Pulmonary Hypertension Explained Clearly by MedCram.com
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- čas přidán 2. 07. 2024
- Dr. Roger Seheult of www.medcram.com/?Y...
explains the key aspects of pulmonary hypertension:
0:14 - Definition of pulmonary hypertension
0:20 - Mean pulmonary artery pressure
1:00 - Using systolic to estimate pulmonary hypertension with echocardiogram
1:18 - 5 different WHO pulmonary hypertension groups
1:30 - Pulmonary arteriolar hypertension (PAH), Idiopathic pulmonary hypertension, collagen vascular diseases, portal HTN
3:35 - BMPR2
4:00 - Left heart failure
4:10 - Lung disease, COPD, OSA, idiopathic pulmonary fibrosis
4:35 - Pulmonary embolism, chronic VTE
4:50 - Hematologic disorders, sarcoidosis, glycogen storage diseases, renal failure
5:40 - Amphetamines
5:50 - Diagnosis of pulmonary hypertension and physical exam findings
6:07 - Heart sounds, loud P2, tricuspid regurgitation, RV heave
6:35 - JVP, c,v waves liver pulsatile, edematous legs
6:58 - Chest Xray findings with pulmonary hypertension
7:36 - ECG/EKG findings with pulmonary hypertension, RVH, RBBB
8:17 - Echocardiogram findings with pulmonary hypertension
9:03 - Tricuspid regurgitation, regurgitant jet, Modified Bernoulli Equation
10:40 - Advantages of echocardiogram: PASP,
11:10 - Echo bubble study
11:25 - Right heart catheter, wedge pressure, Left atrial pressure (LAP), mean artery pressure (MAP)
Speaker: Roger Seheult, MD
Clinical and Exam Preparation Instructor
Board Certified in Internal Medicine, Pulmonary Disease, Critical Care, and Sleep Medicine.
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My 3 sisters died due to this disease. Now the fourt and the last one is also suffering pleas pray for her
its already 2021, I'm a graduating nursing student and I want to pursue medicine after finishing my nursing.. I will comeback to this comment one day (inshaallah) and will tell that I'm a doctor..
I subscribed to this channel ❤
Amazing. May God give you success!
My sister passed away from Pulmonary Veno Occlusive Disease. It is a horrible disease and I will do all I can in my life to fight it. Thank you very much for making this video.
I love these lectures; easy to understand and no dilly dallying! excellent! Keep up the good work!
hi dr roger,
you have expalined very simply & to the point
pl continew your enthusiastic explaining many ppl will bless you
this is also help to the needy ppl in the society, i appreciate you
Once again, MedCram comes to the rescue! Thank you very much Dr. Seheult.
Having been diagnosed with pulmonary hypertension I have been prescribed seldinafile and litaras. I've been on them now for over six months and the results are absolutely positive! I just learned that litarus will be going genaric in about six months. Currently my copay for that drug is $2780/month...this is great news
Great video, as always. Looking forward to more!
Very informative and valuable educational channel. Thanks a lot.
My son just underwent his Hemi Fontan procedure for HLHS. I got to watch them do a bubble study. I took a video of the echo on my phone and you can see the bubbles rush in. It was very cool.
My son has a smaller left PA and was displaying PH in the OR, with a measurement of 25 to 27. It immediately responded to nitric oxide so we are hoping his hypertension was due to lung damage from a combination of two cold viruses.
I really would love to learn more about this.
This is really late but did your son just have mild pulmonary hypertension because of a virus? I got diagnosed with it today and am really worried
wonderful straight simple easy explanation
great video - easy to understand
What a great video. Thanks for posting
Thanks again & again
What an awesome lecture.....You are giving details with such clarity.......plz Keep uploading new videos......I am blessed by your lectures......
Great and easy to understand explanation.
Excellent work👌🏻👌🏻
mPAP at effort is not used anymore, that was the 2003 Evian-Venice convention. Since the 2008 Dana Point convention just mPAP at rest is used, in which case the patient has got PH at >25 mmHg mPAP and 20-25 mmHg is borderline.
i just love you and your lectures
thanks.again.and.again.which.is.the.best.tretment.of.pulmonary.hypertension..please.make.a.video.and.upload.it.
Thank you
Thank you.
Thanks!
now i won't die mysteriously
RIP Chuy Cornejo Lots of love bro
Layman’s terms would help..
Thank so much for such informative lecture!!!
can you explain about pulmonary schistosomiasis ?
What i cant find is a video on end of life care for a lung disease patient.
The carers perspective would be ace if anyone can link me a vid 🙏
Can NAC usage on a daily basis bring about PAH?
Did an echocardiogram and findings said i have mild pulmonary hypertension with 33mmhg and trivial pericardial effusion. I’m 26 yo and 39 weeks pregnant. My cardiologist doesn’t seem to be concerned since he didn’t call me about the results and the tech said MD will call me if there’s a concern and no calls if everything is ok. Ugh.
Could the feeling of not being able to catch your breath be a tiny blood clot that doesn't show up on regular x-ray? All my d-dimers turn out positive. They hospitalized me for tests the first two times it showed up. Now they ignore it when it's positive. But I do have a lot of breathing issues and sharp pain in my lungs.
Is there a way to unclog the lungs,increase flow to lower right heart pressure?wait aorta bulging maybe put in catheter with smaller hole to increase flow thur lung with better pressure at the left ventricle, being balance to the system?
So what group does Eisenmenger VSD go into to?
Nice lecture
What about RA? There is a link isn't there? I have PH & OSA
I got to say, good to see videos on this topic. I am a survivor of secondary pulmonary hypertension. If you have any questions I will answer. I went on a long term Revatio drug trial and used blood thinner.
I was cared for by a Lung doctor in Cape Town
What were your symptoms
how were you cured ?
how you were cured?
what medicines are you taking right now? I am also suffering from secondary pulmonary hypertension
Hi i have sarcoidosis and pah my chest hurts all the time my rheumatologist has me on methotrexate and remicade every 6 weeks i need your advice please
7:15
Really wished you had added X-ray
Hi,doctor,after covid,i have dry caughing untill 2 month, chest paint,hard to breath, high blood presure and left side leg have sign vein blood mark... Is this one of the symptoms
What about ph that’s caused by a congenital heart defect did he mention that and I just missed it?
I am suffering from primary pulmonary arterial hypertension
Doctor told me there is no proper medicine for this disease
Plz told me how to recover my health 😭😭😭😭😭😭
See the whole series at www.medcram.com along with other top quality videos including reviews in pulmonary, cardiology, infectious disease, and hematology!
any email adress? i need u to see my echo test
I know this is for professionals (I’m an old retired nurse, hey!), but I’m here to learn all I can as my recent Echo indicated PH. I know I’ll get a Cardiology consult for a RHC; but while my pcp is on vacation, I’m soaking up information. Other than Fibromyalgia, chronic Lymes, and the old back injury issues, I’ve always been healthy so it’s scary to hear I might have issues like this.
I might add I’m a little bothered by the fact that during my ICU rotation many moons ago, the nurse was obtaining a routine wedge pressure and the artery dissected. The Cardiologist happened to be right there and he ordered Versed to ease the patient as he left this world. So, yeah, I’m a little apprehensive about wedge time!
What apps do you use to write down while narrating the detail of the topic? I would be good if I use it when teaching my student.
Thanks for the comment. Front cam and smooth draw
I don’t get the periphral edema and pulsatile liver, is it because of right sided heart failure?
Yes, if am not mistaken it goes like this: Increase in PAH causes dilatation and hypertrophy of RV leading to increase pressure in RA causing congestive heart failure. This will cause a disruption in normal bloodflow from SVC which will increase blood volume and systemic vascular resistance leading to the edema and the liver issues
Ok so that means these symptoms will appear later right? Not in the early course?
And thanks a lot 💛💛
@@r.i.a6485 Correct. This won't appear early on but instead develop over time
My sister has this :(
Sir,my son of 8 yrs from Nepal has been diagnosed with Primary Pulmonary Hypertension , Every doctor told me that there is no cure and medicine so what can i do please help me.
Any remedies do u found for this pulmonary hypertension...my baby also having same problem..
Hi sir.from ITS me from Philippines.my son diagnosed severe pulmonary hypertension.every doctor said That there's no Cure.until now he suffered and his chest always PAIN his crying every time now and then.please help me.😭
No right heart cath no diagnosis.
I thought PAH is Pulm Arterial HTN not Pulm Arteriolar HTN
Peter Mulgrew ugh! Same here! Lol I’m so confused now. Cause I have P.A.H. The one you mentioned. Now I’m just confused. 🤦🏻♀️
i caught it early it's hereditary and acute in me
@@rishabhjoshi9136 yes I can jog
@@rishabhjoshi9136 now I know why people die mysteriously they think they're fine
@@rishabhjoshi9136 I'm strong plus I haven't been diagnosed with it I just know of it plenty of pills out there for me
What prompted your to see the doctor?
@@luismoran9439 I didn't I will just sweat it out
My pressure is around 80.
which is the best treatment for pulmonary hypertension
Ana Sanchez depends on the WHO group and the patient.
Group 1 - probably a CCB
All I got was viagra and some inhaler. But the v.a picks up the tab. Zero out off pocket. I’ll be dead soon. But we’re all gonna die one day.
आपने अद्भुत जानकारी साझा की है। पल्मोनरी हाइपरटेंशन का आयुर्वेदिक में सबसे अच्छा इलाज है। Chandigarh Ayurved Centre इस बीमारी को प्राकृतिक रूप से ठीक करने के लिए हर्बल दवा प्रदान करता है
please send the chandigarh ayurvedic centre no on my mobile no 9762685253
I hard it befor