Chronic thromboembolic pulmonary hypertension in an obese patient with type 2 diabetes mellitus
https://doi.org/10.29001/2073-8552-2021-36-3-154-160
Abstract
Metabolic disorders represent a serious medical and social problem and are risk factors for the development of thromboembolic complications. Disturbances of both carbohydrate and fat metabolism contribute to an increase in blood viscosity, creating prothrombotic conditions, which are not always objectively assessed even by specialists. In addition, multiple comorbid conditions usually significantly complicate the prognosis. The article presents a clinical case of recurrent thrombosis of the right atrium and the orifices of the superior and inferior vena cava in a 39-year-old patient with type 2 diabetes mellitus, obesity, arterial hypertension, and varicose vein disease.
About the Authors
E. N. Kliver
Meshalkin National Medical Research Center
Russian Federation
Russian Federation
Elena N. Kliver, Dr. Sci. (Med.), Cardiologist, Department of Aortic and Coronary Artery Surgery.
15, Rechkunovskaya str., Novosibirsk, 630055
O. Vasiltseva
Ya.
Russian Federation
Russian Federation
Oksana Ya. Vasiltseva, Dr. Sci. (Med.), Cardiologist.
15, Rechkunovskaya str., Novosibirsk, 630055
A. G. Edemskiy
Meshalkin National Medical Research Center
Russian Federation
Russian Federation
Alexander G. Edemskiy, Cand. Sci. (Med.), Cardiovascular Surgeon, Department of Aortic and Coronary Artery Surgery.
15, Rechkunovskaya str., Novosibirsk, 630055
D. S. Grankin
Meshalkin National Medical Research Center
Russian Federation
Russian Federation
Denis S. Grankin, Cand. Sci. (Med.), Doctor for Endovascular Diagnostics and Treatment, Department of X-ray Surgical Methods of Diagnostics and Treatment.
15, Rechkunovskaya str., Novosibirsk, 630055
D. F. Zeinalov
Meshalkin National Medical Research Center
Russian Federation
Russian Federation
Devran F. Zeinalov, Postgraduate Student in Cardiology.
15, Rechkunovskaya str., Novosibirsk, 630055
A. M. Cherniavsky
Meshalkin National Medical Research Center
Russian Federation
Russian Federation
Alexander M. Cherniavsky, Dr. Sci. (Med.), Professor, Director.
15, Rechkunovskaya str., Novosibirsk, 630055
References
1. Konstantinides S.V., Torbicki A., Agnelli G., Danchin N., Fitzmaurice D., Galie` N. et al. 2014 ESC Guidelines on the diagnosis and management of acute pulmonary embolism. The Task Force for the Diagnosis and Management of Acute Pulmonary Embolism of the European Society of Cardiology (ESC) Endorsed by the European Respiratory Society (ERS). Eur. Heart J. 2014;35(43):3033–3080. DOI: 10.1093/eurheartj/ehu283.
2. Konstantinides S.V., Meyer G., Becattini C., Bueno H., Geersing G.-J., Harjola V.-P., Huisman M.V. et al. 2019 ESC Guidelines for the diagnosis and management of acute pulmonary embolism developed in collaboration with the European Respiratory Society (ERS). The Task Force for the diagnosis and management of acute pulmonary embolism of the European Society of Cardiology (ESC). Eur. Heart J. 2020;41(4):543–603. DOI: 10.1093/eurheartj/ehz405.
3. Vasiltseva O.Ya., Vorozhcova I.N., Karpov R.S. Variety of risk factors of venous thromboembolism. Doctor. 2014;8:5–9 (In Russ.).
4. Galie` N., Humbert M., Vachieryc J.-L., Gibbs S., Lang I., Torbicki A. et al. 2015 ESC/ERS Guidelines for the diagnosis and treatment of pulmonary hypertension: The Joint Task Force for the Diagnosis and Treatment of Pulmonary Hypertension of the European Society of Cardiology (ESC) and the European Respiratory Society (ERS): Endorsed by: Association for European Paediatric and Congenital Cardiology (AEPC), International Society for Heart and Lung Transplantation (ISHLT). Eur. Heart J. 2016;37(1)1:67–119. DOI: 10.1093/eurheartj/ehv317.
5. Mordovin V.F., Pekarskiy S.E., Semke G.V., Ripp T.M., Falkowskaya A.Yu., Sytkova E.S. et al. The use of modern medical technology to diagnose and treat patients with hypertension The Siberian Journal of Clinical and Experimental Medicine. 2015;30(2):29–35 (In Russ.). DOI: 10.29001/2073-8552-2015-30-2-29-35.
6. Chazova I.E., Martynjuk T.V., Valieva Z.S., Azizov V.A., Akchurin R.S., Ansheles A.A. et al. Eurasian guidelines for the diagnosis and treatment of chronic thromboembolic pulmonary hypertension (2020). Eurasian Heart Journal. 2021;(1):6–43 (In Russ.). DOI: 10.38109/2225-16852021-1-6-43.
7. Edemskiy A.G., Ivanov S.N., Kliver E.N., Novikova N.V., Galstyan M.G., Sevastyanov V.V. et al. Patient’s way from acute pulmonary embolism to chronic thromboembolic pulmonary hypertension: Diagnostic and treatment options. Therapeutic Аrchive. 2019;91(8):108–114 (In Russ.). DOI: 10.26442/00403660.2019.08.000316.
8. Vengerovskiy A.I. Pharmacology: textbook. Moscow: GEOTAR-Media; 2020:848 (In Russ.).
Review
For citations:
Kliver E.N., Vasiltseva O., Edemskiy A.G., Grankin D.S., Zeinalov D.F., Cherniavsky A.M. Chronic thromboembolic pulmonary hypertension in an obese patient with type 2 diabetes mellitus. Siberian Journal of Clinical and Experimental Medicine. 2021;36(3):154-160. (In Russ.) https://doi.org/10.29001/2073-8552-2021-36-3-154-160
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