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Respiratory > Pulmonary Hypertension > Flashcards

Pulmonary Hypertension Flashcards

1
Q

What is pulmonary hypertension?

A

Increased resistance and pressure in pulmonary arteries causing strain on R side heart and back pressure into venous system

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2
Q

What are causes of PH?

A 
Connective tissue disease
MI
HTN
COPD
PE
Sarcoid/haematological
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3
Q

What are signs and symptoms of PH?

A 
SOB
Syncope
Tachycardia
Raised JVP
Hepatomegaly
Peripheral oedema
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4
Q

What are ECG changes in PH?

A

RVH= large R waves on V1-3,
R axis deviation
RBBB

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5
Q

What are Xray changes in PH?

A

DIlated pulmonary arteries

RVH

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6
Q

How do we estimate pulmonary artery pressure?

A

Echo

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7
Q

How is PH managed?

A 
IV prostanoids(epoprostenol)
Endothelin receptor 
antagonist (macitentan)
Sildenafil
& treat cause
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8
Q

What is prognosis of PH?

A

30-40% 5 year survival

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9
Q

What is definition ofPH?

A

mPAP>25mmHg

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10
Q

How is PH diagnosed?

A 
ECG
Spirometry
CXR
Echo
CTPA
Rh catheterisation
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Respiratory (13 decks)

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