Index of Pulmonary Vascular Disease (IPVD) of Yamaki and Tezuka for a Patient with Congenital Heart Disease and Pulmonary Hypertension

Purpose: To determine the index of pulmonary vascular disease (IPVD) for a patient with congenital heart disease (CHD) and pulmonary arterial hypertension (PAH).

Evaluation

Are you examining histologic sections from a lung wedge biopsy taken from a patient with CHD and PAH?

Yes

Number of pulmonary arteries in the sections with normal intima and media

Number of pulmonary arteries showing a cellular reaction in the intima and a normal media

Number of pulmonary arteries showing a fibrous and fibroelastic proliferation in the intima with a relatively normal media

Number of pulmonary arteries showing partial destruction of the media

Number of pulmonary arteries showing complete destruction of the media

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Total number of pulmonary arteries examined

Index of pulmonary vascular disease (IPVD)

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors
- HIV-Associated Pulmonary Arterial Hypertension
- Left-Sided Heart Diseases Associated with Pulmonary Venous Hypertension
Other Testing
- Criteria for Diagnosis of Pulmonary Hypertension in Patient with COPD
Criteria For Diagnosis
- Criteria for Diagnosis of Pulmonary Hypertension in Patient with COPD
Complications
- HIV-Associated Pulmonary Arterial Hypertension
- Pulmonary Hypertension Associated with Whipple’s Disease

Societal Concerns

Public Health
- HIV-Associated Pulmonary Arterial Hypertension

Specialty

Pulmonology
Cardiology

Objective

severity
prognosis
stage
complications

ICD-10

I27 - Other pulmonary heart diseases

Info

Purpose: To determine the index of pulmonary vascular disease (IPVD) for a patient with congenital heart disease (CHD) and pulmonary arterial hypertension (PAH).

Specialty: Pulmonology, Cardiology

Objective: severity, prognosis, stage, complications

ICD-10: I27,

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