Pulmonary hypertension Flashcards
1
Q
how would you manage pulmonary hypertension?
A
1st line: CCB, endothelia receptor antagonist or phosphodiesterase - 5 inhibitor
+ loop diuretic (furosemide)
+ anticoagulant (warfarin)
+ digoxin
+ supplementary oxygen
2
Q
what test is diagnostic for pulmonary hypertension?
A
right heart catheterisation
3
Q
what criteria is diagnostic for pulmonary hypertension?
A
mean pulmonary arterial pressure > 25mmHg
pulmonary capillary wedge pressure < 15mmHg
pulmonary vascular resistance > 3 wood units
4
Q
what are the causes of pulmonary hypertension?
A
idiopathic LVF mitral regurgitation chronic thromboembolic pulmonary hypertension chronic respiratory disease e.g. cor pulmonale in COPD congenital heart disease e.g. VSD collagen vascular disease portal hypertension
5
Q
what signs on examination might you illicit in a patient with pulmonary hypertension?
A
loud pulmonary component of the 2nd heart sound (S2)
tricuspid regurgitation murmur (halo systolic murmur heard in left sternal border)
