When to suspect pulmonary hypertension
- related: pulmonary hypertension
- tags: #literature #pulmonology
Signs
- COPD and pulmonary hypertension COPD-PH
- look for severe dyspnea with mild emphysema
- FEV1/DLCO ratio > 1.4
- ILD and pulmonary hypertension ILD-PH
- FVC/DLCO% > 1.6
- Use FORD score for predicting
- CorVista POC test
- severe desaturation on walk test with HR recovery in 1 min
Imaging
- PA/Ao >0.93
Labs
- ProBNP > 650
EKG
- PH-EDA for EKG prediction
- Precordial heave due to RV hypertrophy
- Loud P2, right sided S3 and or S4
- Fixed splitting S2
- Holosystolic murmur from tricuspid regirgutation1