Pulmonary hypertension: Difference between revisions
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==Background== | ==Background== | ||
Pulmonary Hypertension | Pulmonary Hypertension = mean PA pressure >25mmHg assessed by right heart cath | ||
*can be divided into: | |||
**precapillary PH (normal PCWP) | |||
***Includes Pulmonary arterial hypertension (PAH), PH due to due to lung disease, and chronic thromboembolic PH | |||
**postcapillary PH (elevated PCWP) | |||
***PH due to left heart disease | |||
==Diagnosis== | |||
==Treatment== | ==Treatment== | ||
Revision as of 01:11, 11 September 2013
Background
Pulmonary Hypertension = mean PA pressure >25mmHg assessed by right heart cath
- can be divided into:
- precapillary PH (normal PCWP)
- Includes Pulmonary arterial hypertension (PAH), PH due to due to lung disease, and chronic thromboembolic PH
- postcapillary PH (elevated PCWP)
- PH due to left heart disease
- precapillary PH (normal PCWP)
Diagnosis
Treatment
- No fluids
- Treat relative bradycardia
- atropine, pace, dobutamine
- Pulm vasodialate
- sildenafil, bostantan
- ?anticoagulate (freq PEs)
- Empiric abx
Source
4/07 DONALDSON (adapted from Sarver)