Prostanoid prescribing and management in Pulmonary Arterial Hypertension (PAH) Oral Prostanoids:

Low / Intermediate Risk Pulmonary Arterial Hypertension (PAH) Management Algorithm Dr. John Ryan @JJRyanMD #Pulmonary #Arterial #Hypertension #PAH #Management #Algorithm #treatment #pharmacology

High Risk Pulmonary Arterial Hypertension (PAH) Management Algorithm Dr. John Ryan @JJRyanMD #Pulmonary #Arterial #Hypertension #PAH #Management #Algorithm #treatment

Treatment Algorithm for Pulmonary Hypertension #Pulmonary #Hypertension #PAH #Treatment #Management #Algorithm #Medications

European Society algorithm for diagnosis of Pulmonary Hypertension doi: 10.1016/j.mayocp.2020.04.039 #Pulmonary #Arterial #Hypertension #PAH #diagnosis #algorithm

Pulmonary Hypertension Algorithm - Matthew Watto, MD #Diagnosis #Management #Pulmonary #Hypertension #PAH #Workup #Evaluation #Algorithm #Differential #Curbsiders

RV Failure secondary to Pulmonary Arterial Hypertension on Echocardiogram Pulmonary arterial hypertension resulting in severe RV dilation and dysfunction are present. However, there are no pathognomonic echocardiographic findings of PAH. This case illustrates the challenges that can exist in identifying the RV vs LV. Do not rely on size, shape, sidedness, or trabeculae. The only 100% reliable sign is that the RV is the ventricle with the apically displaced valve (the tricuspid). Omid Kiamanesh, MD @OKiamanesh #RV #Failure #Pulmonary #Arterial #Hypertension #PAH #Echocardiogram #clinical #cardiology #s4c #pocus

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Differentiating PAH from PVH - Echocardiography Pulmonary Artery Hypertension (PAH): • RV size - Enlarged • LA size - Small • RA/LA size ratio - Increased • Interatrial septum - Bows from right to left • RVOT notching - Common • ElA ratio << 1 • Lateral e' Normal • Lateral E/e' <8 • Aortic pressure - Normal/Low • PCWP < 15 mmHg • PADP-PCWP > 7 mmHg Pulmonary Venous Hypertension (PVH): • RV size - May be enlarged • LA size - Large • RA/LA size ratio - Normal (LA > RA size) • Interatrial septum - Bows from left to right • RVOT notching - Rare • ElA ratio > 1 • Lateral e' Decreased • Lateral E/e' > 10 • Aortic pressure - Normal/High • PCWP > 15 mmHg • PADP-PCWP < 5 mmHg Dr. Sanjiv Shah @HFpEF #Differentiating #PAH #PVH #Echocardiogram #comparison #diagnosis #cardiology #pulmonary #arterial #venous #hypertension

NOAC / DOAC Pharmacology and Prescribing Cheat Sheet Novel (or Direct) Oral Anti-Coagulants • Rivaroxaban • Apixaban • Dabigatran By Carlin Rooke, MD. #NOAC #DOAC #Pharmacology #Prescribing #hematology #management #Direct #Oral #AntiCoagulant

Pulmonary Hypertension - Treatment, ICU Management and Monitoring #PHTN #Pulmonary #Hypertension #Treatment #Management #Monitoring #Diagnosis

Medical Treatment Algorithm for Chronic Obstructive Pulmonary Disease Initial medical treatment of chronic obstructive pulmonary disease (COPD) is guided by severity of obstruction, symptom burden, and exacerbation risk with escalation in therapy targeted to control persistent symptoms or further exacerbations. Exacerbation severity is differentiated by the location of treatment, with moderate exacerbations treated in the outpatient setting with oral corticosteroids, antibiotics, or both and severe exacerbations requiring hospitalization or emergency department care. Additional therapies such as azithromycin and roflumilast can be considered for select patients who continue to experience exacerbations despite optimal inhaled therapy. Further therapies such as azithromycin and roflumilast can be considered in select patients with persistent exacerbations despite maximal inhaled therapy. BMI indicates body mass index, calculated as weight in kilograms divided by height in meters squared; CAT, COPD assessment test; FEV1, forced expiratory volume in the first second of expiration; ICS, inhaled corticosteroid; LABA, long-acting β2-agonist; LAMA, long-acting muscarinic antagonist; SABA, short-acting β2-agonist; SAMA, short-acting muscarinic antagonist. #COPD #Treatment #Algorithm #Management #Pulmonary #LABA #LAMA #SABA #SAMA #ICS #Pharmacology