Echo 13 part 2 | Baamboozle - Baamboozle | The Most Fun Classroom Games!

English 29 Public

HTN and pHTN

Study Slideshow

Define Hypertension

SBP >140mmHg DBP >90mmHg

Hypertension results due to _______ peripheral resistance.

Increased

_______ hypertension can lead to heart disease and stroke. (top 2 causes of death)

chronic (affects 30% adults in u.s)

in htn, echo is used to evaluate 3 main things in heart.

LVH diastolic dysfunc (early manifestation) systolic dysfunc

severe untreated Htn will lead to signs of ______.

CHF

delayed relaxation of myocardium due to hypertrophy equals to

reduced E/A ratio (early htn)

What are some abnormalities more common in Htn are.

MAC LAE Ascending Ao dilitation w/ Ai (chronic htn)

What is the mean Pulmonary Arterial Pressure in pHtn?

>25mmHg

what is the difference between primary and seconadary Htn? which is more common in clinical findings, name some common diseases associated with it.

Primary: no underlying cause or lung disease causing high BP Secondary: Caused by underlying disease. It is more common and Pulmonary disease and CV Disease.

What are the cardiac diseases that result in elevated pulmonary pressures? _______ is vital in identifying these diseases.

Detection of shunts (ASD), MS, Severe LV Systolic or diastolic dysfunction. Echo is vital.

PAP values: Normal, Mild, Moderate, Severe and Eisenmenger's.

Normal: 18-25 mmHg Mild: 30-40mmHg Mod: 40-70mmHg Eisenmengers: >120mmHg

What is the treatment for Eisenmengers (PAP).

Surgical intervention such as lung or heart transplant. (true eisenmenger is when baby has left to right shunting)

What can be seen in this image and what is causing this to happen.

Dilated Coronary Sinus: Caused by chronic elevation of right sided pressures (pHtn)

Loss of respiratory variation, dilated IVC and opening of PFO is caused by what?

Caused by chronic elevation of right sided pressures (pHtn).

What are some normal echo findings with significant pHtn?

*RAE *RVH *RVE *Diastolic Dysfunction (reduced E/A ratio) *TR may range from mild-Sev (worse: LV comp, Pleural Eff, TAPSE= <14mm)

What are the echo findings in this image and what can be causing it?

D- shaped septum due to elevated rt pressures. The Flying W in M-Mode. RVE and LVH. caused by significant pHtn