Criteria for Diagnosis of Pulmonary Hypertension in Patient with COPD

Purpose: To diagnosis pulmonary hypertension in a patient with chronic obstructive pulmonary disease (COPD) using the criteria of Mal.

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Evaluation

Are you evaluating a patient with COPD?

Yes

Peak velocity of tricuspid regurgitation

m/s

Does the patient have severe dyspnea that cannot be explained by the FEV1 or other finding?

Yes

Does the patient have a problem other than COPD that can cause pulmonary hypertension?

Yes

Mean pulmonary arterial pressure (MPAP) at rest

mm Hg

Mean pulmonary arterial pressure (MPAP) during exercise

mm Hg

Cardiac output (CO) at rest

liters per minute

Cardiac output (CO) during exercise

liters per minute

Pulmonary artery wedge pressure (PAWP)

mm Hg

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Is right heart catheterization indicated for this patient?

Does the patient have evidence of pulmonary hypertension associated with COPD?

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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
Severity, Prognosis, Stage
- Index of Pulmonary Vascular Disease (IPVD) of Yamaki and Tezuka for a Patient with Congenital Heart Disease and Pulmonary Hypertension
Complications

Societal Concerns

Public Health
- HIV-Associated Pulmonary Arterial Hypertension

Specialty

Pulmonology
Cardiology

Objective

other testing
criteria for diagnosis

ICD-10

I27.2 - Other secondary pulmonary hypertension
J44 - Other chronic obstructive pulmonary disease

Info

Purpose: To diagnosis pulmonary hypertension in a patient with chronic obstructive pulmonary disease (COPD) using the criteria of Mal.

Specialty: Pulmonology, Cardiology

Objective: other testing, criteria for diagnosis

ICD-10: I27.2, J44,

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