Motive ambulance © Medical clinic with focus on infectiology and pneumology/Charité

Outpatient Clinic for Pulmonary Hypertension

The Medical Clinic with a focus on infectiology and pneumology of the Charité - Universitätsmedizin Berlin offers patients a presentation at the Charité Mitte campus (CCM) and the Benjamin Franklin campus (CBF) in a specialized outpatient clinic for pulmonary hypertension (pulmonary hypertension), in which all the specialists necessary for clarification and therapy cooperate under one roof.

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The Pulmonary Hypertension Outpatient Clinic specializes in patients with pulmonary hypertension.

Patients who suffer from breathlessness during exertion/exertion, which could not be clarified in the basic diagnosis, as well as patients with signs of exertion of the right heart should also be diagnosed with possible pulmonary hypertension.

treatment spectrum

What is pulmonary hypertension?

PH is a disease of the blood vessels of the lungs and the right heart cavity in which normal blood flow through the pulmonary arteries is disturbed. 

The restricted blood flow through the lungs leads to an increase in pressure in the pulmonary arteries (pulmonary hypertension), to blood back-up in front of the right heart and thus to abnormal loading of the right heart cavities.

Another consequence is the undersupply of the body with oxygen-rich blood.

In addition, water can accumulate in the legs (oedema), abdomen (ascites) or chest (pleural effusion) due to the backwater in front of the right heart cavity.

In the worst case a right heart failure threatens.

Typical symptoms

The symptoms of pulmonary hypertension can vary greatly in their severity.

The main symptom of the disease is a shortage of air, which also occurs at rest during the advanced course of the disease.

Possible other symptoms: 

  • Limited resilience
  • blue coloration of the skin (lips/finger) (cyanosis)
  • Tightness / burning in the chest (pectangina)
  • Physical weakness
  • Fainting spells (syncope)
  • Damage to other organs such as the liver and kidneys (cardiorenal syndrome)
  • Water retention (edema)

Possible causes

  • congenital (idiopathic) - possibly in combination with other congenital heart diseases
  • Connective tissue diseases (e.g.: scleroderma, CREST, lupus erythematosus)
  • Chronic thromboembolic pulmonary hypertension (CTEPH) in recurrent pulmonary embolisms
  • Haematological diseases (e.g. sickle cell anaemia)
  • Infectious diseases such as HIV or schistosomiasis
  • Liver diseases (portopulmonary hypertension)
  • Left heart diseases (heart valve defects, coronary heart disease, systolic and diastolic heart failure)
  • Lung diseases (e.g. COPD, pulmonary fibrosis, lymphangioleiomyomatosis, pulmonary histiocytosis X,) 
  • Medication/toxic condition
  • Neuroendocrine tumors or vascular malformations of other genesis
  • Sleep-related diseases (sleep apnea, hypoventilation syndromes)
  • Rare diseases such as Neurofibromatosis, tuberous brain sclerosis, Moya-Moya syndrome
  • Systemic and transpulmonary shunts as with M. Osler

Service spectrum

Motive ambulance © Medical clinic with focus on infectiology and pneumology/Charité

We offer the diagnosis and therapy of all forms of pulmonary hypertension. The treatment options are as varied as the causes.

First of all, the exact diagnosis of the underlying disease is therefore of great importance. For this purpose, our patients go through an elaborate diagnostic program, which is individually adapted to the needs of the patient at our first joint appointment after reviewing the existing findings.

In addition to the treatment of the underlying disease, various specific medications, apparatus-based procedures and, in rare cases, surgical measures are available.

Senior doctor

Dr. Daniel Grund: Specialist in internal medicine, pneumology, specialization: Intensive and respiratory medicine, cardio-pulmonary haemodynamics

Please bring to the agreed date:

  • Bank transfer (issued in current quarter)
  • Health insurance card (and identity card for comparison)
  • medication plan
  • At the first presentation: all previous findings (laboratory values, doctor's letters, X-ray and CT images), if the pre-treatment has not taken place at the Charité;