Pulmonary hypertension hemodynamics: misunderstood concepts, tips and tricks- Elias Hanna, Univ Iowa
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- Опубліковано 30 тра 2024
- 0:00 Tip 1: Single most important measurement in PH The 3 hemodynamic categories of PH PVR equation
09:10 Tip 2: 2 caveats of PCWP measurement in PH
21:01 Tip 3: How does PA pressure change with vasodilator therapy. Is it necessary for PA pressure to decline in order to consider the patient responsive?
22:42 Tip 4: What parameters are used to assess treatment response?
25:27 Tip 5: Value of pulmonary vasoreactivity testing
29:07 Tips 6 and 7: What causes hypoxemia in PAH? Is right-to-left shunt usually a problem in PAH, or is it rather compensatory mechanism?
37:30 Tip 8: Can you have postcapillary PH with normal PCWP? When to suspect such an instance? (39:20) Types of hemodynamic stress testing of the left heart in the cath lab (40:41)
43:32 LVEDP vs PCWP (also review my other talk: Hemodynamic lecture 1)
45:50 Tip 9: Can patients with combined pre- and post-capillary PH be treated with pulmonary vasodilators?
50:20 Tip 10 Postcapillary PH with small-to-moderate ASD. Should it be closed? Roles of small left-right and right-left shunts in PAH (56:04)
56:41 Tip 11: True PAH from large left-to-right shunt: 4 stages (reversible to irreversible to Eisenmenger)
1:00:57 Tip 12: High flow state as aggravating factor of PH
1:03:20 Tip 13: Thermodilution CO remains accurate in severe TR
Thank you so much for sharing this and all your other wonderful lectures.
big Fan of you sir...May Almighty Bless you always
Another excellent presentation. Thank you very much dr Hanna
Thank you very much dr Hanna! Greetings from Croatia!
I love your talks . You are a great teacher. Please continue ❤
thank You so Much sir...Because of you i started Loving Cardiology😇
Thank you Dr. Hanna. very nice as usual
Truly fantastic lecture
Fantastic as always
Thank u so much. It clears so many concepts.
Thank you dr hanna great job
Professor, thank you so much once again for a great lesson.
I have a practical doubt. In terms of time, How long does it take for a POSTCAPILLARY PH to became a Hybrid one (CPC-PH) due to remodelling? And is it only a matter of time or are there any other contributing factors like pressure values, etc. Greatings from Brazil🙏🏼
another lecture for acute pulmonary embolism
Wonderful Explanation, thank you Dr. Hanna
Thanks greatlY
we want a lecture about pulmonary embolism
Thank you, its ok if you share the slides with us ?
Dear Dr Hanna, can we have a sudden drop in severe pulmonary hypertension?
For example from 80mmhg to 40-45?
It is not common but it can happen for 2 reasons: (1) those who are very responsive to vasodilators, such as the extreme of those who fulfill the official definition of "vasodilator responsive" (drop in mean PA of >10 to
I need your book , please .
🙄 P-R-O-M-O-S-M!!