TREATMENT PRINCIPLES IN PULMONARY HYPERTENSION IN DOGS

Öz

Pulmonary hypertension is defined as abnormal high pressure within pulmonary vasculature. Pulmonary arterial hypertension is a life threatening disorder characterized by high pressure in the pulmonary artery and a progressive pulmonary vascular resistance that can be resulted in right heart failure and death. Initial clinical signs in case of pulmonary arterial hypertension are respiratory distress, fatigue, syncope, and decrease of exercise capacity. When severity of disease is increasing, high tension during right heart contraction, increase of right ventricle diameter, decrease of stroke volume, decrease of cardiac contractility and impairment in contact with pulmonary artery of right ventricle develop. Standard method for the diagnosis of pulmonary hypertension is the direct measurement of pulmonary artery pressure by catheterization of right heart. The diagnosis of pulmonary hypertension requires the detailed evaluation including anamnesis, clinical signs, echocardiographic parameters supporting pulmonary hypertension and the results of other diagnosis tests. The treatment of pulmonary hypertension includes strategies to decrease disease progression and risk of complications. In the context of the article, the diagnosis and treatment methods in cases of pulmonary hypertension in dogs are discussed in a detailed manner. In addition, detailed knowledge was presented about drugs used as ancillary therapy in the event of the pulmonary hypertension due to different diseases in dogs.

Anahtar Kelimeler

• Pulmonary Hypertension
• Pulmonary Hypertension
• Dog
• Treatment

Köpeklerde akciğer yüksek tansiyonunda sağaltım prensipleri

Öz

Akciğer yüksek tansiyonu, akciğer damarı içinde anormal yüksek basınç olarak tanımlanır. Akciğer arterinde yüksek tansiyon sağ kalp yetmezliği ve ölümle sonuçlanabilen akciğer arterinde basınç artışı ve akciğer damar direncinde ilerleyen artışla karakterize yaşamı tehdit eden bir bozukluktur. Akciğer arterinde tansiyon artışı halinde ilk klinik bulgular solunum güçlüğü, yorgunluk, bayılma, egzersiz kapasitesinde belirgin azalmadır. Hastalığın şiddeti arttıkça sağ kalpte kasılma sırasında gerilim artışı, sağ ventrikül çapında artma, kalbin her atımında sol ventrikülden atılan kan miktarında azalma, kalbin kasılma gücünde azalma ve sağ ventrikül akciğer arter bağlantısında bozulma vardır. Akciğer yüksek tansiyonunun tanısı için standart metot sağ kalbin kateterizasyonuyla akciğer arter basıncının doğrudan değerlendirilmesidir. Akciğer yüksek tansiyonunun tanısı anamnez, klinik bulgular, akciğer yüksek tansiyonunu destekleyen ekokardiyografik parametreler ve diğer tanı testlerinin sonuçlarını içeren kapsamlı değerlendirmeyi gerektirir. Akciğer yüksek tansiyonunun sağaltımı hastalığın ilerlemesi ya da komplikasyonlarının riskini azaltma uygulamalarını içerir. Bu makale kapsamında köpeklerde akciğer yüksek tansiyonu olgularında tanı ve sağaltım yöntemleri ayrıntılı şekilde ele alındı. Ayrıca köpeklerde farklı hastalıklara bağlı akciğer yüksek tansiyonu gelişmesi durumunda tansiyonu düşürmek için kullanılan ilaçlar hakkında ayrıntılı bilgiler sunuldu.

Anahtar Kelimeler

• Akciğer Yüksek Tansiyonu
• Köpek
• Sağaltım

Kaynakça

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