Watch this informative video on Idiopathic Pulmonary Arterial Hypertension (IPAH), its Presentation, DD, Investigations \u0026 Treatment.
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Content
1.44 -> Hello and welcome to this channel.
This video will give you a quick review
5.52 -> of pulmonology topic, Idiopathic
Pulmonary Arterial Hypertension.
11.92 -> Pulmonary Hypertension (PH) is said to be
13.68 -> present when a mean pulmonary
artery pressure is > 25 mmHg.
20.08 -> Idiopathic pulmonary arterial hypertension ,or in
short IPAH is defined as, Pulmonary Hypertension
25.92 -> with absent lung or left-sided heart disease.
It is also termed as pre-capillary pulmonary
32.4 -> hypertension. And in WHO-classification,
Group-1 pulmonary hypertension.
38.96 -> It was previously also known as
'Primary Pulmonary Hypertension'.
44.56 -> Idiopathic pulmonary arterial
hypertension is a rare disease
48.08 -> with no apparent cause. This rare disorder is
seen primarily in young and middle-aged women.
56.48 -> Untreated, IPAH leads to
right-sided heart failure and death.
63.28 -> Let's talk about its presentation.
The affected patient may present
67.92 -> with progressive shortness of breath,
malaise, chest pain, or exertional syncope.
75.12 -> Clinical examination may reveal tachycardia, left
parasternal heave due to right ventricular lift,
80.88 -> loud pulmonary component of second
heart sound (Loud P2), right-sided S3,
84.88 -> pulmonary and tricuspid regurgitation murmurs,
and in advanced cases, right-sided heart failure,
91.04 -> evident by jugular venous distension,
peripheral edema, hepatomegaly and ascites.
98.64 -> Investigations that needs to be done include,
electrocardiography (ECG) which shows right
104.32 -> axis deviation, right bundle branch block,
right ventricular hypertrophy or strain.
111.92 -> Echocardiography will show evidence of
elevated right ventricular systolic pressure
116.64 -> with or without evidence of
RV dilation or dysfunction.
121.28 -> Other investigation include
right heart catheterization.
125.36 -> Differential diagnosis of this condition include
pulmonary venous hypertension due to mitral
131.2 -> stenosis or left heart failure from any etiology,
sleep apnea and obesity hypoventilation syndromes,
