Predstavitev treh primerov bolnikov z neprepoznano pljučno arterijsko hipertenzijo = Presentation of threee cases of patients with unrecognized pulmonary arterial hypertension
Salobir, Barbara, 1966- ...
Pulmonary arterial hypertension is a chronic disease which appears as a primary disorder or in connection with other diseases, primarily chronic pulmonary thromboembolism and systemic connective ...tissue diseases. Because of an increase in blood pressure in the pulmonary circulation, there is a right-sided heart insufficiency and right-sided heart failure. This is almost always associated with a poor prognosis. It frequently remains unrecognized, even though it can be detected with simple diagnostic procedures such as - in addition to medical history and a detailed cfinical examination - ECG, chest x-ray and cardiac ultrasound. New findings on the etiopathogenesis of pulmonary arterial hypertension open new possibilities of treatment with drugsand/or surgical procedures, both for patients with primary pulmonary arterial hypertension and those who have pulmonary arterial hypertension due to chronic pulmonary thrombembolism or systemic connective tissue disorders. It is therefore important for personal physicians to think of pulmonary hypertension in the case of suspicious symptoms in the patient's medical history (excessive tiredness, chest pain, tachycardia, dyspnea and syncope upon exertion), so that they can perform a clinical examination and basic tests, and, in case of major clinical suspicion, also refer the patient to an appropriate specialist (pulmologist, cardiologist or rheumatologist) or to an emergency internal medicine office, if the patient's life is acutely endangered.
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