3: Pulmonary HTN Flashcards
1
Q
What is normal pulmonary arterial pressure
A
10-14 mmHg
2
Q
What defines pulmonary HTN
A
PAP > 25
3
Q
What is cor pulmonate
A
Altered right-sided heart function due to pulmonary hTN
4
Q
In which gender is idiopathic PAH more common
A
Female (9:1)
5
Q
what respiratory conditions may cause pulmonary HTN
A
- COPD
- OSA
- Interstitial lung disease
6
Q
what are symptoms of pulmonary artery HTN
A
fatigue
dyspnoea/syncope on exertion (as CO falls during exercise due to increase vascular resistance)
chest pain (increase demand of the heart)
7
Q
what HS is heard in pulmonary HTN
A
split S2
8
Q
what is palpate in pulmonary HTN
A
right-ventricular heave
9
Q
what will be seen on ECG in pulmonary HTN
A
- Right axis deviation
- ST depression and T wave inversion in right precordial leads = right ventricular strain
- P pulmonale
10
Q
what other investigations are ordered in pulmonary HTN
A
ECHO
Right-heart catheterisation