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Pulmonary HTN * Flashcards

1
Q

What is Pulmonary HTN

A

Resting mPAP >25 on Right heart catheterisation

-Leads to RHF/Cor Pulmonale

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2
Q

What are the causes of Pulmonary HTN

A

Pre capillary = Pul Emboli
Capillary/Lung = COPD and Asthma
Post Capillary = LV Fail
Chronic Hypoxemia = COPD/High Altitude

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3
Q

What is the pathology of Pulmonary HTN

A

Reactive Pulmonary Vasoconstriction
High Pulmonary Vascular resistance = Endo Damage
RVH and RHF

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4
Q

What are the presentations of Pulmonary HTN

A 
Exertional dyspnoea and fatigue
RHF Signs
-Raised JVP
-Peripheral Oedema
-V Wave
-Loud S2
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5
Q

What are the investigations for Pulmonary HTN

A

CXR =RVH
ECG = RA Dilation (p pulmonale)
ECHO =RVH
Gold = Right heart catheter = mPAP>25mmHg

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6
Q

What is the Gold tool for Pulmonary HTN

A

Right heart catheter

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7
Q

How is Pulmonary HTN Managed

A

Phosphodiesterase-S Inhibitor (Sildenafil)
Amlodopine
Endothelin 1 Antagonist
Diuretics if Oedema

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8
Q

What is the 1st line treatment for Pulmonary HTN

A

Sildenafil (Phosphodiesterase S Inhibitor

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Resp (14 decks)

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