Pulmonary hypertension as an interdisciplinary problem. case from practice

Pulmonary hypertension can develop in patients with bronchopulmonary pathology, as well as due to left ventricular heart failure. The difficulty of differential diagnosis between chronic respiratory and heart failure is due to the close pathophysiological connection between the respiratory and cardiovascular systems, as well as the similarity of clinical manifestations. The leading symptoms are progressive shortness of breath, fatigue on exercise, tachypnea, tachycardia, and peripheral edema syndrome. Differential diagnosis is based on a comparative analysis of the severity of organ damage and the degree of their functional impairment.

1. Klinicheskie rekomendacii: legochnaya gipertenziya, v tom chisle hronicheskaya tromboemboli-cheskaya legochnaya gipertenziya // Rossijskij kardiologicheskij zhurnal. – 2021. – T. 26. – № 12. – S. 198–267. – https://doi.org/10.15829/1560-4071-2021-4683

2. 2022 ESC/ERS Guidelines for the diagnosis and treatment of pulmonary hypertension // European Heart Journal. – 2022. – Vol. 43(38). – P. 3618-3731. – doi: 10.1093/eurheartj/ehac237.

3. 2021 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure // European Heart Journal. – 2021. – Vol. 42(36). – P. 3599–3726. – doi: 10.1093/eurheartj/ehab368

4. Clinical Application of Ghrelin for Chronic Respiratory Diseases / Nobuhiro Matsumoto, Masami- tsu Nakazato // Methods in Enzymology. – 2012. – Vol. 514. – P. 399–407.

5. Nacional’nye rekomendacii «Diagnostika i lechenie hronicheskoj serdechnoj nedostatochnosti» // Minsk. – 2010. – 64 s.

6. Etiologic Classification of Diffuse Parenchy- mal (Interstitial) Lung Diseases / Matthias Griese // Journal of Clinical Medicine. – 2022. – Vol. 11(6). – P. 1747–1756. – doi: 10.3390/jcm11061747

7.