Pulmonary Vascular Disease Flashcards Preview

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Flashcards in Pulmonary Vascular Disease Deck (15):
1

What does thrombo mean?

A clot

2

If something embolises, what is it doing?

It breaks off and lodges somewhere else

3

Where do 90% of emboli originate from?

Clots in leg veins

4

In which types of vein are thrombi more likely to embolise?

Bigger veins

5

Name the 3 main risk factors for pulmonary embolism and deep vein thrombosis

Decreased blood flow
Abnormal vessels
Hypercoagulable states

6

What percentage of those diagnosed with thromboembolic disease will die without treatment?

30%

7

What does the death rate of thromboembolic disease fall to once treatment starts?

2-8%

8

Why is diagnosing pulmonary embolism difficult?

Pulmonary embolism can mimic other conditions

9

What are the main signs and symptoms for a deep vein thrombosis?

Redness
Tenderness
Oedema
Tight calves
Leg swelling

10

When can the D Dimer test be especially useful?

When it comes back as negative

11

Why is a negative D Dimer test very useful?

It effectively rules out a pulmonary embolism or deep vein thrombosis

12

What is the definition of a pulmonary embolism?

A blood clot that lodges in the pulmonary arterial circulation

13

What is the main management therapy for a pulmonary embolism?

Anticoagulation

14

What does the pulmonary artery pressure need to be at rest, and at exercise for a person to have pulmonary hypertension?

At rest - >25mmHg
During exercise - > 30mmHg

15

What defines group 2 pulmonary hypertension?

Systolic and diastolic dysfunction