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Old 09-13-2012
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Lungs Treatment of Pulmonary Hypertension

40 yr old women has had increasing fatigue & SOB for years. chest x ray -- RVH & enlargement of central pulmonary artery. pulmonary embolism is ruled out by spiral CT scan. other causes have also been ruled out. right heart catherization reveals a pulmonary artery pressure of 75/30 mmhg.
what is the best next step in the management of the patient?

a- acute drug testing with short acting pulmonary vasodilators
b- high dose of nefidipine
c- I.V prostacyclin
d- lung transplantation
e- empiric trial of sildenafil
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Old 09-13-2012
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Ans ........D ........
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Old 09-13-2012
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Answer D....
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Old 09-13-2012
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C- I.V prostacyclin
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would go for C.......medical therapy before transplantation
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Old 09-13-2012
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Quote:
Originally Posted by anomali View Post
would go for C.......medical therapy before transplantation
Answer is A....

even i thught itz c ... correct me if m wrong

in all patients in whom primary pulmonary HTN is confirmed, acute drug testing with a pulmonary vasodilator is necessary to assess the extent of pulmonary vascular reactivity. inhaled nitric oxide, IV adenosine , IV prostacyclin have all been used. patient who have good response to short acting vasodilators are treated on with long acting calcium channel antagonist, under direct hemodynamic monitering
IV prostacyclin has been approved for patient who are functional class III /IV& who have not responded to ca antagonist
lung transplantaion is the last resort n in whm prostacyclin is un responsive
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Cardiology-, Internal-Medicine-, Pulmonology-, Step-2-Questions

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