Congenital PH Flashcards
1
Q
Histo
A
- Intimal thickening
- Medial hypertrophy
- Plexiform lesions
2
Q
C/s
A
o Exercise intolerance, tachypnea, syncope
o R CHF symptoms
3
Q
PE
A
o Loud/split S2
o Diastolic murmur from PI
o Holosystolic murmur from TR
4
Q
ECG
A
- R axis deviation
- Tall/peaked P wave
5
Q
CTX
A
- Enlarged MPA
- Tortuous PAs
- Pulmonary infiltrates
- R sided cardiomegaly
6
Q
Echo
A
- ↑ R side: RVH/RVE/RAE
- PA systolic pressure estimation with TR jet velocity
- PA diastolic pressure estimation with PI jet velocity
- Other signs of PH: RPA motion, ↓ AT and AT/ET ratio
- Reduced L side parameters
7
Q
Cardiac KT pressure study
A
accurate evaluation of PAP and PVR
