Аннотация:
Hypertensive heart disease with biventricular cardiac failure is not common in clinical practice. This diagnosis requires an extensive diagnostic search. We present the clinical case of the male patient of 38 aged. He was admitted to the clinic with heart failure 3-4 NYHA class. EchoCG revealed symmetric hypertrophy of the left ventricle up to 18 mm without its dilatation, a decrease in ejection fraction up to 42[%], restrictive hemodynamics, overload of the right chambers, severe pulmonary hypertension (60 mm Hg). The clinical status included persistent arterial hypertension (180-220 and 120-150 mm Hg), effusion in both pleural cavities and pericardium, ascites, renal failure. During examination (multispiral computed tomography, magnetic resonance imaging, scintigraphy with 131I-MIBG), bladder paraganglioma was diagnosed (normatenafrin 1468 μg/day). The resection of the tumor was performed, according to immunohistochemical research - neuroendocrine carcinoma, G1. After 3 months a partia
Благова О. В. Ольга Владимировна 1974-
Алийева И. Н.
Безруков Е. А. Евгений Алексеевич 1975-
Ипполитов Л. И. Леонид Игоревич 1966-
Полунин Г. В. Георгий Владимирович 1977-
Коган Е. А. Евгения Алтаровна 1951-
Седов В. П. Всеволод Парисович 1952-
Мершина Е. А.
Синицын В. Е. Валентин Евгеньевич 0001-
Саркисова Н. Д. Наталия Донатовна 1960-
Недоступ А. В. Александр Викторович 1939-
Фомин В. В. Виктор Викторович 1978-
Blagova O. V. Ol`ga Vladimirovna 1974-
Alijeva I. N.
Bezrukov E. A. Evgenij Alekseevich 1975-
Ippolitov L. I. Leonid Igorevich 1966-
Polunin G. V. Georgij Vladimirovich 1977-
Kogan E. A. Evgeniya Altarovna 1951-
Sedov V. P. Vsevolod Parisovich 1952-
Mershina E. A.
Sinitsy'n V. E. Valentin Evgenyevich 0001-
Sarkisova N. D. Nataliya Donatovna 1960-
Nedostup A. V. Aleksandr Viktorovich 1939-
Fomin V. V. Viktor Viktorovich 1978-
Acute decompensation of hypertensive heart disease in patient with malignant urinary bladder paraganglioma: Stages of diagnostics and treatment
Текст визуальный непосредственный
Рациональная фармакотерапия в кардиологии
Столичная издательская компания
Т. 14, Вып. 3 С. 370-378
2018
Статья
Acute cardiac failure Hypertonic heart disease Immunohistochemical study Malignant hypertension Malignant paraganglioma of the urinary bladder Neuroendocrine carcinoma Primary myocardial hypertrophy syndrome
(3 iodobenzyl)guanidine i 131 creatinine normetadrenalin adult Article ascites cancer surgery case report clinical article creatinine blood level echocardiography heart failure heart left ventricle ejection fraction heart left ventricle hypertrophy hemodynamic parameters hospital admission human human tissue immunohistochemistry kidney failure male neuroendocrine carcinoma New York Heart Association class nuclear magnetic resonance imaging paraganglioma pericardial effusion pleura effusion pulmonary hypertension urinary bladder paraganglioma x-ray computed tomography
Hypertensive heart disease with biventricular cardiac failure is not common in clinical practice. This diagnosis requires an extensive diagnostic search. We present the clinical case of the male patient of 38 aged. He was admitted to the clinic with heart failure 3-4 NYHA class. EchoCG revealed symmetric hypertrophy of the left ventricle up to 18 mm without its dilatation, a decrease in ejection fraction up to 42[%], restrictive hemodynamics, overload of the right chambers, severe pulmonary hypertension (60 mm Hg). The clinical status included persistent arterial hypertension (180-220 and 120-150 mm Hg), effusion in both pleural cavities and pericardium, ascites, renal failure. During examination (multispiral computed tomography, magnetic resonance imaging, scintigraphy with 131I-MIBG), bladder paraganglioma was diagnosed (normatenafrin 1468 μg/day). The resection of the tumor was performed, according to immunohistochemical research - neuroendocrine carcinoma, G1. After 3 months a partia