Pulmonary hypertension Flashcards
1
Q
What is pulmonary hypertension?
A
Mean arterial pressure >25mmHg
2
Q
What can cause pulmonary hypertension?
A
Idiopathic
Left heart disease
Chronic lung disease
Pulmonary vascular disease
3
Q
What is the presentation of pulmonary hypertension?
A
Main= SOB syncope Tachycardia High JVP Peripheral oedema Hepatomegaly
4
Q
What investigations are done for pulmonary hypertension?
A
ECG CXR Echo B natriuretic peptide Other e.g. right heart catheterisation, V/Q scan, lung function tests
5
Q
What can be seen on ECG with pulmonary hypertension?
A
Right ventricular hypertrophy- right axis deviation
RBBB
6
Q
What is seen on CXR with pulmonary hypertension?
A
Enlargement of pulmonary arteries
RV hypertrophy
7
Q
What is the management of idiopathic pulmonary hypertension?
A
- Trial CCB
- Endothelial receptor antagonist OR phosphodiesterase 5 inhibitor (sildenafil)
- Add prostanoid e.g. iloprost
8
Q
What general measures can be used to manage pulmonary hypertension?
A
Treat cause Anticoagulent Diuretics Oxygen Digoxin Surgery- lung/heart-lung transplant
