pulmonary hypertension
- related: Pulmonology
- tags: #literature
- source:
Cause
Symptoms
- Fixed splitting S2 and loud P2 heart sound is suggestive of pulmonary hypertension
Lab Findings
- pulmonary hypertension initial labs include BNP, CBC, TSH, LFT, ANA
- presence of RVH and P pulmonale can suggest pulmonary hypertension
- echo findings in pulmonary hypertension includes, high RVSP, TR, and RV dysfunction
- large PA size on CT can suggest pulmonary hypertension but does not tell severity
Work up
- pulmonary hypertension workup
- pulmonary hypertension is defined by elevated mean pulmonary artery pressure on right heart catheterization
- elevated PCWP wedge pressure distinguishes group 2 from groups 1, 3, 4 pulmonary hypertension
- right heat cath findings in pulmonary hypertension
- right heart cath RHC can evaluate for shunt and cardiac output for pulmonary hypertension
- right heat cath RHC can be used for vasoreactivity testing during pulmonary hypertension workup
Other pathophysiology
- High PCWP in pulmonary hypertension can be beneficial
- ESRD patients with AV fistula can cause high cardiac output heart failure and pulmonary hypertension
- TAPSE shows how RV is adapting to pulmonary hypertension. Lower TAPSE is associated with higher mortality
Treatment
Lecture Notes
Links to this note
- Pulmonology
- right heat cath findings in pulmonary hypertension
- elevated PCWP wedge pressure distinguishes group 2 from groups 1, 3, 4 pulmonary hypertension
- related: pulmonary hypertension
- pulmonary hypertension is defined by elevated mean pulmonary artery pressure on right heart catheterization
- related: pulmonary hypertension
- echo findings in pulmonary hypertension includes, high RVSP, TR, and RV dysfunction
- related: pulmonary hypertension
- large PA size on CT can suggest pulmonary hypertension but does not tell severity
- related: pulmonary hypertension
- right heart cath RHC can evaluate for shunt and cardiac output for pulmonary hypertension
- related: pulmonary hypertension