Pulmonary Hypertension Flashcards
1
Q
Pulmonary hypertension
A
High BP within the pulmonary circulation.
Affects the RHS of the heart.
Pulmonary circulation: usually high flow, low pressure system
2
Q
Clinical Presentation
A
Breathlessness Chest pain Ankle oedema Ascites Cyanosis Fatigue Syncope
3
Q
Investigations
A
ECG - RV enlargement CXR SaO2 and ABG PFT Echo - size and functioning of RV CTPA
4
Q
Secondary Pulmonary hypertension
A
Common Hypoxia Multiple PE Vasculitis Drugs HIV Cardiac shunt
5
Q
Primary Pulmonary Hypertension
A
Rare - young women
Diagnosed by exclusion of other secondary causes
Presentation: Progressive SOBOE
Management: O2, pulmonary vasodilators, lung transplant
6
Q
Pathology
A
Medial hypertrophy of arteries
Intimal thickening
Atheroma
RV hypertrophy
