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| [[File:Siren.gif|link=Pulmonary hypertension resident survival guide|41x41px]]
| [[Pulmonary hypertension resident survival guide|'''Resident'''<br>'''Survival'''<br>'''Guide''']]
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'''For patient information click [[Pulmonary hypertension (patient information)|here]]'''
'''For patient information click [[Pulmonary hypertension (patient information)|here]]'''


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{{Pulmonary hypertension}}
{{Pulmonary hypertension}}
{{CMG}}, Richard Channick, M.D.; '''Assistant Editor(s)-in-Chief:''' [[User:Ralph Matar|Ralph Matar]], [[User:Lisa Prior|Lisa Prior]], [[Ann Slater|Ann Slater, R.N.]]
{{CMG}}; '''Assistant Editor(s)-in-Chief:''' {{Jose}}, [[User:Ralph Matar|Ralph Matar]], [[User:Lisa Prior|Lisa Prior]], [[Ann Slater|Ann Slater, R.N.]], [[User:Rim Halaby|Rim Halaby]], {{MM}}


==Overview==
{{SK}} Hypertensive pulmonary vascular disease; pulmonary arterial hypertension; PAH; hypertensive pulmonary vascular disease; Ayerza syndrome; Ayerza's syndrome; Ayerza-Arrilaga syndrome
'''Pulmonary hypertension''' (PH) is an increase in blood pressure in the [[pulmonary artery]] or [[lung]] [[Pulmonary circulation|vasculature]], leading to [[dypsnea|shortness of breath]], [[dizziness]], [[fainting]], and other symptoms, all of which are exacerbated by exertion. Depending on the cause, pulmonary hypertension can be a severe disease with a markedly decreased exercise tolerance and right-sided [[heart failure]]. It was first identified by Dr Ernst von Romberg in 1891.<ref>Romberg E von. Über Sklerose der Lungenarterie. ''Dtsch Arch Klin Med'' 1891-1892;48:197-206.</ref> It can be one of five different types, ''arterial, venous, hypoxic, thromboembolic,'' or ''miscellaneous''.


Although the terms primary pulmonary hypertension (meaning of unknown cause) and secondary pulmonary hypertension (meaning due to another medical condition) still persist in materials disseminated to patients and the general public, these terms have largely been abandoned in the medical literature. This change has occurred because the older dichotomous classification did not reflect pathophysiology or outcome.  It led to erroneous therapeutic decisions, i.e. treat "primary" pulmonary hypertension only. This in turn led to therapeutic nihilism for many patients labeled "secondary" pulmonary hypertension, and could have contributed to their deaths.  The term "primary pulmonary hypertension" has now been replaced with "idiopathic pulmonary arterial hypertension".  The terms "primary" and "secondary" pulmonary hypertension should not be used any longer.  Further details are in the [[Pulmonary hypertension#Classification|Classification section]] below.
==[[Pulmonary hypertension overview|Overview]]==


==[[Pulmonary hypertension historical perspective|Historical Perspective]]==


==[[Pulmonary hypertension pathophysiology|Pathogenesis]]==
==[[Pulmonary hypertension classifications|Classification]]==
 
==[[Pulmonary hypertension pathophysiology|Pathophysiology]]==


==[[Pulmonary hypertension causes|Causes]]==
==[[Pulmonary hypertension causes|Causes]]==


==[[Pulmonary hypertension history and symptoms|History & Symptoms]]==
==[[Pulmonary hypertension differential diagnosis|Differentiating Pulmonary hypertension from other Diseases]]==


==[[Physical Examination|Signs on Physical Examination]]==
==[[Pulmonary hypertension epidemiology and demographics|Epidemiology and Demographics]]==


==[[Pulmonary hypertension risk factors|Risk Factors]]==


==[[Pulmonary hypertension diagnosis|Diagnosis]]==
==[[Pulmonary hypertension screening|Screening]]==


==Imaging==
==[[Pulmonary hypertension natural history|Natural History, Complications and Prognosis]]==
 
[[Pulmonary hypertension chest x ray|Chest x-ray]] | [[Pulmonary hypertension CT]] | [[Pulmonary hypertension MRI|MRI]] | [[Echocardiography or Ultrasound]]
 
==[[Pulmonary hypertension classifications|Classification]]==


==[[Pulmonary hypertension epidemiology and demographics|Epidemiology]]==
==Diagnosis==
[[Pulmonary hypertension diagnostic study of choice|Diagnostic Study of Choice]] | [[Pulmonary hypertension history and symptoms|History & Symptoms]] | [[Pulmonary hypertension physical examination|Physical Examination]] | [[Pulmonary hypertension laboratory tests|Laboratory Findings]] | [[Pulmonary hypertension electrocardiogram|Electrocardiography]] | [[Pulmonary hypertension chest x ray|Chest x-ray]] | [[Pulmonary hypertension CT|CT]] | [[Pulmonary hypertension MRI|MRI]] | [[Pulmonary hypertension echocardiography or ultrasound|Echocardiography or Ultrasound]] | [[Pulmonary hypertension right heart catheterization|Right heart catheterization]] | [[Pulmonary hypertension other diagnostic studies|Other Diagnostic Studies]]


==[[Pulmonary hypertension medical therapy|Treatment]]==
== Treatment ==


[[Pulmonary hypertension medical therapy|Medical therapy]] | [[Pulmonary hypertension surgery|Surgery]]
[[Pulmonary hypertension medical therapy|Medical Therapy]] | [[Pulmonary hypertension surgery|Surgery]] | [[Pulmonary hypertension primary prevention|Primary Prevention]] | [[Pulmonary hypertension secondary prevention|Secondary Prevention]] | [[Pulmonary hypertension cost-effectiveness of therapy|Cost-Effectiveness of Therapy]] | [[Pulmonary hypertension future or investigational therapies|Future or Investigational Therapies]]


==[[Pulmonary hypertension natural history|Prognosis]]==
==Case Studies==


==References==
[[Pulmonary hypertension case study one|Case #1]]
{{Reflist|2}}


== External links ==
== External links ==
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[[tr:Pulmoner yüksek tansiyon]]
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Latest revision as of 20:03, 23 June 2021

Resident
Survival
Guide

For patient information click here

Pulmonary Hypertension Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Pulmonary hypertension from other Diseases

Epidemiology & Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Diagnostic Study of Choice

History & Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

Chest X Ray

CT

MRI

Echocardiography or Ultrasound

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Pulmonary hypertension On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Google Images

American Roentgen Ray Society Images of Pulmonary hypertension

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X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Pulmonary hypertension

CDC on Pulmonary hypertension

Pulmonary hypertension in the news

Blogs on Pulmonary hypertension

Directions to Hospitals Treating Pulmonary hypertension

Risk calculators and risk factors for Pulmonary hypertension

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Assistant Editor(s)-in-Chief: José Eduardo Riceto Loyola Junior, M.D.[2], Ralph Matar, Lisa Prior, Ann Slater, R.N., Rim Halaby, Mohamed Moubarak, M.D. [3]

Synonyms and keywords: Hypertensive pulmonary vascular disease; pulmonary arterial hypertension; PAH; hypertensive pulmonary vascular disease; Ayerza syndrome; Ayerza's syndrome; Ayerza-Arrilaga syndrome

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Pulmonary hypertension from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Diagnostic Study of Choice | History & Symptoms | Physical Examination | Laboratory Findings | Electrocardiography | Chest x-ray | CT | MRI | Echocardiography or Ultrasound | Right heart catheterization | Other Diagnostic Studies

Treatment

Medical Therapy | Surgery | Primary Prevention | Secondary Prevention | Cost-Effectiveness of Therapy | Future or Investigational Therapies

Case Studies

Case #1

External links

Template:WikiDoc Sources