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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.

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Academic Hospital Augustinerinnen

10/10 from 23 Votes

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.


Duration: 3 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Cologne
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Luisenhospital

9.8/10 from 3 Votes

Department of Gastroenterology, Cardiology, Diabetology, Pulmonology and Oncology

Pulmonary hypertension conservative treatment and holter monitoring #31661

The Department of Gastroenterology, Cardiology, Diabetology, Pulmonology and Oncology offers a wide spectrum of medical services ranging from gastroenterology (diseases of the stomach, intestines, pancreas and liver), cardiology (heart disease and circulatory disorders) and diabetes (diabetes m...


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

University Hospital Cologne

9.8/10 from 82 Votes

Department of Cardiology, Angiology, Pulmonology and Intensive Care Medicine

Pulmonary hypertension conservative treatment and holter monitoring #163795

According to the Focus magazine rating, the Department of Cardiology, Angiology, Pulmonology and Intensive Care Medicine at the University Hospital Cologne ranks among the top German departments specializing in the treatment of cardiovascular diseases! The department provides the entire ra...


Duration: 3 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Cologne
certificatecertificate

University Hospital Frankfurt

9.5/10 from 97 Votes

Department of Gastroenterology, Pulmonology and Endocrinology

Pulmonary hypertension conservative treatment and holter monitoring #76269

According to the Focus magazine rating of 2017, the Department of Gastroenterology, Pulmonology and Endocrinology ranks among the top German departments specializing in diabetes treatment! The main areas of specialization of the department include gastroenterology, hepatology, pu...


Duration: 3 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Frankfurt am Main
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University Hospital Rechts der Isar of the Munich Technical University

8.3/10 from 70 Votes

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.


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

Charite University Hospital Berlin

9/10 from 95 Votes

Department of Cardiology and Angiology

Pulmonary hypertension conservative treatment and holter monitoring #106885

The Department of Cardiology and Angiology at the University Hospital Charite treats patients with cardiac and angiological diseases. Located at the Campus Charite Mitte, the department provides functional diagnosis services, cardiac catheterization, electrophysiology, sleep medicine and telemedicine. .


Duration: 3 days
Type of Treatment: Outpatient
location_onCountry: Germany
location_searchingCity: Berlin
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University Hospital RWTH Aachen

8.7/10 from 41 Votes

Department of Cardiology, Pneumology, Angiology and Internal Intensive Medicine

Pulmonary hypertension conservative treatment and holter monitoring #105499

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: Inpatient
location_onCountry: Germany
location_searchingCity: Aachen
certificatecertificate

Alfried Krupp Hospital in Essen-Ruettenscheid

7.4/10 from 42 Votes

Department of Internal Medicine I (Gastroenterology, Hematology, Onkology, Cardiology, Pulmology, Sport Medicine)

Pulmonary hypertension conservative treatment and holter monitoring #181969

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: Inpatient
location_onCountry: Germany
location_searchingCity: Essen

DRK Altenkirchen-Hachenburg Hospital

10/10 from 23 Votes

Department of Internal Medicine (Gastroenterology, Cardiology, Pulmonology, Oncology, Diabetology, Intensive Care Medicine)

Pulmonary hypertension conservative treatment and holter monitoring #322206

The Department of Internal Medicine offers treatment not only for patients of the Altenkirchen region, but also for those from other countries. The department employs highly qualified medical specialists, which allows to achieve the best results in patient care.


Duration: 3 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Altenkirchen

Tel Aviv Sourasky Medical Center

9.9/10 from 23 Votes

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.


Duration: 3 days
Type of Treatment: Inpatient
location_onCountry: Israel
location_searchingCity: Tel Aviv

Hannover Medical School

9.8/10 from 43 Votes

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.


Duration: 3 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Hannover
certificate

Academic Hospital Neuperlach

9.8/10 from 11 Votes

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.


Duration: 3 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Munich
certificate

Rambam Health Care Campus

9.8/10 from 23 Votes

Department of Pulmonology

Pulmonary hypertension conservative treatment and holter monitoring #328492

The Department of Pulmonology at Rambam Health Care Campus diagnoses and treats patients with lung diseases. The Institute has several highly specialized clinics.


Duration: 3 days
Type of Treatment: Inpatient
location_onCountry: Israel
location_searchingCity: Haifa

University Hospital Halle (Saale)

9.6/10 from 78 Votes

Department of Gastroenterology and Pneumology (Department of Internal Medicine I)

Pulmonary hypertension conservative treatment and holter monitoring #296778

The Department of Internal Medicine I (Gastroenterology, Pneumology) at the University Hospital of Halle (Saale) provides the full range of the most advanced diagnostic and therapeutic opportunities in the field of gastroenterology.


Duration: 3 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Halle

Hospital Gummersbach Oberberg

9.6/10 from 23 Votes

Department of Internal Medicine I (Diabetology, Gastroenterology, Infectious Diseases, Cardiology, Nephrology and Dialysis, Pulmonology)

Pulmonary hypertension conservative treatment and holter monitoring #285484

The Department of Internal Medicine I provides treatment of diseases in the fields of gastroenterology (diseases of the digestive tract, liver and pancreas), nephrology and dialysis (kidney diseases) and conservative cardiology (heart diseases), diabetology, infectious diseases and pulmonology.


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

St. Anna Hospital Herne

9.5/10 from 7 Votes

Department of Internal Medicine

Pulmonary hypertension conservative treatment and holter monitoring #184145

The Department of Internal Medicine at the St. Anna Hospital in Herne offers the entire range of diagnosis and treatment of internal diseases. Apart from patients with specific complaints, there are patients, who at the time of presentation in the Department, do not know the origin of their complaints.


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