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

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 Join our mailing list and receive a PDF copy of our show notes every Monday. Rate us on iTunes, recommend a guest or topic and give feedback at [email protected]. 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 & Outro