Pulmonary Hypertension Flashcards
1
Q
What is pulmonary hypertension?
A
Pulmonary hypertension is high blood pressure within the lungs
2
Q
At what value is pulmonary BP considered hypertensive?
A
Over 25 mgHg (rest) Over 35mgHg (exercise)
3
Q
What are the levels of PH?
A
1 - no limit
2 - mild limits
3 - very limited
4 - unable to exercise
4
Q
What are the signs of PH?
A
Loud second heart sound
Two components of the second heart sound (splitting)
Ejection systolic murmur
Right heart failure
5
Q
What are the symptoms of PH?
A
Shortness of breath Fatigue Syncope Chest tightness Haemoptosis Ankle swelling
6
Q
What investigations are used in the diagnosis of pulmonary hypertension?
A
CXR ECG Pulmonary function test V/Q scan Echocardiogram CT scan
7
Q
What are the treatments of PH?
A
Warfrin Oxygen therapy Diuretics Calcium channel blockers Pulmonary endarterectomy - surgery to remove clots from lungs