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Diagnostic algorithm for a child or adolescent with suspected pulmonary hypertension. CHD, congenital heart disease; CPET,
hypertension. ... hypertension; CXR ... ; CLD, chronic lung ... disease; LFT, liver ... #Hypertension #
Signs of Pulmonary Hypertension on Chest CT
 • Main PA is dilated and larger than the
Signs of Pulmonary ... Hypertension on ... midline at the level ... @PulmPEEPs #Pulmonary ... #Hypertension #
Clinical Classification of Pulmonary Hypertension

1. Pulmonary arterial hypertension from pulmonary vasculopathy
Idiopathic pulmonary arterial hypertension
Heritable gene mutations
Pulmonary hypertension ... Pulmonary hypertension ... due to lung disease ... Interstitial lung ... Pulmonary hypertension
Echocardiogram and POCUS Cardiology Windows and Anatomy
 • Parasternal Long Axis (PLAX)
 • Subcostal 4 Chamber
Echocardiogram and ... • Parasternal Long ... Axis (PSAX) - Level ... Axis (PSAX) - Level ... Chamber (A2C) #Echocardiogram
Causes of Pulmonary Hypertension - Differential Diagnosis Algorithm
Pulmonary Arterial Hypertension
 • Idiopathic
 • Associated with:
Causes of Pulmonary ... Hypertension - ... Diagnosis Algorithm Pulmonary ... • Valvular Lung ... • Interstitial Lung
Pulmonary Function Tests (PFTs) - Interpretation Algorithm
 • Normal
 • Pulmonary Hypertension, Anemia, Carboxyhemoglobinemia
 • Chest
Pulmonary Function ... • Normal • Pulmonary ... Hypertension, Anemia ... • Interstitial Lung ... Emphysematous COPD #Pulmonary
Checklist for the Echocardiographic Evaluation of Pulmonary Hypertension
 • Record estimated PASP
 • Evaluate RV size
Evaluation of Pulmonary ... Hypertension ... Shah @HFpEF #Pulmonary ... #Hypertension # ... #echocardiogram
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
Secondary to chronic lung ... • Hypoxia • Pulmonary ... hypertension ... Tachycardia #MAT #Cardiology
Lung Segment Anatomy Annotated on Chest CT
Right Lung:
 • Upper Lobe: Apical, Posterior, Anterior
 • Middle
Lung Segment Anatomy ... Chest CT Right Lung ... Lung: • Upper ... #CT #CTChest #pulmonary ... #clinical #radiology
Sarcoidosis
Stage 1 - Bilateral LAD without involvement of lung parenchyma
Stage 2 - Bilateral LAD with involvement
involvement of lung ... 4 - Fibrosis Pulmonary ... chylothorax, and pulmonary ... hypertension are ... gland sweling, fever