Idiopathic Pulmonary Arterial Hypertension (IPAH) on Echocardiogram 55 year old female. Amazing how the body adapts to survive & then how it survives on the brink. Malcoaptation due to annular dilatation and reduced RV systolic function. Dr. James Nadel @jimmy_nardel #Idiopathic #Pulmonary #Arterial #Hypertension #IPAH #clinical #echocardiogram #cardiology #a4c #pocus