Journal article
Primary Pulmonary Hypertension: Update on Diagnosis and Control
Consultant (Hackensack), Vol.40(4), pp.738-745
04/01/2000
Abstract
After a thorough history and physical examination have been done, patients with suspected primary pulmonary hypertension are assessed with chest radiography and ECG, along with antinuclear antibody assays to rule out an underlying collagen vascular disease. Echocardiography or transesophageal cardiography is used to evaluate right ventricular enlargement and pulmonary artery pressures; a ventilation/perfusion scan is useful to rule out chronic thromboemboli. Most patients undergo cardiac catheterization for diagnostic or therapeutic purposes and exclusion of any occult cardiac defects. During the procedure, a variety of therapies - including intravenous nitrous oxide and intravenous prostacyclin - can be tested to assess responsiveness. Patients younger than 60 years who have severe disease may be considered for lung transplantation
Details
- Title: Subtitle
- Primary Pulmonary Hypertension: Update on Diagnosis and Control
- Creators
- Lois J Geist - University of Iowa, Internal Medicine
- Resource Type
- Journal article
- Publication Details
- Consultant (Hackensack), Vol.40(4), pp.738-745
- Publisher
- HMP Communications, LLC
- ISSN
- 0010-7069
- Language
- English
- Date published
- 04/01/2000
- Description audience
- Professional
- Academic Unit
- Internal Medicine; Provost Office Administration; Pulmonary, Critical Care, and Occupational Medicine
- Record Identifier
- 9984214557802771
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