Hipertensión pulmonar
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Transcript of Hipertensión pulmonar
![Page 1: Hipertensión pulmonar](https://reader031.fdokumen.com/reader031/viewer/2022022202/588222171a28ab52368b45bb/html5/thumbnails/1.jpg)
Dr. Jaime Cruz F.Residente Medicina Interna
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Presión arteria pulmonar media
mayor a mmHg
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ClasificaciónSimposio de Niza 2013
2015 ESC/ERS Guidelines
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Hipertensión arterial pulmonar
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2015 ESC/ERS Guidelines
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HP vs HAP
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Hipertensión pulmonar por enfermedades
cardiacas izquierdas
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Hipertensión pulmonar por enfermedades
pulmonares hipoxémicas crónicas
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2015 ESC/ERS Guidelines
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Hipertensión pulmonar de etiología
tromboembólica
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2015 ESC/ERS Guidelines
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Hipertensión pulmonar miscelánea o
multifactorial
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2015 ESC/ERS Guidelines
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Manifestaciones Clínicas:Síntomas
Mandel J. Annals of Internal Medicine 20132015 ESC/ERS Guidelines
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Manifestaciones Clínicas:Examen Físico•
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2015 ESC/ERS Guidelines
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Algoritmo Diagnóstico
2015 ESC/ERS Guidelines
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Ecocardiograma
Mandel J. Annals of Internal Medicine 2013
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Ecocardiograma
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2015 ESC/ERS Guidelines
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Ecocardiograma
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2015 ESC/ERS Guidelines
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Electrocardiograma
Mandel J. Annals of Internal Medicine 2013
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Radiografía de Tórax
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Función pulmonar
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Cateterismo Cardiaco
Chun Lai Y et al. P Circ Res 2014;115: 115
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Test de vaso-reactividad
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Si resultado de cateterismo cardiaco es diagnóstico de Hipertensión arterial pulmonar:
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Otros exámenesSegún sospecha
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Mandel J. Annals of Internal Medicine 2013
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Tratamiento Hipertensión Pulmonar
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Tratamiento específico HAP
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McLaughlin V. et al. JACC 2015; 65: 1976
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Fisiopatología HAP
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Chun Lai Y et al. P Circ Res 2014;115: 115
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McLaughlin V. et al.. JACC 2015; 65: 1976
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Vía del Óxido nítrico
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Antagonistas de Endotelina
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Derivados de protaciclinas
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McLaughlin V. et al. JACC 2015; 65: 1976
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2015 ESC/ERS Guidelines
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2015 ESC/ERS Guidelines
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2015 ESC/ERS Guidelines
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Septostomía atrial
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Trasplante pulmonar
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Bibliografía
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