Respiratory 11 - Pulmonary Hypertension

Question 1

give 5 sets of causes for pulmonary hypertension

Answer 1

primary, SLE
LVF (MI, HTN)
COPD
PE
sarcoid

Question 2

6 signs + symptoms of pulmonary hypertension

Answer 2

SOB
syncope 
tachycardia 
raised JVP 
hepatomegaly 
peripheral oedema

Question 3

3 ECG changes in pulmonary hypertension

Answer 3

equivalent to that seen in right heart strain:

RVH - large R waves in R chest leads (v1-3)
Right axis deviation
RBBB

Question 4

2 CXR signs for pulmonary hypertension

Answer 4

dilated pulmonary arteries

RVH

Question 5

investigations to support diagnosis of pulmonary HTN x2

Answer 5

raised NT proBNF

echo - pulm pressures

Question 6

managing pulmonary HTN

Answer 6

if primary (rare), give thing like prostanoids, sildenafil

secondary - treat cause

if cause not treatable, supportive care