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Diagnostic algorithm for a child or adolescent with suspected pulmonary hypertension. CHD, congenital heart disease; CPET,
suspected pulmonary hypertension ... CTEPH, chronic thromboembolic ... pulmonary hypertension ... pulmonary arterial hypertension ... PH, pulmonary hypertension
Causes of Pulmonary Hypertension - Differential Diagnosis Algorithm
Pulmonary Arterial Hypertension
 • Idiopathic
 • Associated with:
Causes of Pulmonary Hypertension ... Pulmonary Arterial Hypertension ... - Portal Hypertension ... Disorders Chronic Thromboembolic
Chronic Thromboembolic Pulmonary Hypertension (CTEPH) Diagnosis Algorithm

Defined as pulmonary hypertension (mPAP > 25) > 6 months
Chronic Thromboembolic ... Pulmonary Hypertension ... Defined as pulmonary hypertension ... shows pulmonary hypertension ... Algorithm #Pulmonary #Hypertension
Clinical Classification of Pulmonary Hypertension

1. Pulmonary arterial hypertension from pulmonary vasculopathy
Idiopathic pulmonary arterial hypertension
Heritable gene mutations
Pulmonary arterial hypertension ... pulmonary arterial hypertension ... Pulmonary hypertension ... Pulmonary hypertension ... Chronic thromboembolic
Extraintestinal manifestations of Crohn’s disease
Dermatological: Aphthous stomatitis, Erythema nodosum, Psoriasis, Pyoderma gangrenosum
Vascular: Portal hypertension, Thromboembolism, Thrombosis,
Vascular: Portal hypertension ... , Thromboembolism
Chronic Thromboembolic Pulmonary Hypertension (CTEPH) and Pulmonary Thromboendarterectomy
Chronic Thromboembolic Pulmonary Hypertension
Definition: mean pulmonary-artery pressure > 25mmHg
Chronic Thromboembolic ... Pulmonary Hypertension ... Pulmonary Hypertension ... Chest CTA showing thromboembolic ... PHTN #Pulmonary #Hypertension
CHA2DS2VASc vs HAS-BLED scores for stroke risk and bleed risk on anticoagulation

C	Congestive Heart Failure	1

H	Hypertension	1

A2	Age >75	2

D	Diabetes Mellitus	1

S2	Stroke,
Failure 1 H Hypertension ... S2 Stroke, TIA, Thromboembolism ... H Uncontrolled hypertension
Perioperative Medications - Which Medications to Hold or Continue?
Aspirin - Continue
 • Aspirin should be continued
tachycardia and hypertension ... prolonged postop hypotension ... poorly controlled hypertension ... is to estimate thromboembolic ... warfarin at high thromboembolic
Portopulmonary Hypertension
Presence of pulmonary arterial hypertension in a patient with portal hypertension
No other obvious causes (chronic
Portopulmonary Hypertension ... pulmonary arterial hypertension ... patient with portal hypertension ... heart disease, thromboembolism ... Portopulmonary #Hypertension
CHADSVASc Score - Stroke Risk in Atrial Fibrillation

A clinical mnemonic to estimate stroke risk in atrial
heart failure H Hypertension ... Stroke / TIA / Thromboembolism