Case report of differential diagnosis of dyspnea in patient with pulmonary embolism


Cite item

Full Text

Abstract

The analysis of the case report of the patient suffering from bronchial asthma is presented in the article. Pulmonary embolism developed in the patient lead to the changes in the character of dyspnea. The proper analysis of complaints and the dynamics of the clinical condition allowed to establish a correct diagnosis and to perform urgent pathogenic therapy.

About the authors

Vera I. Potievskaya

FGBU FNKTs FMBA of Russia

Author for correspondence.
Email: vera.pot@mail.ru

Candidate of Medical Sciences, Professor of the Department of Anesthesiology and Reanimatology, Doctor of Medical Sciences

Russian Federation, Moscow

Julia M. Alekseeva

Federal Scientific and Clinical Center for Specialized Types of Medical Care and Medical Technologies FMBA of Russia

Email: info@eco-vector.com

Head of the Department of Cardiology-2, Candidate of Medical Sciences

Russian Federation, Moscow

Alexander V. Sitnikov

Federal Scientific and Clinical Center for Specialized Types of Medical Care and Medical Technologies FMBA of Russia

Email: info@eco-vector.com

Head of the Department of X-ray Surgical Methods of Diagnostics and Treatment-1

Russian Federation, Moscow

References

  1. Elliott M.W., Adams L., Cockcroft A., Mac Rae K.D., Murphy K., Guz A. The language of breathlessness. Use of verbal descriptors by patients with cardiopulmonary disease. American Rev of Respiratory Disease, 1991, 144,826-32.
  2. Чучалин А.Г. Одышка: патофизиологические и клинические аспекты//Пульмонология: научно- практический журнал, 2004, № 5: 6-16.
  3. Karnani N.G., Reisfield G.M., Wilson G.R., Evaluation of Chronic Dyspnea //Am Fam Physician, 2005, Apr 15;71(8):1529-1537.
  4. Dyspnea. Mechanisms, assessment and management: a consensus statement//Am Respir J Crit Care Med. 1999; 159: 321 - 340.
  5. Schwartzstein R.M., Adams L. Dyspnea. In: Mason R.J., Broaddus V.C., Martin T.R. et al, eds. Murray and Nadel's Textbook of Respiratory Medicine. 5th ed. Philadelphia, Pa: SaundersElsevier; 2010:chap 28.
  6. Алгоритм оценки одышки в практике врача первичного звена. Практическое руководство для врачей. Под ред. Акад. РАМН А.Г. Чучалина. ЗАО РИЦ "Человек и лекарство", 2012. 68 с.
  7. Гребенев А.Л. Пропедевтика внутренних болезней. М. Медицина , 2001. 592 с.
  8. Полтавская М.Г., Мктрумян Э.А., Долецкий А.А. и соавт. Одышка неясного происхождения у кардиологических больных: дифференциальный диагноз с применением нагрузочного теста с газовым анализом. Kardiol serdecno-sosud hir 2009; 2: 15 - 22.
  9. Литвинов А.В., Литвинова И.А. К вопросу о возникновении страха смерти при остром коронарном синдроме (попытка научно-литературного анализа). Сердце, 2011, т.10, № 4(60): 251 - 252.
  10. Овчаренко С.И., Сыркин А.Л., Дробижев М.Ю. и др. Гипервентиляционный синдром. Сопоставление клинической картины и функции внешнего дыхания при бронхиальной астме, гипертонической болезни, паническом расстройстве. Клин мед. 2003;3:32-36.
  11. Рекомендации Европейского кардиологического общества (ЕКО) по диагностике и лечению тромбоэмболии легочной артерии (ТЭЛА), 2008// European Heart Journal. 2008 №29. С.2276 - 2315.

Supplementary files

Supplementary Files
Action
1. JATS XML
2. Fig 1. Angiopulmonography of the left and right lungs of patient O. before thrombolysis.

Download (209KB)
3. Fig. 2. Angiopulmonography of the left and right lungs of patient O. after thrombolysis.

Download (276KB)

Copyright (c) 2021 Potievskaya V.I., Alekseeva J.M., Sitnikov A.V.

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies