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Pulmonary HTN, Cor Pulmonale
Clinical Medicine Test 3
11
Medical
Graduate
10/04/2010

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Cards

Term
Pulmonary Vascular HTN is defined as a mean arterial pressure of? Arterial systolic pressure of?
Definition
1) greater than 25 mm Hg at rest or 30 mm Hg with exercise
2) 34-50 mm Hg by echo estimation
Term
method of choice for screening high risk patients for pulmonary HTN.
Definition
transthoracid echocardiography with doppler estimation of pulmonary artery pressure
Term
Electrocardiography findings associated with acute cor pulmonale
Definition
1) pulmonary HTN
2) R ventricular dilation without hypertrophy
3) septal flattening with paradoxical septal motion
Term
Main difference between Acute and Chronic cor pulmonale
Definition
R ventricle will be hypertrophied in chronic cor pulmonale
Term
Treatment for chronic cor pulmonale
Definition
1) tx underlying disorder
2) oxygen - for hypoxia
3) use diuretics carefully
4) beta agonist for inotrophy
Term
Primary Pulmonary Hypertension is more dominant in which sex?
Definition
Females
Term
What should be avoided in patients with primary pulmonary HTN?
Definition
Pregnancy, avoid oral contraceptives
Term
Clinical manifestations of chronic thromboembolic pulmonary HTN
Definition
months or years after embolism with symptoms of pulmonary HTN
Term
What is the best screening test for chronic thromboembolic pulmonary HTN?
Definition
Ventilation-perfusion scan: large segmental defects
Term
Which collagen vascular diseases have a high incidence of pulmonary HTN?
Definition
scleroderma, especially with CREST syndrome
Term
What are the most common symptoms associated with Pulmonary AV malformations?
Definition
dyspnea with exercise progressing to dyspnea at rest
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