Pulmonary hypertension deconstructed with clinical pearls from cardiologist, John J. Ryan MD, FACC, FAHA, director of University of Utah Pulmonary Hypertension Center. We discuss classification, diagnosis/differentiation, initial workup, additional testing, echo findings, how to counsel patients with pulmonary hypertension, and why cows never get ankle edema!
Written and produced by: Jordana Kozupsky, NP and Matthew Watto, MD
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- 00:00 Disclaimer
- 01:30 Introducing our new Correspondent Jordy
- 03:05 Listener feedback
- 04:40 Guest bio
- 06:25 Getting to know Dr Ryan
- 09:33 Picks of the week
- 15:20 Clinical case
- 16:35 How to explain pulmonary hypertension to a patient
- 18:12 Groupings of pulmonary HTN
- 21:20 Taking a history. Ask these questions.
- 23:30 Physical exam
- 25:45 Initial testing
- 27:40 Overnight pulse oximetry
- 29:00 Echo findings in pulmonary HTN
- 31:30 Transpulmonary gradient
- 33:33 What is a normal pulmonary artery pressure
- 35:15 Accuracy of PA pressure estimate by echo
- 39:04 Mechanism of shortness of breath in PH
- 40:10 Should you hold PAH meds in a hypotensive patient?
- 41:55 Therapy for PH and follow up
- 46:28 Who to refer
- 47:40 PAH risk factors
- 52:09 Mortality in PH
- 58:22 Take Home Points & Outro
