CHEST Pulmonary Arterial Hypertension Immersion Program October 25, 2023-Current Diagnostic Strategies_ General

Current Diagnostic Strategies_ General - Levine

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The article discusses the diagnostic workup of Pulmonary Arterial Hypertension (PAH). PAH is characterized by high blood pressure in the arteries of the lungs, which can lead to serious complications. The article emphasizes the importance of early diagnosis and timely intervention in PAH.<br /><br />The most common symptom of PAH is dyspnea, or shortness of breath. Other symptoms may include cough, dizziness, chest pain, fatigue, and edema. It is crucial to consider PAH as a differential diagnosis for dyspnea and not to overlook this potentially serious condition.<br /><br />The article provides a diagnostic algorithm for the evaluation of patients with dyspnea and suspected PH. The initial evaluation includes a thorough medical history, physical examination, electrocardiogram (ECG), and assessment of oxygen saturation. Additional tests such as BNP/NT-proBNP levels, pulmonary function tests, chest X-ray, chest CT, and echocardiography may be performed to rule out other potential causes of dyspnea.<br /><br />To establish a diagnosis of PAH, right heart catheterization is required. This procedure helps identify the underlying cause of dyspnea, classify the type of PH, confirm the diagnosis of PAH, and determine the severity of the disease. It also helps guide the selection of appropriate treatment options.<br /><br />The article highlights the importance of considering PAH in specific patient populations, such as those with a family history of PAH, connective tissue diseases, HIV infection, portal hypertension, or congenital heart disease.<br /><br />Overall, early recognition and prompt referral to a pulmonary hypertension specialist are essential for accurate diagnosis and appropriate management of PAH. Timely intervention can improve outcomes and quality of life for patients with this condition.

Keywords

Pulmonary Arterial Hypertension

PAH

high blood pressure

diagnostic workup

early diagnosis

timely intervention

dyspnea

shortness of breath

diagnostic algorithm

right heart catheterization