Pulmonary Hypertension

[ Home ] [ Up ]

Pages Below:

Pulmonary Hypertension

Causes

• Pulmonary Embolism
• Chronic Lung disease
  • Chronic Obstructive Airways Disease
• Chronic left heart disease
  • Ventricular Septal Defect
  • Mitral Stenosis
• Adult respiratory distress syndrome
• Systemic sclerosis

Examination

• right ventricular heave
• auscultation 
  • loud P2
  • occasional end-diastolic murmur

Investigations

• CXR
  • arterial hypertension
    • prominent pulmonary arteries close to hili
    • reduced (pruned) pulmonary arteries in peripheral lung fields
  • venous hypertension
    • dilatation of upper lobe vessels
    • fluid in interlobular fissures, interlobular septa, pleural spaces
    • indistinct hilar regions
    • hazy lung fields

[ Home ] [ Up ]