Pulmonary HTN Flashcards
What was the cause of Pulmonary HTN he started off his lecture with and the specific example he shared?
Medicine induced pulmonary HTN.
Fen-Phen
When looking at a chest x ray of a patient with pulmonary HTN, what 3 things are you going to see?
- Peripheral pulmonary hypovascularity
- Very prominent central pulmonary artery
- RV enlargement
What is the classic feature on PFT for pulmonary HTN?
Reduction in DLCO
What 3 EKG findings would you see for a patient with pulmonary hypertension?
- RAD
- RVH
- RAE
What 3 things will you see on echo for pulmonary HTN?
RA and RV enlargement, and increased PA pressures
How do we classify the 5 groups of pulmonary HTN?
- Idiopathic and Connective Tissue Diseases
- Heart
- Lungs
- PE
- Other
2 similarities between PHTN and IHD he talked about?
Exertional dyspnea and elevated BNP
What are two big differences he mentioned about PHTN and IHD?
On PE, increased P2 in PAH
On chest x ray you will be able to clearly see the volume overload in an IHD patient.
What is the gold standard functional test for PHTN?
6 minute walk test
What is the test he talked to confirm PHTN patients and how does it work?
Right heart cath to test pressures
How do we define PHTN?
Mean pulmonary pressure greater than 25
In 80% of cases, what is the cause of PHTN?
Conditions that elevate left sided heart filling pressure
Two most common clinical symptoms of PHTN?
Fatigue and dyspnea
How do we manage/treat PHTN patients?
Treat the underlying cause
