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 & Outro

Wim Berkelaar

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