#80: Pulmonary hypertension, freeways, and cows in heart failure


Manage episode 197052290 series 1345893
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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

Full show notes available at http://thecurbsiders.com/podcast

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Time Stamps:

  • 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
  • 60:24 Outro

Tags: pulmonary, arterial, hypertension, group, classification, prognosis, pressure, blood, diagnosis, treatment, pay, ph, echocardiogram, ekg, hypoxic, chronic, lung, disease, heart, left, right, failure, chf, pressure, mean, diuretic, HFpEF, cteph, embolism, assistant, care, doctor, education, family, foam, foamed, health, hospitalist, hospital, internal, internist, meded, medical, medicine, nurse, practitioner, professional, primary, physician, resident, student

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