Features of the Diagnosis of Pulmonary Hypertension in Outpatient Practice
https://doi.org/10.18087/cardio.2023.9.n2512
Abstract
For the past 20 years, there has been no significant decrease in the time from the onset of symptoms to the diagnosis of pulmonary hypertension (PH). Therefore, it is very important to improve the awareness of therapists about clinical manifestations of the disease, risk factors for the development of PH, and the major diagnostic stages for early detection of the disease and timely administration of appropriate therapy.
Keywords
About the Authors
K. A. MoseichukRussian Federation
Assistant professor of the Department of Polyclinic Therapy, Preventive Medicine and General Medicine
E. V. Filippov
Head of the Department of
Polyclinic Therapy, Preventive Medicine and General Medicine
References
1. Humbert M, Sitbon O, Chaouat A, Bertocchi M, Habib G, Gressin V et al. Pulmonary Arterial Hypertension in France: Results from a National Registry. American Journal of Respiratory and Critical Care Medicine. 2006;173(9):1023–30. DOI: 10.1164/rccm.200510-1668OC
2. Wilkens H, Grimminger F, Hoeper M, Stähler G, Ehlken B, Plesnila-Frank C et al. Burden of pulmonary arterial hypertension in Germany. Respiratory Medicine. 2010;104(6):902–10. DOI: 10.1016/j.rmed.2010.01.002
3. Brown LM, Chen H, Halpern S, Taichman D, McGoon MD, Farber HW et al. Delay in Recognition of Pulmonary Arterial Hypertension: factors identified from the REVEAL Registry. Chest. 2011;140(1):19–26. DOI: 10.1378/chest.10-1166
4. Avdeev S.N., Barbarash O.L., Bautin A.E., Volkov A.V., Veselova T.N., Galyavich A.S. et al. 2020 Clinical practice guidelines for Pulmonary hypertension, including chronic thromboembolic pulmonary hypertension. Russian Journal of Cardiology. 2021;26(12):198–267. DOI: 10.15829/1560-4071-2021-4683
5. Chazova I.E., Martynyuk T.V., Valieva Z.S., Azizov V.A., Barbarash O.L., Veselova T.N. et al. Eurasian clinical guidelines on diagnosis and treatment of pulmonary hypertension. Eurasian Cardiology Journal. 2020;1(30):78–122. DOI: 10.24411/2076-4766-2020-10002-1-78-122
6. Humbert M, Kovacs G, Hoeper MM, Badagliacca R, Berger RMF, Brida M et al. 2022 ESC/ERS Guidelines for the diagnosis and treatment of pulmonary hypertension. European Heart Journal. 2022;43(38):3618–731. DOI: 10.1093/eurheartj/ehac237
7. Martynyuk T.V. Pulmonary hypertension: diagnosis and treatment. -M.: LLC Medical news Agency;2018. - 304 p. ISBN 978-5-604-00080-9
8. Hoeper MM, Humbert M, Souza R, Idrees M, Kawut SM, Sliwa-Hahnle K et al. A global view of pulmonary hypertension. The Lancet Respiratory Medicine. 2016;4(4):306–22. DOI: 10.1016/S2213-2600(15)00543-3
9. Wijeratne DT, Lajkosz K, Brogly SB, Lougheed MD, Jiang L, Housin A et al. Increasing Incidence and Prevalence of World Health Organization Groups 1 to 4 Pulmonary Hypertension: A Population-Based Cohort Study in Ontario, Canada. Circulation: Cardiovascular Quality and Outcomes. 2018;11(2):e003973. DOI: 10.1161/CIRCOUTCOMES.117.003973
10. Tichelbäcker T, Dumitrescu D, Gerhardt F, Stern D, Wissmüller M, Adam M et al. Pulmonary hypertension and valvular heart disease. Herz. 2019;44(6):491–501. DOI: 10.1007/s00059-019-4823-6
11. Valieva Z.S., Martynyuk T.V., Nakonechnikov S.N., Chazova I.E. Charac teristics of patients with chronic thromboembolic pulmonary hypertension according to the Russian National Registry. Therapeutic Archive. 2021;93(9):1058–65. DOI: 10.26442/00403660.2021.09.201037
12. Yang X, Mardekian J, Sanders KN, Mychaskiw MA, Thomas J. Prevalence of pulmonary arterial hypertension in patients with connective tissue diseases: a systematic review of the literature. Clinical Rheumatology. 2013;32(10):1519–31. DOI: 10.1007/s10067-013-2307-2
13. Chazova I.E., Martynyuk T.V. Pulmonary hypertension. -M.: Praktika;2015. - 928 p. ISBN 978-5-89816-138-5
14. Frost A, Badesch D, Gibbs JSR, Gopalan D, Khanna D, Manes A et al. Diagnosis of pulmonary hypertension. European Respiratory Journal. 2019;53(1):1801904. DOI: 10.1183/13993003.01904-2018
15. Runo JR, Loyd JE. Primary pulmonary hypertension. The Lancet. 2003;361(9368):1533–44. DOI: 10.1016/S0140-6736(03)13167-4
16. Chazova I.E., Arkhipova O.A., Martynyuk T.V. Pulmonary arterial hypertension in Russia: six-year observation analysis of the National Registry. Therapeutic Archive. 2019;91(1):25–31. DOI: 10.26442/00403660.2019.01.000024
17. Van Wolferen SA, Marcus JT, Westerhof N, Spreeuwenberg MD, Marques KMJ, Bronzwaer JGF et al. Right coronary artery flow impairment in patients with pulmonary hypertension. European Heart Journal. 2008;29(1):120–7. DOI: 10.1093/eurheartj/ehm567
18. Braunwald’s heart disease: a textbook of cardiovascular medicine. 9th ed. Braunwald E, Bonow RO, editors - Philadelphia: Saunders;2012. - 1961 p. [Rich S. Pulmonary hypertension. P. 1696-1718]. ISBN 978-1-4377-0398-6
19. Simonneau G, Montani D, Celermajer DS, Denton CP, Gatzoulis MA, Krowka M et al. Haemodynamic definitions and updated clinical classification of pulmonary hypertension. European Respiratory Journal. 2019;53(1):1801913. DOI: 10.1183/13993003.01913-2018
20. Demir R, Kucukoglu MS. Six-minute walk test in pulmonary arterial hypertension. The Anatolian Journal of Cardiology. 2015;15(3):249–54. DOI: 10.5152/akd.2015.5834
21. Rajdev A, Garan H, Biviano A. Arrhythmias in Pulmonary Arterial Hypertension. Progress in Cardiovascular Diseases. 2012;55(2):180–6. DOI: 10.1016/j.pcad.2012.06.002
22. Henkens IR, Gan CT-J, Van Wolferen SA, Hew M, Boonstra A, Twisk JWR et al. ECG Monitoring of Treatment Response in Pulmonary Arterial Hypertension Patients. Chest. 2008;134(6):1250–7. DOI: 10.1378/chest.08-0461
23. Korobkova I.Z., Lazutkina V.K., Nizovtsova L.A., Riden T.V. Radiographic assessment of pulmonary hypertension: Methodical aspects. Journal of radiology and nuclear medicine. 2015;4:45–53.
24. Frazier AA, Burke AP. The Imaging of Pulmonary Hypertension. Seminars in Ultrasound, CT and MRI. 2012;33(6):535–51. DOI: 10.1053/j.sult.2012.06.002
25. Milne ENC. Forgotten Gold in Diagnosing Pulmonary Hypertension: The Plain Chest Radiograph. RadioGraphics. 2012;32(4):1085–7. DOI: 10.1148/rg.324125021
26. Sun X-G, Hansen JE, Oudiz RJ, Wasserman K. Pulmonary function in primary pulmonary hypertension. Journal of the American College of Cardiology. 2003;41(6):1028–35. DOI: 10.1016/S0735-1097(02)02964-9
27. Trip P, Nossent EJ, De Man FS, Van Den Berk IAH, Boonstra A, Groepenhoff H et al. Severely reduced diffusion capacity in idiopathic pulmonary arterial hypertension: patient characteristics and treatment responses. European Respiratory Journal. 2013;42(6):1575–85. DOI: 10.1183/09031936.00184412
28. Hoeper MM, Pletz MW, Golpon H, Welte T. Prognostic value of blood gas analyses in patients with idiopathic pulmonary arterial hypertension. European Respiratory Journal. 2007;29(5):944–50. DOI: 10.1183/09031936.00134506
29. Augustine DX, Coates-Bradshaw LD, Willis J, Harkness A, Ring L, Grapsa J et al. Echocardiographic assessment of pulmonary hypertension: a guideline protocol from the British Society of Echocardiography. Echo Research & Practice. 2018;5(3):G11–24. DOI: 10.1530/ERP-17-0071
30. Arcasoy SM, Christie JD, Ferrari VA, Sutton MStJ, Zisman DA, Blumenthal NP et al. Echocardiographic Assessment of Pulmonary Hypertension in Patients with Advanced Lung Disease. American Journal of Respiratory and Critical Care Medicine. 2003;167(5):735–40. DOI: 10.1164/rccm.200210-1130OC
31. Ministry of Health of the Russian Federation. Order from 15.03.2022 № 168n ‘On approval of the procedure for dispensary observation of adults’. Av. at: http://publication.pravo.gov.ru/Document/View/0001202204210027?rangeSize=1&index=1.
Review
For citations:
Moseichuk K.A., Filippov E.V. Features of the Diagnosis of Pulmonary Hypertension in Outpatient Practice. Kardiologiia. 2023;63(9):63-71. (In Russ.) https://doi.org/10.18087/cardio.2023.9.n2512