PULMONARY HEMORRHAGE IN A PATIENT WITH UNCONTROLLED ARTERIAL HYPERTENSION
Abstract
Relevance. Pulmonary hemorrhage is a serious condition that requires attention in medical practice. It can occur for various reasons and manifest itself with varying intensity from hemoptysis to profuse bleeding and requires immediate hospitalization. The causes of pulmonary hemorrhage are varied: various diseases of the lungs and bronchi, cardiovascular system, hemostasis disorders. Arterial hypertension is a rare cause leading to this pathology.
Case descriptions. The article presents a clinical case of hemoptysis in patient Z., 64 years old, with uncontrolled arterial hypertension. The examination revealed no pathology of the respiratory system (infection, cancer), heart disease, aortic pathology, no traumatic anamnesis, and coagulogram indices were within normal limits. The episode of hemoptysis, as well as an increase in blood pressure to high numbers (224/105 mm Hg, while the usual figures were 140-160/90-110 mm Hg) were detected for the first time. Pulmonary hemorrhage was stopped using endoscopic occlusion with a foam obturator and endovascular embolization; hemostatic and hypotensive therapy were also performed. Against the background of effective hypotensive therapy, the target blood pressure was achieved over 6 months of observation, and no recurrence of pulmonary hemorrhage was detected.
Conclusion. The absence of recurrence of pulmonary hemorrhage against the background of normalization of blood pressure, as well as another reason during the examination, allows us to associate this episode of hemoptysis with a marked increase in blood pressure.
About the Author
Tatyana V. GomaRussian Federation
Cand. Sci. (Med.), assistant professor of the Department of Faculty Therapy
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Review
For citations:
Goma T.V. PULMONARY HEMORRHAGE IN A PATIENT WITH UNCONTROLLED ARTERIAL HYPERTENSION. Baikal Medical Journal. 2025;4(3).
