DIFFICULT DIAGNOSIS: IDIOPATHIC PULMONARY ARTERIAL HYPERTENSION, CASE STUDY

The article presents a clinical case of idiopathic pulmonary arterial hypertension. Peculiarities and difficulties of its diagnosis are described. It is emphasized that pulmonary hypertension refers to a rather rare disease and often debuts after the formation of irreversible changes in the pulmonary vessels. The best method in diagnosis is a computed tomography (of the chest) with contrasting of pulmonary vessels. According to current guidelines combined pathogenetic therapy with agonist of prostacyclin receptor by relaxipam and inhibitor of phosphodiesterase – 5 sildenafilom was applied as a treatment.