#80: Pulmonary hypertension, freeways, and cows in heart failure
Published January 29, 2018
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62 min
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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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