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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">perinatology</journal-id><journal-title-group><journal-title xml:lang="ru">Российский вестник перинатологии и педиатрии</journal-title><trans-title-group xml:lang="en"><trans-title>Rossiyskiy Vestnik Perinatologii i Pediatrii (Russian Bulletin of Perinatology and Pediatrics)</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1027-4065</issn><issn pub-type="epub">2500-2228</issn><publisher><publisher-name>Ltd. “The National Academy of Pediatric Science and Innovation”</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.21508/1027-4065-2018-63-5-167-171</article-id><article-id custom-type="elpub" pub-id-type="custom">perinatology-744</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>СЛУЧАЙ ИЗ ПРАКТИКИ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>CASE REPORTS</subject></subj-group></article-categories><title-group><article-title>СЛОЖНОСТЬ ДИАГНОСТИКИ ИДИОПАТИЧЕСКОЙ ЛЕГОЧНОЙ АРТЕРИАЛЬНОЙ ГИПЕРТЕНЗИИ</article-title><trans-title-group xml:lang="en"><trans-title>THE COMPLEXITY OF DIAGNOSING IDIOPATHIC PULMONARY ARTERIAL HYPERTENSION</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Садыкова</surname><given-names>Д. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Sadykova</surname><given-names>D. I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>д.м.н., проф., зав. кафедрой педиатрии с курсом поликлинической педиатрии.</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Сабирова</surname><given-names>Д. Р.</given-names></name><name name-style="western" xml:lang="en"><surname>Sabirova</surname><given-names>D. R.</given-names></name></name-alternatives><bio xml:lang="ru"><p>к.м.н., доц. кафедры педиатрии с курсом поликлинической педиатрии.</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Кустова</surname><given-names>Н. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Kustova</surname><given-names>N. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>аспирант кафедры педиатрии с курсом поликлинической педиатрии.</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Фирсова</surname><given-names>Н. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Firsova</surname><given-names>N. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>зав. кардиологическим отделением.</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Хуснуллина</surname><given-names>Г. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Khusnullina</surname><given-names>G. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>к.м.н., врач кардиологического отделения.</p><p>420138 Казань, Оренбургский тракт, д. 140.</p></bio><xref ref-type="aff" rid="aff-2"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Казанская государственная медицинская академия – филиал ФГБОУ ДПО РМАНПО Минздрава России.</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Kazan State Medical Academy – branch of the Russian Medical Academy of Post-Graduate Education.</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>ГАУЗ Детская республиканская клиническая больница Минздрава Республики Татарстан.</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Children’s Republican Clinical Hospital of Tatarstan Republic.</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2018</year></pub-date><pub-date pub-type="epub"><day>20</day><month>11</month><year>2018</year></pub-date><volume>63</volume><issue>5</issue><fpage>167</fpage><lpage>171</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Ltd. “The National Academy of Pediatric Science and Innovation”, 2018</copyright-statement><copyright-year>2018</copyright-year><copyright-holder xml:lang="ru">Ltd. “The National Academy of Pediatric Science and Innovation”</copyright-holder><copyright-holder xml:lang="en">Ltd. “The National Academy of Pediatric Science and Innovation”</copyright-holder><license xlink:href="https://www.ped-perinatology.ru/jour/about/submissions#copyrightNotice" xlink:type="simple"><license-p>https://www.ped-perinatology.ru/jour/about/submissions#copyrightNotice</license-p></license></permissions><self-uri xlink:href="https://www.ped-perinatology.ru/jour/article/view/744">https://www.ped-perinatology.ru/jour/article/view/744</self-uri><abstract><p>Идиопатическая легочная артериальная гипертензия – прогрессирующее, на сегодняшний день неизлечимое заболевание неясной этиологии, характеризующееся интенсивным ремоделированием легочного сосудистого русла с преимущественным поражением дистальных легочных артерий и артериол. Диагностическим критерием заболевания является повышение среднего давления в легочной артерии более 25 мм рт. ст. Диагностировать легочную гипертензию, особенно на ранних этапах, очень сложно, так как клинические симптомы неспецифичны. Приведено описание клинического случая диагностики и лечения ребенка с первичной легочной гипертензией высокой степени.</p></abstract><trans-abstract xml:lang="en"><p>Idiopathic pulmonary arterial hypertension is a progressive, incurable disease of unclear etiology; it is characterized by intensive remodeling of the pulmonary vascular bed with a predominant lesion of the distal pulmonary arteries and arterioles. A diagnostic criterion of the disease is an increase in the average pressure in the pulmonary artery more than 25 mm Hg. Arterial hypertension is difficult to diagnose, especially at the early stages due to non-specific clinical symptoms. The article describes the clinical case of diagnostics and treatment of a child with primary pulmonary hypertension of high degree.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>дети</kwd><kwd>легочная артериальная гипертензия</kwd><kwd>врожденный порок сердца</kwd><kwd>диагностика</kwd><kwd>лечение</kwd><kwd>силденафил</kwd></kwd-group><kwd-group xml:lang="en"><kwd>children</kwd><kwd>pulmonary arterial hypertension</kwd><kwd>congenital heart disease</kwd><kwd>diagnostics</kwd><kwd>treatment</kwd><kwd>sildenafil</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Fraisse A., Jais X., Schleich J.M., di Filippo S., Maragnès P., Beghetti M. et al. Characteristics and prospective 2-year follow-up of children with pulmonary arterial hypertension in France. Arch Cardiovasc Dis 2010; 103(2): 66–74. DOI: 10.1016/j.acvd.2009.12.001</mixed-citation><mixed-citation xml:lang="en">Fraisse A., Jais X., Schleich J.M., di Filippo S., Maragnès P., Beghetti M. et al. Characteristics and prospective 2-year follow-up of children with pulmonary arterial hypertension in France. Arch Cardiovasc Dis 2010; 103(2): 66–74. DOI: 10.1016/j.acvd.2009.12.001</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">Galiè N., Hoeper M.M., Humbert M., Torbicki A., Vachiery J.L., Barbera J.A. et al. Guidelines for the diagnosis and treatment of pulmonary hypertension: the Task Force for Diagnosis and Treatment of Pulmonary Hypertension of European Society of Cardiology(ESC), and the European Respiratory Society(ERS), endorsed by International Society of Heart and Lung Transplantation(ISHLT). Eur Heart J2009; 30(20): 2493–537. DOI: 10.1093/eurheartj/ehp297</mixed-citation><mixed-citation xml:lang="en">Galiè N., Hoeper M.M., Humbert M., Torbicki A., Vachiery J.L., Barbera J.A. et al. Guidelines for the diagnosis and treatment of pulmonary hypertension: the Task Force for Diagnosis and Treatment of Pulmonary Hypertension of European Society of Cardiology(ESC), and the European Respiratory Society(ERS), endorsed by International Society of Heart and Lung Transplantation(ISHLT). Eur Heart J2009; 30(20): 2493–537. DOI: 10.1093/eurheartj/ehp297</mixed-citation></citation-alternatives></ref><ref id="cit3"><label>3</label><citation-alternatives><mixed-citation xml:lang="ru">Humbert M., Sitbon O., Chaouat A., Bertocchi M., Habib G., Gressin V. et al. Survival in patients with idiopathic, familial, and anorexigen-associated pulmonary arterial hypertension in the modern management era. Circulation 2010; 122(2): 156–163. DOI: 10.1161/CIRCULATIONAHA.109.911818</mixed-citation><mixed-citation xml:lang="en">Humbert M., Sitbon O., Chaouat A., Bertocchi M., Habib G., Gressin V. et al. Survival in patients with idiopathic, familial, and anorexigen-associated pulmonary arterial hypertension in the modern management era. Circulation 2010; 122(2): 156–163. DOI: 10.1161/CIRCULATIONAHA.109.911818</mixed-citation></citation-alternatives></ref><ref id="cit4"><label>4</label><citation-alternatives><mixed-citation xml:lang="ru">Ivy D. Pulmonary Hypertension in Children. Cardiol Clin 2016; 34(3): 451–472. DOI: 10.1016/j.ccl.2016.04.005</mixed-citation><mixed-citation xml:lang="en">Ivy D. Pulmonary Hypertension in Children. Cardiol Clin 2016; 34(3): 451–472. DOI: 10.1016/j.ccl.2016.04.005</mixed-citation></citation-alternatives></ref><ref id="cit5"><label>5</label><citation-alternatives><mixed-citation xml:lang="ru">D’Alonzo G.E., Barst R.J., Ayres S.M., Bergofsky E.H., Brundage B.H., Detre K.M. et al. Survival in patients with primary pulmonary hypertension(Results from a national prospective registry). Ann Intern Med1991; 115(5): 343–349.</mixed-citation><mixed-citation xml:lang="en">D’Alonzo G.E., Barst R.J., Ayres S.M., Bergofsky E.H., Brundage B.H., Detre K.M. et al. Survival in patients with primary pulmonary hypertension(Results from a national prospective registry). Ann Intern Med1991; 115(5): 343–349.</mixed-citation></citation-alternatives></ref><ref id="cit6"><label>6</label><citation-alternatives><mixed-citation xml:lang="ru">Moledina S., Hislop A.A., Foster H., Schulze-Neick I., Haworth S.G. Childhood idiopathic pulmonary arterial hypertension: a national cohort study. Heart2010; 96(17): 1401–1406. DOI: 10.1136/hrt.2009.182378</mixed-citation><mixed-citation xml:lang="en">Moledina S., Hislop A.A., Foster H., Schulze-Neick I., Haworth S.G. Childhood idiopathic pulmonary arterial hypertension: a national cohort study. Heart2010; 96(17): 1401–1406. DOI: 10.1136/hrt.2009.182378</mixed-citation></citation-alternatives></ref><ref id="cit7"><label>7</label><citation-alternatives><mixed-citation xml:lang="ru">Barst R.J., McGoon M.D., Elliott C.G., Foreman A.J., Miller D.P., Ivy D.D. Survival in childhood pulmonary arterial hypertension: insights from the registry to evaluate early and long-term pulmonary arterial hypertension disease management. Circulation 2012; 125(1): 113–122. DOI: 10.1161/CIRCULATIONAHA.111.026591</mixed-citation><mixed-citation xml:lang="en">Barst R.J., McGoon M.D., Elliott C.G., Foreman A.J., Miller D.P., Ivy D.D. Survival in childhood pulmonary arterial hypertension: insights from the registry to evaluate early and long-term pulmonary arterial hypertension disease management. Circulation 2012; 125(1): 113–122. DOI: 10.1161/CIRCULATIONAHA.111.026591</mixed-citation></citation-alternatives></ref><ref id="cit8"><label>8</label><citation-alternatives><mixed-citation xml:lang="ru">van Loon R.L., Roofthooft M.T., Delhaas T., van OschGevers M., ten Harkel A.D., Strengers J.L. et al. Outcome of pediatric patients with pulmonary arterial hypertension in the era of new medical therapies. Am J Cardiol 2010; 106(1): 117–124. DOI: 10.1016/j.amjcard.2010.02.023</mixed-citation><mixed-citation xml:lang="en">van Loon R.L., Roofthooft M.T., Delhaas T., van OschGevers M., ten Harkel A.D., Strengers J.L. et al. Outcome of pediatric patients with pulmonary arterial hypertension in the era of new medical therapies. Am J Cardiol 2010; 106(1): 117–124. DOI: 10.1016/j.amjcard.2010.02.023</mixed-citation></citation-alternatives></ref><ref id="cit9"><label>9</label><citation-alternatives><mixed-citation xml:lang="ru">Hansmann G., Hoeper M.M. Registries for paediatric pulmonary hypertension. Eur Respir J2013; 42(3): 580–583. DOI: 10.1183/09031936.00065713</mixed-citation><mixed-citation xml:lang="en">Hansmann G., Hoeper M.M. Registries for paediatric pulmonary hypertension. Eur Respir J2013; 42(3): 580–583. DOI: 10.1183/09031936.00065713</mixed-citation></citation-alternatives></ref><ref id="cit10"><label>10</label><citation-alternatives><mixed-citation xml:lang="ru">Легочная гипертензия. Под ред. И.Е. Чазовой, Т.В. Мар-тынюк. М: Практика 2015; 928.</mixed-citation><mixed-citation xml:lang="en">Pulmonary hypertension. I.E. Chazova, T.V. Martynyuk(eds). M: Praktika2015; 928. (in Russ)</mixed-citation></citation-alternatives></ref><ref id="cit11"><label>11</label><citation-alternatives><mixed-citation xml:lang="ru">Трисветова Е.Л.Диагностика и лечение легочной гипер-тензии. Медицинские новости 2009; 15: 13–18.</mixed-citation><mixed-citation xml:lang="en">Trisvetova E.L. Diagnosis and treatment of pulmonary hypertension. Meditsinskie novosti2009; 15; 13–18.</mixed-citation></citation-alternatives></ref><ref id="cit12"><label>12</label><citation-alternatives><mixed-citation xml:lang="ru">Janda S., Shahidi N., Gin K. Diagnostic accuracy of echocardiography for pulmonary hypertension: a systematic review and meta-analysis. Heart 2011; 97(8): 612–622. DOI: 10.1136/hrt.2010.212084</mixed-citation><mixed-citation xml:lang="en">Janda S., Shahidi N., Gin K. Diagnostic accuracy of echocardiography for pulmonary hypertension: a systematic review and meta-analysis. Heart 2011; 97(8): 612–622. DOI: 10.1136/hrt.2010.212084</mixed-citation></citation-alternatives></ref></ref-list><fn-group><fn fn-type="conflict"><p>The authors declare that there are no conflicts of interest present.</p></fn></fn-group></back></article>
