Pulmonary Hypertension: Guideline Directed Management
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A 27-year-old woman presented with shortness of breath over the past year and a history of antiphospholipid syndrome. Examination revealed edema, elevated jugular venous pressure, murmur, and signs of pulmonary hypertension. Echocardiogram showed severe tricuspid regurgitation, mild pulmonary regurgitation, dilated right atrium and ventricle, and elevated pulmonary artery systolic pressure of 110mmHg. The patient was diagnosed with pulmonary hypertension of unclear etiology and advised to undergo further tests and discharged on treatment for pulmonary arterial hypertension.
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- A 26-year-old male presented with sudden collapse and was unresponsive for 5 minutes. He had been sitting at a computer for 18 hours a day for a month without breaks.
- Examination found tachycardia, tachypnea, and low oxygen saturation. Tests showed a DVT in his left leg and a perfusion defect in his right lower lobe, consistent with pulmonary embolism (PE).
- He was treated with unfractionated heparin followed by warfarin to prevent further clots from forming and reduce the risk of additional PEs.
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2. Initial management in the hospital involves intravenous diuretics and vasodilators to reduce fluid overload, along with inotropes or vasopressors if needed to support blood pressure and organ perfusion.
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The patient, a 59-year-old obese female, presented with right calf pain and swelling after prolonged periods of television watching without breaks. Diagnostic testing revealed deep vein thrombosis (DVT) in the right leg and pulmonary embolisms (PE). She was started on anticoagulation therapy with heparin and rivaroxaban. Her symptoms improved and she was discharged with lifestyle and medication recommendations to prevent further clots.
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- Examination found tachycardia, tachypnea, and low oxygen saturation. Tests showed a DVT in his left leg and a perfusion defect in his right lower lobe, consistent with pulmonary embolism (PE).
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This document discusses the use of echocardiography in selecting and evaluating patients for cardiac resynchronization therapy (CRT). It defines CRT as a biventricular pacemaker that sends electrical signals to both lower chambers of the heart. Guidelines recommend CRT for patients with left ventricular dysfunction, prolonged QRS duration, and left bundle branch block morphology. Echocardiography can assess dyssynchrony through parameters like septal-to-posterior wall motion delay, left ventricular electromechanical delay, and apical rocking. CRT success is defined as ≥10-15% reduction in end-systolic volume after 3-6 months. The document reviews echocardiographic techniques for evaluating dyssynchron
Anti hypertensive drugs.pptx
This slides contains brief description of choice of antihypertensive medication in general and special situation.
Intra Aortic Balloon Pump - All you need to know
This slide contains the basic principle of IABP, indication and contraindications in a very brief and precise manner
How To Present A Death Case
A 62-year-old hypertensive man presented with 18 hours of chest pain and breathlessness and was found to have an extensive anterior STEMI; despite receiving oxygen, medications, and consideration for rescue PCI, his condition deteriorated with recurrent cardiac arrest and he ultimately passed away.
A Patient of Anasarca- Road to Diagnosis
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Plus de Dr. A. F. M. Azim Anwar (20)
12. Right Heart Catheterization - Pros, Cons & Calculations
12. Right Heart Catheterization - Pros, Cons & Calculations
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Surface guided deep inspiration breath hold (SG-DIBH) in ultra-hypofractionat...
Cynthia Aristei
Professor
University of Perugia and Perugia General Hospital
Italy
NEEDLE STICK INJURY - JOURNAL CLUB PRESENTATION - DR SHAMIN EABENSON
NEEDLE STICK INJURY - JOURNAL CLUB PRESENTATION - DR SHAMIN EABENSON
FACIAL NERVE
The facial nerve, also known as cranial nerve VII, is one of the 12 cranial nerves originating from the brain. It's a mixed nerve, meaning it contains both sensory and motor fibres, and it plays a crucial role in controlling various facial muscles, as well as conveying sensory information from the taste buds on the anterior two-thirds of the tongue.
Psychedelic Retreat Portugal - Escape to Lighthouse Retreats for an unforgett...
Our aim is to organise conscious gatherings and retreats for open and inquisitive minds and souls, with and without the assistance of sacred plants.
NURSING MANAGEMENT OF PATIENT WITH EMPHYSEMA .PPT
Prepared by Prof. BLESSY THOMAS, VICE PRINCIPAL, FNCON, SPN.
Emphysema is a disease condition of respiratory system.
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English Drug and Alcohol Commissioners June 2024.pptx
Presentation made by Mat Southwell to the Harm Reduction Working Group of the English Drug and Alcohol Commissioners. Discuss stimulants, OAMT, NSP coverage and community-led approach to DCRs. Focussing on active drug user perspectives and interests
The Importance of Black Women Understanding the Chemicals in Their Personal C...
Certain chemicals, such as phthalates and parabens, can disrupt the body's hormones and have significant effects on health. According to data, hormone-related health issues such as uterine fibroids, infertility, early puberty and more aggressive forms of breast and endometrial cancers disproportionately affect Black women. Our guest speaker, Jasmine A. McDonald, PhD, an Assistant Professor in the Department of Epidemiology at Columbia University in New York City, discusses the scientific reasons why Black women should pay attention to specific chemicals in their personal care products, like hair care, and ways to minimize their exposure.
Pneumothorax and role of Physiotherapy in it.
This particular slides consist of- what is Pneumothorax,what are it's causes and it's effect on body, risk factors, symptoms,complications, diagnosis and role of physiotherapy in it.
This slide is very helpful for physiotherapy students and also for other medical and healthcare students.
Here is a summary of Pneumothorax:
Pneumothorax, also known as a collapsed lung, is a condition that occurs when air leaks into the space between the lung and chest wall. This air buildup puts pressure on the lung, preventing it from expanding fully when you breathe. A pneumothorax can cause a complete or partial collapse of the lung.
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National Rural Health Mission(NRHM).pptx
This document describes the NRHM Scheme, its goals, objectives, components, and new initiatives.
Top Rated Massage Center In Ajman Chandrima Spa
The best massage spa Ajman is Chandrima Spa Ajman, which was founded in 2023 and is exclusively for men 24 hours a day. As of right now, our parent firm has been providing massage services to over 50,000+ clients in Ajman for the past 10 years. It has about 8+ branches. This demonstrates that Chandrima Spa Ajman is among the most reasonably priced spas in Ajman and the ideal place to unwind and rejuvenate. We provide a wide range of Spa massage treatments, including Indian, Pakistani, Kerala, Malayali, and body-to-body massages. Numerous massage techniques are available, including deep tissue, Swedish, Thai, Russian, and hot stone massages. Our massage therapists produce genuinely unique treatments that generate a revitalized sense of inner serenely by fusing modern techniques, the cleanest natural substances, and traditional holistic therapists.
PrudentRx: A Resource for Patient Education and Engagement
PrudentRx enhances healthcare by educating patients and ensuring effective medication management in a complex, evolving landscape.
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Chandrima Spa Ajman is one of the leading Massage Center in Ajman, which is open 24 hours exclusively for men. Being one of the most affordable Spa in Ajman, we offer Body to Body massage, Kerala Massage, Malayali Massage, Indian Massage, Pakistani Massage Russian massage, Thai massage, Swedish massage, Hot Stone Massage, Deep Tissue Massage, and many more. Indulge in the ultimate massage experience and book your appointment today. We are confident that you will leave our Massage spa feeling refreshed, rejuvenated, and ready to take on the world.
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Michigan HealthTech Market Map 2024 with Policy Makers, Academic Innovation C...
Michigan HealthTech Market Map 2024. Includes 7 categories: Policy Makers, Academic Innovation Centers, Digital Health Providers, Healthcare Providers, Payers / Insurance, Device Companies, Life Science Companies, Innovation Accelerators. Developed by the Michigan-Israel Business Accelerator
nurs fpx 4050 assessment 4 final care coordination plan.pdf
nurs fpx 4050 assessment 4 final care coordination plan.pdf
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Surface guided deep inspiration breath hold (SG-DIBH) in ultra-hypofractionat...
Surface guided deep inspiration breath hold (SG-DIBH) in ultra-hypofractionat...
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NEEDLE STICK INJURY - JOURNAL CLUB PRESENTATION - DR SHAMIN EABENSON
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Psychedelic Retreat Portugal - Escape to Lighthouse Retreats for an unforgett...
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English Drug and Alcohol Commissioners June 2024.pptx
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The Importance of Black Women Understanding the Chemicals in Their Personal C...
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practical guide of obesityfinal hyper1د حاتم البيطار القمة اكاديمي 0120238902...
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chatgptfornlp-230314021506-2f03f614.pdf. 21506-2f03f614.pdf
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Michigan HealthTech Market Map 2024 with Policy Makers, Academic Innovation C...
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Pulmonary Hypertension: Guideline Directed Management
- 1. Journal Club 19-09-2017 Dr. Azim Anwar Brown Unit Dept of Internal Medicine BSMMU
- 2. Shikha Datta, 27 years old, admitted on BSMMU with the complain of Shortness of Breath on exertion, which was progressively increasing day by day over the last 1 year. 1 year back she admitted on BSMMU with bilateral leg swelling and was diagnosed as APS and since then she is been treated with Warfarin and Hydroxychloroquine.
- 3. On Examination • Distressed • Anemic • Bilateral pitting ankle edema • JVP Raised • Loud P2 • Pan Systolic Murmur at left sternal edge with no radiation. • Other examination findings are normal.
- 4. Investigation • Color Doppler Echocardiogram: Severe TR, Mild PR RA, RV dilated, Severe PHTN (PASP 110mmhg) EF 62%
- 5. Diagnosis • Pulmonary hypertension due to- ??? Chronic thromboembolic Disease Congenital Shunt Primary Pulmonary Hypertension
- 13. Investigations
- 21. Treatment
- 43. What We Did ???
- 45. Discharge Treatment • Tab. Ambrisentan 5mg, 1+1+1+1 • Tab. Tadalafil 10mg, 0+0+4
- 46. THANK YOU