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Pulmonology: Pulmonary hypertension — Diagnosis and conservative treatment. Treatment

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.

Read more
 

Academic Hospital Augustinerinnen Cologne

10/10 from 23 Votes
location_onGermany, Cologne
certificate

Department of Pulmonology

Pulmonary hypertension conservative treatment and holter monitoring #300855

The Department of Pulmonology at the Academic Hospital Augustinerinnen in Cologne deals with the diagnosis and treatment of all respiratory diseases. Pulmonology, including artificial lung ventilation and sleep medicine with 3 sections containing 46 beds. There are annually treated over 2,100 inpatients.

Include:
people Interpreter up to 5 hours
list_alt Translation of medical documents up to 4 pages
card_membership Visa support
book Insurance against increased costs in case of complications with a cover of 200,000 €

St. Vincentius Clinic Karlsruhe

9.8/10 from 23 Votes
location_onGermany, Karlsruhe

Department of Cardiology, Angiology and Intensive Care Medicine

Pulmonary hypertension conservative treatment and holter monitoring #336381

The Department of Cardiology, Angiology and Intensive Care Medicine provides modern diagnostics and treatment of all forms of acquired and congenital heart diseases.

University Hospital Rechts der Isar of the Munich Technical University

10/10 from 70 Votes
location_onGermany, Munich
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Department of Cardiology, Angiology and Pulmonology

Pulmonary hypertension conservative treatment and holter monitoring #178587

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

HELIOS Clinic Krefeld

9.7/10 from 38 Votes
location_onGermany, Krefeld

Department of Pulmonology and Sleep Medicine

Pulmonary hypertension conservative treatment and holter monitoring #388715

The Department of Pulmonology and Sleep Medicine offers the full range of services in these medical fields. Here are conducted modern examinations, which allow to make an accurate diagnosis and select the best treatment method.

University Hospital Muenster

9.8/10 from 78 Votes
location_onGermany, Muenster
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Department of Cardiology

Pulmonary hypertension conservative treatment and holter monitoring #137615

The Department of Cardiology is part of the Center for Heart and Vascular Medicine at the University Hospital Muenster (UHM). The patients with all diseases of the heart, circulatory and vascular system are treated here.

Academic Hospital Neuperlach Munich

9.8/10 from 11 Votes
location_onGermany, Munich
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Department of Cardiology, Pneumology and Internal Intensive Care

Pulmonary hypertension conservative treatment and holter monitoring #144317

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.

University Hospital Frankfurt am Main

10/10 from 97 Votes
location_onGermany, Frankfurt am Main
certificate

Department of Cardiology and Angiology

Pulmonary hypertension conservative treatment and holter monitoring #76563

According to the Focus magazine rating of 2017, the Department of Cardiology and Angiology ranks among the top German departments in the treatment of heart diseases! The department offers the full range of services in the field of diagnosis and treatment of cardiological and angiologic disorders.

Academic Hospital Sachsenhausen Frankfurt am Main

10/10 from 23 Votes
location_onGermany, Frankfurt am Main

Department of Cardiology, Gastroenterology and Sleep Medicine

Pulmonary hypertension conservative treatment and holter monitoring #334185

The Department of Cardiology, Gastroenterology and Sleep Medicine covers a full range of diagnostics and treatment of all diseases of the gastrointestinal tract, liver and cardiovascular diseases. In addition, the department specializes in the study of sleep and related phenomena.

Academic Hospital Asklepios Barmbek Hamburg

9.5/10 from 23 Votes
location_onGermany, Hamburg

Department of Pulmonology

Pulmonary hypertension conservative treatment and holter monitoring #357076

The Department of Pulmonology offers the full range of services in this focus. It diagnoses and treats diseases of any complexity, ranging from airway narrowing due to asthma or COPD and ending up with pneumonia, lung and pleural tumors, pulmonary fibrosis, respiratory disturbances in sleep.

Academic Hospital Bogenhausen Munich

9.2/10 from 43 Votes
location_onGermany, Munich

Department of Pneumology and Pneumological Oncology

Pulmonary hypertension conservative treatment and holter monitoring #153397

The department of pneumology and pneumological oncology deals with the full range of lung and respiratory diseases.

Academic Hospital Schwabing Munich

8.5/10 from 7 Votes
location_onGermany, Munich
certificate

Department of Cardiology, Pneumology and Internal Intensive Medicine

Pulmonary hypertension conservative treatment and holter monitoring #140481

The Department of Cardiology, Pneumology and Internal Intensive Care Medicine in Schwabing treat patients with acute and chronic diseases of the heart and lungs.

Vivantes Humboldt Hospital Berlin

9.7/10 from 23 Votes
location_onGermany, Berlin

Department of Internal Medicine, Cardiology and Conservative Intensive Medicine

Pulmonary hypertension conservative treatment and holter monitoring #337830

The Department of Internal Medicine, Cardiology and Conservative Intensive Medicine offers the full range of treatment of internal diseases. Diseases of the heart, lungs and pathologies associated with circulatory disorders are treated here.

PAN Clinic Cologne

9/10 from 14 Votes
location_onGermany, Cologne
certificate

Department of Internal Medicine and Cardiology

Pulmonary hypertension conservative treatment and holter monitoring #36837

The Department of Internal Medicine and Cardiology at the PAN Clinic on Neumarkt covers the whole range of general, conservative and interventional cardiology, as well as internal medicine.

Vivantes Neukölln Hospital Berlin

10/10 from 23 Votes
location_onGermany, Berlin

Department of Pulmonology and Infectology

Pulmonary hypertension conservative treatment and holter monitoring #358358

The Department of Pulmonology and Infectology offers the full range of services in these medical fields. The medical team of the department specializes in the diagnostics and treatment of lung diseases, sleep disorders, as well as various infections.

Tel Aviv Sourasky Medical Center

9.9/10 from 23 Votes
location_onIsrael, Tel Aviv

Department of Pulmonology

Pulmonary hypertension conservative treatment and holter monitoring #331160

The Department of Pulmonology at the Tel Aviv Sourasky Medical Center offers both diagnosis and treatment of the full range of lung diseases. The Department also has its private laboratory to ensure comprehensive and the most accurate diagnosis for each patient.

Hannover Medical School

9.8/10 from 43 Votes
location_onGermany, Hannover
certificate

Department of Pulmonology

Pulmonary hypertension conservative treatment and holter monitoring #247201

The Department of Pulmonology at the Hannover Medical School offers treatment of acute and chronic diseases of lungs and airways. The Department specializes in all types of interstitial diseases of lungs and pulmonary fibrosis and is famous for being one of the best centers for lung transplantation in the world.




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