Pulmonary Vascular Disease Flashcards

1
Q

Pulmonary hypertension is a mean pulmonary arterial pressure of what?

A

mPAP >20-25mmHg

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2
Q

WHO groups 2-3 that are the most common type of pulmonary hypertension

A

PH due to left HF; & PH due to lung disease

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3
Q

Which WHO group is the most severe, & what is the mortality rate if left untreated?

A

Group 1, Pulmonary arterial hypertension; Prognosis of 3 years till death if left untreated

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4
Q

Pulmonary hypertension and elevated pulmonary vascular resistance in the absence of heart or lung disease

A

Pulmonary arterial hypertension

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5
Q

What comorbidity is seen in a patient with PAH?

A

Scleroderma (an autoimmune connective tissue disorder)

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6
Q

Description of condition: remodeling that causes thickening of the vessel walls and increased vascular resistance and pressure in the LUNGS

A

Peripheral arterial hypertension

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7
Q

What procedure should be preformed in a patient with suspected PAH?

A

Right heart catheterization

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8
Q

Exertional Dyspnea, fatigue, syncope;
ECG shows Right ventricular hypertrophy, right atrial enlargement, right axis deviation

A

Clinical signs of Pulmonary Hypertensionm

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9
Q

CXR showing: prominent pulmonary arteries and ventricular enlargement (name this disorder)

A

Pulmonary hypertension

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10
Q

BNP level will be high or low in a patient with pulmonary hypertension?

A

High

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11
Q

If a PT with PAH doesn’t have severe Right HF & responds to vasodilators, what drug class should you prescribe to them?

A

Calcium channel blocker; Specifically nifedipine

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12
Q

A patient with pulmonary arterial hypertension in the highest risk group, class IV (Emergency) should be treated with what class of drug in what route?

A

continuous IV Prostacyclin Derivative

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13
Q

A PT with less sever pulmonary arterial hypertension (class II or III; Acceptable or caution) should be TX with what two classes of drugs?

A

PDE5 inhibitor & Endothelia Receptor Agonist

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14
Q

A patient presents with dyspnea and lightheadedness on exertion, low extremity and abdominal edema, fatigue, lethargy, syncope, chest pain. What is the likely diagnosis?

A

Cor Pulmonale

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15
Q

Treat patient with oxygen therapy and diuretics to improve oxygenation and Right Ventricular FXN for this disorder

A

Treatment for Cor pulmonale

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16
Q

Right ventricular enlargement secondary to a lung disorder that causes pulmonary arterial hypertension

A

Cor Pulmonale

17
Q

Physical exam of a patient shows ankle swelling, jugular venous distension, hepatomegaly, and a heart gallop

A

Signs and physical exam findings of Cor Pulmonale

18
Q

Cor Pulmonale is a condition that causes something to happen to the heart?

A

Right side of the heart to fail

19
Q

Right ventricular failure in the setting of lung disease

A

Cor Pulmonale