pHTN Flashcards
1
Q
what is mean pa pressure for exercise
A
> 30
2
Q
3 things need for pulmonary arterial hypertension
A
PCWP < 15
mPAP > 25 (so 26)
and PVR > 3 woods untis
3
Q
grades of PH severity
A
25-40 mild, 40-55 mod, > 55 severe
4
Q
WHO class 1’ whjat is it?
A
is PVOD
5
Q
PAH 1 year suruvival at 1 year
A
85%
6
Q
main pah exam findings (2)
A
loud p2 and RV heave
(obvious ones are LE edema, ascities, Hepatomegaly, JVD with huge v
7
Q
steps for PH workup
A
- usual hx ECG,
- TTE =/- exercise stress
- V/Q –< may need chest CT here, pulmonary angio, goags
- PFT
- HIV, ANA, LFTs
- functional test
7 rHC with vascodilatior challenge
-order not that important
8
Q
screening tool of choice for CTEPjH
A
VQ scan bc CTEPH tends to be distal and diffuse (perfusion aspect will help the most. )
still need CTA to see if can get cteph surgery
9
Q
traditional rx/ for PAH
A
Supplemental o2 if qualify
diuretics
CCB if qualify
Dig
10
Q
what is strongest PAH rx
A
iv epo
11
Q
only drug to improve survival in pah
A
iv epo
