<div> The clinic is headed by the head of the department of pulmonology of the ICM of the First Moscow State Medical University named after I.I. THEM. Sechenova, chief freelance pulmonologist of the Ministry of Health of the Russian Federation, MD, professor, corresponding member of the Russian Academy of Sciences <a href="https: //sechenovclinic.ru/expert/detail.php?SECTION_ID=&ELEMENT_ID=4703&sphrase_id=198542&clear_cache=Y">Avdeev Sergey Nikolaevich</a><a href="https://sechenovclinic.ru/expert/detail.php?SECTION_ID=&ELEMENT_ID=4703&sphrase_id=198542&clear_cache=Y">. </a> </div>

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Clinic for Pulmonology and Respiratory Medicine was established at the end of 2017 on the basis of the pulmonology, consultative and diagnostic departments and the department of functional diagnostics of the University Clinical Hospital No. 4 of the First Moscow State Medical University named after I.I. THEM. Sechenov. The high professionalism of specialists, as well as the constantly improving methods of diagnosis and treatment of the pulmonology clinic, allow us to quickly and efficiently provide specialized care to patients with any pathology of the respiratory system.
The main areas of work of the clinic are the diagnosis, treatment and monitoring of patients with the following diseases:
Severe COPD and asthma 
· The clinic conducts a comprehensive study of respiratory function, gas exchange, determination of biomarkers (including FeNO), a cytological study of induced sputum, which allow providing personalized assistance to patients with these diseases, deciding on the need for biological therapy for asthma, selecting oxygen therapy regimens and non-invasive ventilation of the lungs.
Interstitial Lung Disease (idiopathic pulmonary fibrosis, hypersensitivity pneumonitis, nonspecific interstitial pneumonia, sarcoidosis, organizing pneumonia, etc.);
· The clinic employs the country's leading experts in the diagnosis and treatment of this group of diseases, and maintains a register of patients with idiopathic pulmonary fibrosis. The diagnostic capabilities of the clinic make it possible to effectively monitor and track the dynamics of functional disorders in this pathology Rare and genetically determined lung diseases (lymphangioleiomyomatosis, Langerhans cell lung histiocytosis, alveolar proteinosis, etc.) The staff of the department has the greatest experience in the country in the diagnosis and treatment of these diseases, the clinic has all the necessary diagnostic methods. Primary diagnostics and dynamic monitoring of patients with lymphangioleiomyomatosis (LAM) is carried out, a national register of patients with LAM is maintained.
Pulmonary hypertension (idiopathic pulmonary arterial hypertension, pulmonary hypertension due to respiratory diseases, chronic thromboembolic pulmonary hypertension, rare forms of pulmonary hypertension)
· The leading experts in pulmonary hypertension at the federal level work on the basis of the clinic.Examination and monitoring of patients with various forms of pulmonary hypertension is carried out, as well as the initiation and monitoring of PAH-specific therapy. Acute and chronic respiratory failure 
In patients with respiratory failure of various etiologies (COPD, obesity-hypoventilation syndrome, kyphoscoliosis, neuromuscular diseases), long-term oxygen therapy and non-invasive ventilation are selected, diagnostics and treatment of obstructive sleep apnea syndrome are carried out.
·  Bronchiectasis  The clinic uses innovative methods for the treatment of bronchiectasis, including percussion-vibration chest massage.
The following diagnostic tests are performed at the clinic: 
· Comprehensive study of the function of external respiration (spirometry, bronchodilation test, body plethysmography, study of the diffusion capacity of the lungs);
Evaluation of the gas composition of arterial blood (determination of the content of oxygen, carbon dioxide, acid-base state of the blood);
· assessment of the function of the respiratory muscles;
assessment of pulmonary hemodynamics (Doppler echocardiography) with measurement of pressure in the pulmonary artery;
Ultrasound of the diaphragm (assessment of the excursion and fraction of thickening of the diaphragm during respiratory maneuvers);
Ultrasound of the lungs and pleural cavities (assessment of the dynamics of pneumonia, pleurisy, pneumothorax, interstitial changes in the lung tissue);
determination of the nitric oxide fraction in exhaled air (FeNO);
Cardiorespiratory screening (determination of the apnea-hypopnea index, central obstructive apnea, blood oxygen saturation (saturation) at night);
high-resolution computed tomography of the chest;
· fibrobronchoscopy with cytological and bacteriological examination of bronchoalveolar lavage, transbronchial lung biopsy;
The method of induced sputum with cytological examination of the material.
All diagnostic studies are carried out in accordance with the national and international recommendations of the European Respiratory Society and the American Thoracic Society (ATS / ERS) 2019. <div> On the basis of the Clinical Diagnostic Department of Clinical Hospital No. 4, you can get advice from leading Russian pulmonologists – employees of the Department of Pulmonology of the First Moscow State Medical University named after I.M. Sechenov: </div> <img width="159" src="/upload/medialibrary/5c2/content_img.png" height="194"><a href="https://www.sechenov.ru/univers/all/124949 /">Natalya Anatolyevna Tsareva</a>, Candidate of Medical Sciences, Associate Professor of the Department of Pulmonology; pulmonologist. Research interests: various forms of pulmonary hypertension, chronic obstructive pulmonary disease. Tsareva N.A. is the country's leading specialist in pulmonary hypertension, monitors and treats patients with various types of pulmonary hypertension, including the appointment of PAH-specific therapy. <img width="159" src="/upload/medialibrary/e3c/content_img.png" height="238"><a href="https://www.sechenov.ru/univers/all/126102 /?sphrase_id=1005928">Galia Serikovna Nuralieva,</a> Candidate of Medical Sciences, Associate Professor of the Department of Pulmonology, pulmonologist, somnologist. Research interests: acute and chronic respiratory failure, non-invasive lung ventilation, respiratory disorders during sleep. Nuralieva G.S. specializes in the management of patients with acute and chronic respiratory failure, selects respiratory support modes (non-invasive ventilation) in patients with severe COPD, obesity-hypoventilation syndrome, kyphoscoliosis, and obstructive sleep apnea syndrome. <img width="159" src="/upload/medialibrary/205/content_img.png" height="237"><a href="http://www.sechenov.ru/univers/all/124937 /">Merzhoeva Zamira Magomedovna</a>, Head of the Department of Pulmonology, Pulmonologist, PhD, Assistant of the Department of Pulmonology, Pulmonologist Research interests: interstitial and other rare lung diseases, idiopathic pulmonary fibrosis, bronchiectasis. Merzhoeva Z.M. is one of the leading specialists in the country in the diagnosis and treatment of interstitial lung diseases, maintains a register of patients with idiopathic pulmonary fibrosis, owns the method of vibration-percussion therapy in patients with bronchiectasis. <img width="159" src="/upload/medialibrary/a80/content_img.png" height="212"><a href="https://www.sechenov.ru/univers/all/126229 /">Trushenko Natalya Vladimirovna</a>, Candidate of Medical Sciences, Assistant of the Department of Pulmonology; pulmonologist. Research interests: shortness of breath, hyperventilation syndrome, interstitial lung diseases (hypersensitivity pneumonitis, etc.), bronchial asthma, COPD. Trushenko N.V. specializes in the diagnosis and treatment of asthma, COPD, including individual selection of inhaled delivery devices, and interstitial lung diseases. Outpatient reception by the staff of the department is carried out daily.

If necessary, hospitalization in the pulmonology department of a hospital, including patients from other cities, is possible. The work of the department is supervised by associate professors and professors of the department, weekly rounds are held with the participation of the head of the clinic – professor, corresponding member of the Russian Academy of Sciences Avdeeva S.N.
<img width="187" src="/upload/medialibrary/cbe/content_img.png" height="188"><a href="http://sechenovclinic.ru/expert/detail.php?SECTION_ID =&ELEMENT_ID=4703&sphrase_id=199134">Avdeev Sergey Nikolaevich</a> – Director of the clinic of pulmonology and respiratory medicine of the First Moscow State Medical University. THEM. Sechenov, Head of the Department of Pulmonology, Chief Freelance Pulmonologist of the Ministry of Health of the Russian Federation, Doctor of Medical Sciences, Professor, Corresponding Member of the Russian Academy of Sciences.Avdeev S.N. – a leading specialist in respiratory medicine at the international level, the undisputed leader in such areas of pulmonology as interstitial lung diseases, pulmonary hypertension, intensive pulmonology, including non-invasive lung ventilation, COPD, severe asthma, management of patients before and after lung transplantation .

The Clinic for Pulmonology and Respiratory Medicine is equipped with the latest equipment to carry out all the examinations necessary for the management of patients with COPD, bronchial asthma, pulmonary hypertension, obstructive sleep apnea syndrome, respiratory failure, idiopathic pulmonary fibrosis, lymphangioleiomyomatosis, histiocytosis and other rare lung diseases. A comprehensive study of respiratory function (spirometry, body plethysmography, a study of the diffusion capacity of the lungs), a study of the strength of the respiratory muscles, ultrasound of the lungs and diaphragm, Echo-KG with measurement of pressure in the pulmonary artery is carried out by leading experts in the field of functional and ultrasound diagnostics:
 <img width="159" src="/upload/medialibrary/1a8/content_img.png" height="238"><a href="http:////www.sechenov.ru/univers/all /126087/">Neklyudova Galina Vasilievna</a>, Doctor of Medical Sciences, Associate Professor of the Department of Pulmonology, Doctor of Ultrasound Diagnostics, Functional Diagnostics of the Highest Category. Sphere of scientific interests: pulmonary hypertension and new directions of instrumental diagnostics in respiratory medicine – ultrasound of the diaphragm, ultrasound of the lungs. Neklyudova G.V. owns all available methods of functional diagnostics of respiratory diseases, Echo-KG and other ultrasound methods.

<img width="159" src="/upload/medialibrary/bdc/content_img.png" height="211"> <a href="http:////www.sechenov.ru/univers/all/127432/">h&lt ;/span></a><a href="http:////www.sechenov.ru/univers/all/127432/">Ikina Svetlana Yurievna</a>, Candidate of Medical Sciences, Assistant of the Department of Pulmonology; pulmonologist of the highest category, doctor of functional diagnostics. Sphere of scientific interests: problems of shortness of breath, cough, out-of-laboratory stress tests, interstitial lung diseases. Chikina S.Yu. – a pulmonologist who also owns and conducts in the clinic a comprehensive study of respiratory function – spirometry, body plethysmography, a study of the diffusion capacity of the lungs.

Unified Contact Center: <a href="tel:+74994508889">+7(499)450-88-89</a>

  Clinic of Pulmonology and Respiratory Medicine

Clinic of Pulmonology and Respiratory Medicine was established at the end of 2017 on the basis of the pulmonology, consultative and diagnostic departments and the department of functional diagnostics of the University Clinical Hospital No. 4 of the First Moscow State Medical University named after I.I. THEM. Sechenov.

The high professionalism of specialists, as well as the constantly improving methods of diagnosis and treatment of the pulmonology clinic, allow us to quickly and efficiently provide specialized care to patients with any pathology of the respiratory system.

The main directions of the clinic are diagnostics, treatment and monitoring of patients with the following diseases: Heavy forms of COPD and Bronchial Asthma
The clinic conducts a comprehensive study of the respiratory function, gas exchange, the definition of biomarkers (including Feno), a cytological study of induced sputum, which allow personified assistance to patients with data from these diseases, to solve the issue of the need for biological therapy of asthma, to selection of oxygen treatment modes and non-invasive lung ventilation. Interstial lung diseases

(idiopathic pulmonary fibrosis, hypersensitive pneumonitis, nonspecific interstitial pneumonia, sarcoidosis, organizing pneumonia, etc.); The clinic employs leading country experts on the diagnosis and treatment of this group of diseases, a register of patients with idiopathic pulmonary fibrosis is conducted. The diagnostic capabilities of the clinic make it possible to effectively monitor, monitor the dynamics of functional disorders under this pathology

Rare and genetically deterministic lung diseases (lymphyolaseomyomatosis, Langerganscellular gistiocytosis of the lungs, Alveolar proteinosis, etc.)

Employees of the department are the greatest experience in the country in the diagnosis and treatment of these diseases, the clinic has all the necessary diagnostic methods. It is important primary diagnostics and dynamic observation of patients with lymphangioleseomyomyomyosis (LAM), a national register of patients is underway. Pulmonary hypertension (idiopathic pulmonary hypertension, pulmonary hypertension against the background of respiratory diseases, chronic thromboembolic pulmonary hypertension, rare forms of pulmonary hypertension)

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Clinic of Pulmonology and Respiratory Medicine

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