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    Pulmonary Hypertension

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    g1381821
    1. The pulmonary vascular circuit normally has a very low resistance and carries 70ml of blood, with minimal flow to the lung apices due to gravity and inadequate left atrial pressure. 2. Pulmonary hypertension is defined as a sustained elevation of mean pulmonary arterial pressure above 25 mmHg at rest or 30 mmHg during exercise, caused by an increase in blood pressure in the lung vasculature. 3. Signs of pulmonary arterial hypertension (PAH) on chest x-ray include hilar pulmonary arterial dilation, loss of peripheral blood vessel markings, or peripheral pruning, as well as an enlarged right atrium and ventricle in advanced disease.

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    Pulmonary Hypertension

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    g1381821
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    1. The pulmonary vascular circuit normally has a very low resistance and carries 70ml of blood, with minimal flow to the lung apices due to gravity and inadequate left atrial pressure. 2. Pulmonary hypertension is defined as a sustained elevation of mean pulmonary arterial pressure above 25 mmHg at rest or 30 mmHg during exercise, caused by an increase in blood pressure in the lung vasculature. 3. Signs of pulmonary arterial hypertension (PAH) on chest x-ray include hilar pulmonary arterial dilation, loss of peripheral blood vessel markings, or peripheral pruning, as well as an enlarged right atrium and ventricle in advanced disease.

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    1. The pulmonary vascular circuit normally has a very low resistance and carries 70ml of blood, with minimal flow to the lung apices due to gravity and inadequate left atrial pressure. 2. Pulmonary hypertension is defined as a sustained elevation of mean pulmonary arterial pressure above 25 mmHg at rest or 30 mmHg during exercise, caused by an increase in blood pressure in the lung vasculature. 3. Signs of pulmonary arterial hypertension (PAH) on chest x-ray include hilar pulmonary arterial dilation, loss of peripheral blood vessel markings, or peripheral pruning, as well as an enlarged right atrium and ventricle in advanced disease.

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    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    81 views43 pages

    Pulmonary Hypertension

    Uploaded by

    g1381821
    1. The pulmonary vascular circuit normally has a very low resistance and carries 70ml of blood, with minimal flow to the lung apices due to gravity and inadequate left atrial pressure. 2. Pulmonary hypertension is defined as a sustained elevation of mean pulmonary arterial pressure above 25 mmHg at rest or 30 mmHg during exercise, caused by an increase in blood pressure in the lung vasculature. 3. Signs of pulmonary arterial hypertension (PAH) on chest x-ray include hilar pulmonary arterial dilation, loss of peripheral blood vessel markings, or peripheral pruning, as well as an enlarged right atrium and ventricle in advanced disease.

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    © All Rights Reserved
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    Download as pptx, pdf, or txt
    of 43

    BY

    DR LAILA

    NORMAL
    Pulmonary vascular circuit has a very low resistance Carries a volume of 70ml of blood.

    NORMAL PULMONARY VASCULATURE


    Normally Increased blood flow in lung bases
    as compared to the apices d/t gravity

    Minimal blood flow to apices Inadequate LA pressure Vessel diameter in upper intercostal spaces is not more than 3mm Main pulmonary artery diameter is 16mm in males and 15mm in females.

    Pulmonary hypertension
    An increase in blood pressure in the pulmonary artery, pulmonary vein, or pulmonary capillaries, together known as the lung vasculature, leading to shortness of breath, dizziness, fainting n eventually heart failure

    PAH
    Sustained elevation of mean pulmonary arterial pressure to greater than 25 mmHg at rest or more than 30 mmHg during exercise, with normal pulmonary capillary wedge pressure and left ventricular end-diastolic pressure (<15 mm Hg)

    WHO Classification of pulmonary hypertension


    Group 1. Pulmonary artery hypertension (PAH) Idiopathic Familial Group 2. Pulmonary hypertension with left heart disease Group 3. Pulmonary hypertension associated with lung disease and/or hypoxaemia Group 4. Pulmonary hypertension due to chronic thrombotic and/or embolic disease Group 5. Miscellaneous (sarcoidosis, histiocytosis X, lymphangiomyomatosis, compression of pulmonary vessels)

    PAH

    CXR
    Hilar pulmonary arterial dilation. Loss of peripheral blood vessel markings OR Peripheral pruning

    Enlarged right atrium and right ventricle in advanced diseases

    PULMONARY INTERSTITIAL EDEMA

    KERLEY B LINES

    PERIBRONCHIAL CUFFING

    FISSURE EFFUSION

    CEPHALIZATION

    CEPHALIZATION

    PULMONARY ALVEOLAR EDEMA

    PULMONARY ALVEOLAR EDEMA

    PULMONARY ALVEOLAR EDEMA

    PULMONARY HAEMOSIDEROSIS

    Longstanding pulmonary venous HTN leads to pulmonary hemosiderosis (punctate calcific) ossific nodules (< 1cm)

    THANK YOU

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