Thomas Budde, are invasive and non-invasive cardiac diagnostics and therapy of all cardiac diseases.


Duration 3 days
Type of Treatment: Outpatient
location_onCountry: Germany
location_searchingCity: Essen

Price 3253.00

Academic Hospital Merheim Cologne

8.9/10 from 23 Votes

Pulmonary hypertension conservative treatment and holter monitoring

The Department is a center for the study of organs, which offers a comprehensive treatment of all diseases of the chest – with the exception of heart.


Duration 3 days
Type of Treatment: Outpatient
location_onCountry: Germany
location_searchingCity: Cologne

Price 4435.00

Städtisches Klinikum Neuperlach

9.8/10 from 11 Votes

Pulmonary hypertension conservative treatment and holter monitoring

The department of cardiology, pneumology and internal intensive care treats cardiovascular disease and lung diseases. seriously ill patients are treated in intensive care units. The medical emphases of cardiology are the treatment of valvular heart disease, arrhythmias and myocardial insufficiency or heart failure.


Duration 3 days
Type of Treatment: Outpatient
location_onCountry: Germany
location_searchingCity: Munich

Price 3566.00

Hannover Medical School, MHH

9.8/10 from 43 Votes

Pulmonary hypertension conservative treatment and holter monitoring

Pulmonology clinic deals with all diseases of the lungs and airways. Any patient will find the best care here, be it chronic or acute form of lung disease. The clinic is one of the world's largest centers for lung transplantation. Since 1987 (as of March 2014), it conducted 1.


Duration 3 days
Type of Treatment: Outpatient
location_onCountry: Germany
location_searchingCity: Hannover

Price 3790.00

Gummersbach District Hospital of the Klinikum Oberberg

9.6/10 from 23 Votes

Pulmonary hypertension conservative treatment and holter monitoring

The Department of Internal Medicine I at the Klinikum Oberberg in Gummersbach provides treatment to patients with all diseases from the field of internal medicine apart from drug treatment of malignancies (cancer) and blood disorders (hematology / Department of Internal Medicine II).


Duration 3 days
Type of Treatment: Outpatient
location_onCountry: Germany
location_searchingCity: Gummersbach

Price 3234.00

University Hospital Dusseldorf

9.5/10 from 71 Votes

Pulmonary hypertension conservative treatment and holter monitoring

The Department of Cardiology, Pneumology and Angiology at the University Hospital Dusseldorf  provides treatment for the whole range of diseases in the field of cardiovascular medicine.


Duration 3 days
Type of Treatment: Outpatient
location_onCountry: Germany
location_searchingCity: Duesseldorf

Price 4514.00

St. Anna Hospital Herne

9.5/10 from 7 Votes

Pulmonary hypertension conservative treatment and holter monitoring

The Department of Internal Medicine specializes in: Diagnosis and treatment of diseases of the internal organs, especially treatment of the heart, blood vessels, lungs and kidneys ECG, ultrasound, body plethysmography Long-term measurement of blood pressure in the treatment of hypertension Im...


Duration 3 days
Type of Treatment: Outpatient
location_onCountry: Germany
location_searchingCity: Herne

Price 3608.00

UKGM Gießen

9.5/10 from 35 Votes

Pulmonary hypertension conservative treatment and holter monitoring

The department of internal medicine II includes general internal medicine and a number of priority areas of medical branch.


Duration 3 days
Type of Treatment: Outpatient
location_onCountry: Germany
location_searchingCity: Giessen

Price 3482.00

Krankenhaus Nordwest

9.5/10 from 24 Votes

Pulmonary hypertension conservative treatment and holter monitoring

The department of internal medicine treats diseases of internal medicine. These include general medical and internal diseases of the emphasis of the clinic on gastroenterology / hepatology, pulmonology / sleep medicine, cardiology and internal intensive care.


Duration 3 days
Type of Treatment: Outpatient
location_onCountry: Germany
location_searchingCity: Frankfurt am Main

Price 3475.00

Hospital Kloster Grafschaft GmbH

9.4/10 from 21 Votes

Pulmonary hypertension conservative treatment and holter monitoring

The department of lung medicine (Pneumology) supervises more than 4,000 patients each year. The focuses of the treatment are placed upon the following clinical pictures: Chronic obstructive bronchitis, Lung emphysema, Bronchial asthma, Lung cancer, Lung fibrosis, Chronic persistent cough.


Duration 3 days
Type of Treatment: Outpatient
location_onCountry: Germany
location_searchingCity: Schmallenberg

Price 3185.00

University Hospital Wurzburg

9.2/10 from 38 Votes

Pulmonary hypertension conservative treatment and holter monitoring

Medical Clinic I is mainly engaged in six areas of internal medicine, i. e. cardiology, intensive care, neurology, pulmonology, angiology; their research, teaching and care of patients with the relevant conditions. The clinic has 62 full-time positions and 20 externally funded places for researchers.


Duration 3 days
Type of Treatment: Outpatient
location_onCountry: Germany
location_searchingCity: Würzburg

Price 3849.00