Pulmonary hypertension deconstructed with clinical pearls from cardiologist, John J. Ryan MD, FACC, FAHA, director of University of Utah Pulmonary Hypertension Center. We discuss classification, diagnosis/differentiation, initial workup, additional testing, echo findings, how to counsel patients with pulmonary hypertension, and why cows never get ankle edema! Written and produced by: Jordana Kozupsky, NP and Matthew Watto, MD Full show notes available at http://thecurbsiders.com/podcast Join our mailing list and receive a PDF copy of our show notes every Monday. Rate us on iTunes, recommend a guest or topic and give feedback at thecurbsiders@gmail.com. Time Stamps: 00:00 Disclaimer 01:30 Introducing our new Correspondent Jordy 03:05 Listener feedback 04:40 Guest bio 06:25 Getting to know Dr Ryan 09:33 Picks of the week 15:20 Clinical case 16:35 How to explain pulmonary hypertension to a patient 18:12 Groupings of pulmonary HTN 21:20 Taking a history. Ask these questions. 23:30 Physical exam 25:45 Initial testing 27:40 Overnight pulse oximetry 29:00 Echo findings in pulmonary HTN 31:30 Transpulmonary gradient 33:33 What is a normal pulmonary artery pressure 35:15 Accuracy of PA pressure estimate by echo 39:04 Mechanism of shortness of breath in PH 40:10 Should you hold PAH meds in a hypotensive patient? 41:55 Therapy for PH and follow up 46:28 Who to refer 47:40 PAH risk factors 52:09 Mortality in PH 58:22 Take Home Points 60:24 Outro Tags: pulmonary, arterial, hypertension, group, classification, prognosis, pressure, blood, diagnosis, treatment, pay, ph, echocardiogram, ekg, hypoxic, chronic, lung, disease, heart, left, right, failure, chf, pressure, mean, diuretic, HFpEF, cteph, embolism, assistant, care, doctor, education, family, foam, foamed, health, hospitalist, hospital, internal, internist, meded, medical, medicine, nurse, practitioner, professional, primary, physician, resident, student