Pulmonary hypertension hemodynamics: misunderstood concepts, tips and tricks- Elias Hanna, Univ Iowa
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
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Thank you so much for sharing this and all your other wonderful lectures.
Thank you very much dr Hanna! Greetings from Croatia!
Another excellent presentation. Thank you very much dr Hanna
big Fan of you sir...May Almighty Bless you always
I love your talks . You are a great teacher. Please continue ❤
Fantastic as always
Thank you Dr. Hanna. very nice as usual
thank You so Much sir...Because of you i started Loving Cardiology😇
Thank u so much. It clears so many concepts.
Truly fantastic lecture
Thank you dr hanna great job
Wonderful Explanation, thank you Dr. Hanna
Thanks greatlY
another lecture for acute pulmonary embolism
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🙏🏼
Thank you, its ok if you share the slides with us ?
we want a lecture about pulmonary embolism
Dear Dr Hanna, can we have a sudden drop in severe pulmonary hypertension? For example from 80mmhg to 40-45?
@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
I need your book , please .
🙄 P-R-O-M-O-S-M!!