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Это состояние может быть острым (развивается быстро) или хроническим (формируется постепенно) [1](https://kt-spb.ru/glossary/legochnoe-serdtse/)[4](https://ru.wikipedia.org/wiki/%D0%9B%D1%91%D0%B3%D0%BE%D1%87%D0%BD%D0%BE%D0%B5_%D1%81%D0%B5%D1%80%D0%B4%D1%86%D0%B5)[8](https://www.KrasotaiMedicina.ru/diseases/zabolevanija_pulmonology/cardio-pulmonary-failure).\n\n## Причины\nНекоторые причины лёгочного сердца: \n* **Заболевания лёгких** (хроническая обструктивная болезнь лёгких (ХОБЛ), бронхиальная астма, эмфизема) [2](https://andrusovo.dompogilyh.ru/services/serdechno-sosudistye-zabolevaniya/ukhod-za-pozhilymi-s-legochnim-serdtsem/)[7](https://ProBolezny.ru/legochnoe-serdce/)[9](https://MedAboutMe.ru/zdorove/spravochnik/bolezni/khronicheskaya_legochno_serdechnaya_nedostatochnost_lyegochnoe_serdtse/). \n* **Поражения лёгочных сосудов** (тромбоэмболия лёгочной артерии, атеросклероз лёгочной артерии) [4](https://ru.wikipedia.org/wiki/%D0%9B%D1%91%D0%B3%D0%BE%D1%87%D0%BD%D0%BE%D0%B5_%D1%81%D0%B5%D1%80%D0%B4%D1%86%D0%B5)[8](https://www.KrasotaiMedicina.ru/diseases/zabolevanija_pulmonology/cardio-pulmonary-failure). \n* **Деформации грудной клетки** (кифосколиозы, болезнь Бехтерева) [8](https://www.KrasotaiMedicina.ru/diseases/zabolevanija_pulmonology/cardio-pulmonary-failure).\n\n## Симптомы\nНекоторые симптомы лёгочного сердца: \n* **Затруднение дыхания** особенно во время физической нагрузки или в положении лёжа [2](https://andrusovo.dompogilyh.ru/services/serdechno-sosudistye-zabolevaniya/ukhod-za-pozhilymi-s-legochnim-serdtsem/)[11](https://dompogilyh.ru/services/serdechno-sosudistye-zabolevaniya/ukhod-za-pozhilymi-s-legochnim-serdtsem/). \n* **Усталость и слабость** даже при незначительных физических нагрузках [2](https://andrusovo.dompogilyh.ru/services/serdechno-sosudistye-zabolevaniya/ukhod-za-pozhilymi-s-legochnim-serdtsem/)[11](https://dompogilyh.ru/services/serdechno-sosudistye-zabolevaniya/ukhod-za-pozhilymi-s-legochnim-serdtsem/). \n* **Отёки**, особенно на нижних конечностях, из-за задержки жидкости в тканях, вызванной повышенным давлением в лёгочных артериях [2](https://andrusovo.dompogilyh.ru/services/serdechno-sosudistye-zabolevaniya/ukhod-za-pozhilymi-s-legochnim-serdtsem/)[11](https://dompogilyh.ru/services/serdechno-sosudistye-zabolevaniya/ukhod-za-pozhilymi-s-legochnim-serdtsem/). \n* **Учащённое сердцебиение (тахикардия)** и неправильные сердечные ритмы [2](https://andrusovo.dompogilyh.ru/services/serdechno-sosudistye-zabolevaniya/ukhod-za-pozhilymi-s-legochnim-serdtsem/)[11](https://dompogilyh.ru/services/serdechno-sosudistye-zabolevaniya/ukhod-za-pozhilymi-s-legochnim-serdtsem/). \n* **Синюшность кожи и губ (цианоз)**, особенно на кончиках пальцев и ногтях [2](https://andrusovo.dompogilyh.ru/services/serdechno-sosudistye-zabolevaniya/ukhod-za-pozhilymi-s-legochnim-serdtsem/)[11](https://dompogilyh.ru/services/serdechno-sosudistye-zabolevaniya/ukhod-za-pozhilymi-s-legochnim-serdtsem/).\n\n## Диагностика\nДля диагностики лёгочного сердца используют: \n* **ЭКГ** — выявляет увеличение границ сердца вправо, акцент II тона над лёгочной артерией [15](https://tradicii-spb.ru/referrals/pulmonology/lyegochnoe-serdtse/)[16](https://yandex.ru/medicine/disease/legochnoe-serdtse). \n* **Эхокардиографию (УЗИ сердца)** — оценивает размеры и функцию правого желудочка, давление в лёгочной артерии [2](https://andrusovo.dompogilyh.ru/services/serdechno-sosudistye-zabolevaniya/ukhod-za-pozhilymi-s-legochnim-serdtsem/)[14](https://medlineservice.ru/articles/legochnoe-serdtse/). \n* **Рентгенографию грудной клетки** — показывает признаки расширения корней лёгких и изменения в лёгочной артерии [14](https://medlineservice.ru/articles/legochnoe-serdtse/). \n* **Компьютерную томографию (КТ)** — позволяет получить точные изображения органов грудной клетки и средостения для более детальной диагностики [14](https://medlineservice.ru/articles/legochnoe-serdtse/).\n\n## Лечение\nЛечение лёгочного сердца направлено на устранение или управление основной причиной повышенного давления в лёгочных артериях [2](https://andrusovo.dompogilyh.ru/services/serdechno-sosudistye-zabolevaniya/ukhod-za-pozhilymi-s-legochnim-serdtsem/). Это может включать: \n* **Лечение основного заболевания лёгких** [2](https://andrusovo.dompogilyh.ru/services/serdechno-sosudistye-zabolevaniya/ukhod-za-pozhilymi-s-legochnim-serdtsem/). \n* **Медикаментозную терапию** для улучшения сердечной функции и снижения давления в лёгочной артерии [2](https://andrusovo.dompogilyh.ru/services/serdechno-sosudistye-zabolevaniya/ukhod-za-pozhilymi-s-legochnim-serdtsem/). \n* **В некоторых случаях** — хирургическое вмешательство, например, лёгочная трансплантация [2](https://andrusovo.dompogilyh.ru/services/serdechno-sosudistye-zabolevaniya/ukhod-za-pozhilymi-s-legochnim-serdtsem/). \n\nЛечение подбирается индивидуально в зависимости от степени тяжести и назначается кардиологом или пульмонологом [16](https://yandex.ru/medicine/disease/legochnoe-serdtse).","linksData":[{"sourceId":1,"url":"https://kt-spb.ru/glossary/legochnoe-serdtse/","shownUrl":"https://kt-spb.ru/glossary/legochnoe-serdtse/","title":"Легочное сердце. 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