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Interventions for pulmonary hypertension
Measurement of pulmonary artery pressure
Diastolic pulmonary gradient (DPG)
Classification of pulmonary hypertension
Pulmonary hypertension as back pressure from left heart failure
Other ways to identify pulmonary hypertension
Graphs of pulmonary hypertension
ESC pulmonary hypertension guidelines
Acute pulmonary embolus
Role in diagnosis and therapy
What is pulmonary hypertension?
Classification
Pulmonary Hypertension due to left heart disease
Ventricular interdependence in pulmonary hypertension
Echocardiogram in pulmonary hypertension
Right Ventricular Inflow Tract
Inferior vena cava diameter
Apical 4 Chamber View
Tricuspid annular plane systolic excursion (TAPSE)
Conclusion
What is pulmonary hypertension
Pathophysiology of pulmonary hypertension
Symptoms and signs of pulmonary hypertension
Classification of pulmonary hypertension
Pulmonary hypertension caused by left heart disease
Pulmonary Hypertension caused by lung disorders or low blood oxygen
Pulmonary hypertension due to pulmonary artery obstruction
Treatment
Tricuspid Regurgitation
Severe tricuspid regurgitation
Characteristics of tricuspid regurgitation
Diagnosing severe tricuspid regurgitation
Assessing the severity of tricuspid regurgitation
Diagnosing tricuspid stenosis
Pulmonary valve stenosis
Diagnosing pulmonary regurgitation
Continuous Wave Doppler
Conclusion
Definition of pulmonary hypertension
Mean pulmonary artery pressure
Using systolic to estimate pulmonary hypertension with echocardiogram
5 different WHO pulmonary hypertension groups
Pulmonary arteriolar hypertension (PAH), Idiopathic pulmonary hypertension, collagen vascular diseases, portal HTN
BMPR2
Left heart failure
Lung disease, COPD, OSA, idiopathic pulmonary fibrosis
Pulmonary embolism, chronic VTE
Hematologic disorders, sarcoidosis, glycogen storage diseases, renal failure
Amphetamines
Diagnosis of pulmonary hypertension and physical exam findings
Heart sounds, loud P2, tricuspid regurgitation, RV heave
JVP, c,v waves liver pulsatile, edematous legs
Chest Xray findings with pulmonary hypertension
ECG/EKG findings with pulmonary hypertension, RVH, RBBB
Echocardiogram findings with pulmonary hypertension
Tricuspid regurgitation, regurgitant jet, Modified Bernoulli Equation
Advantages of echocardiogram: PASP
Echo bubble study
Right heart catheter, wedge pressure, Left atrial pressure (LAP), mean artery pressure (MAP)