Pulmonary hypertension hemodynamics: misunderstood concepts, tips and tricks- Elias Hanna, Univ Iowa

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Elias Hanna

Elias Hanna

Күн бұрын

0:00 Tip 1: Single most important measurement in PH The 3 hemodynamic categories of PH PVR equation
09:10 Tip 2: 2 caveats of PCWP measurement in PH
21:01 Tip 3: How does PA pressure change with vasodilator therapy. Is it necessary for PA pressure to decline in order to consider the patient responsive?
22:42 Tip 4: What parameters are used to assess treatment response?
25:27 Tip 5: Value of pulmonary vasoreactivity testing
29:07 Tips 6 and 7: What causes hypoxemia in PAH? Is right-to-left shunt usually a problem in PAH, or is it rather compensatory mechanism?
37:30 Tip 8: Can you have postcapillary PH with normal PCWP? When to suspect such an instance? (39:20) Types of hemodynamic stress testing of the left heart in the cath lab (40:41)
43:32 LVEDP vs PCWP (also review my other talk: Hemodynamic lecture 1)
45:50 Tip 9: Can patients with combined pre- and post-capillary PH be treated with pulmonary vasodilators?
50:20 Tip 10 Postcapillary PH with small-to-moderate ASD. Should it be closed? Roles of small left-right and right-left shunts in PAH (56:04)
56:41 Tip 11: True PAH from large left-to-right shunt: 4 stages (reversible to irreversible to Eisenmenger)
1:00:57 Tip 12: High flow state as aggravating factor of PH
1:03:20 Tip 13: Thermodilution CO remains accurate in severe TR

Пікірлер: 21
@richardfisher9916
@richardfisher9916 Жыл бұрын
Thank you so much for sharing this and all your other wonderful lectures.
@petarbeslic991
@petarbeslic991 8 ай бұрын
Thank you very much dr Hanna! Greetings from Croatia!
@m.s3815
@m.s3815 2 жыл бұрын
Another excellent presentation. Thank you very much dr Hanna
@TvAanimalia
@TvAanimalia 2 жыл бұрын
big Fan of you sir...May Almighty Bless you always
@sheraligowani9029
@sheraligowani9029 8 ай бұрын
I love your talks . You are a great teacher. Please continue ❤
@TvAanimalia
@TvAanimalia 2 жыл бұрын
thank You so Much sir...Because of you i started Loving Cardiology😇
@drpnab
@drpnab Жыл бұрын
Thank you Dr. Hanna. very nice as usual
@naeemsermiky
@naeemsermiky 2 жыл бұрын
Thank u so much. It clears so many concepts.
@samialazkany6379
@samialazkany6379 10 ай бұрын
Fantastic as always
@ahwad66
@ahwad66 Жыл бұрын
Truly fantastic lecture
@monamatni7229
@monamatni7229 Жыл бұрын
Thank you dr hanna great job
@Nikesnipe
@Nikesnipe 2 жыл бұрын
Thanks greatlY
@remonsobhi6231
@remonsobhi6231 Жыл бұрын
another lecture for acute pulmonary embolism
@ziadissa9986
@ziadissa9986 2 жыл бұрын
Wonderful Explanation, thank you Dr. Hanna
@drliksza
@drliksza 5 ай бұрын
Professor, thank you so much once again for a great lesson. I have a practical doubt. In terms of time, How long does it take for a POSTCAPILLARY PH to became a Hybrid one (CPC-PH) due to remodelling? And is it only a matter of time or are there any other contributing factors like pressure values, etc. Greatings from Brazil🙏🏼
@theeeeeb21
@theeeeeb21 Жыл бұрын
Thank you, its ok if you share the slides with us ?
@m.s3815
@m.s3815 2 жыл бұрын
Dear Dr Hanna, can we have a sudden drop in severe pulmonary hypertension? For example from 80mmhg to 40-45?
@eliashanna8248
@eliashanna8248 2 жыл бұрын
It is not common but it can happen for 2 reasons: (1) those who are very responsive to vasodilators, such as the extreme of those who fulfill the official definition of "vasodilator responsive" (drop in mean PA of >10 to
@ahmed220101
@ahmed220101 2 жыл бұрын
I need your book , please .
@remonsobhi6231
@remonsobhi6231 Жыл бұрын
we want a lecture about pulmonary embolism
@jporter1908
@jporter1908 2 жыл бұрын
🙄 P-R-O-M-O-S-M!!
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