pulmonary HTN Flashcards
PA systolic pressure of ____ is PH
over 25
you should suspect PH in pt with ____ and ___
increasing dyspnea & a known cause
2 complications of PH
cor pulmonale and Right HF
prognosis of PH
if untreated, 2.8 yrs after diagnosis
4 sx of severe PH
- exertional chest pain
- exertional syncope
- peripheral edema
- anorexia
and known disease
4 exam findings of PH
- Narrowed 2nd heart sounds
- JV pulse
- RV failure
- Cor pulmonale
1st step in work-up, used to screen for PH
echo
what’s next if echo is positive vs negative?
- +, do definitive test
- -, r/o other causes of dyspnea or still do definitive test
definitive diagnostic study for PH
right heart catheterization
3 things R heart cath. can tell you
- severity
- if its R or L sided heart dz
- congenital or L to R shunt
run through 4 functional classes of PH
- PH only
- PH w/ slight limitations
- PH w/ markedly limited physical activity
- PH and can’t do anything w/o sx
if someone has PH and exertional sx, what class are they?
2
if someone has PH with mild resting sx and undue sx w/ any exertion, what class are they?
3
if someone has PH w/ RH failure & increased dyspnea at rest, what class are they?
4
for what functional classes do you consider advanced therapy
class 2-4
