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Old 02-26-2012
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Default ACEI or PDE5 blocker

high pitched holosystolic murmur on left sternal border
Pulmonary artery pressure at rest: 32mmHg
this is all info i remember

give ACEI or PDE5?

do you think its Tricuspid Regurgitation secondary to pulmonary hypertesion?
so ACEI? or treat pulmonary hypertension with PDE5 blocker?
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Old 02-26-2012
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or is the pulmonary hypertension due to congestive heart failure?
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Old 02-26-2012
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i feel its better to treat pul HTN since tricuspid regurgitation is functional secondary to dilation of right ventricle(due to pul HTN)......hence PDE5 blocker to control pul HTN....these are my views....so not sure....
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Old 02-26-2012
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Definitely Sildenafil (PDE 5 antag) which will dilate Pulm arteries.


From the limited info you have..
PHTN due to Tricus regurg murmur.

CHF would present with Peripheral Edema/ JV distension (RHF)
or Pulmonary Edema/dyspnea (LHF).
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Old 02-26-2012
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Quote:
Originally Posted by No_BS View Post
Definitely Sildenafil (PDE 5 antag) which will dilate Pulm arteries.


From the limited info you have..
PHTN due to Tricus regurg murmur.

CHF would present with Peripheral Edema/ JV distension (RHF)
or Pulmonary Edema/dyspnea (LHF).
I would say tricuspid regurgitation due to PHTN?
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Old 02-26-2012
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Quote:
Originally Posted by kenlee View Post
I would say tricuspid regurgitation due to PHTN
Ah ok, my bad. Yea you're right.
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