SESSION TYPE: DVT/PE/Pulmonary Hypertension Posters I
PRESENTED ON: Wednesday, October 24, 2012 at 01:30 PM - 02:30 PM
PURPOSE: Pulmonary Hypertension (PHTN) is a life threatening and debilitating illness presenting with shortness of breath and symptoms of heart failure in advanced condition. An early detection and timely treatment has been known to improve survival and quality of life. We specifically aim to assess the outcomes of patients diagnosed with Pulmonary Hypertension by echocardiography (ECHO) at a community-based hospital.
METHODS: Echocardiography data from Jan 2011- June 2011 at Carle were used to identify patients with significant PHTN. Details including valvular heart disease, right ventricular function, and left ventricular function (diastolic and systolic) were analyzed along with demographics and other testing.
RESULTS: The 117 patients who had right ventricular systolic pressure (RVSP) of 50mmHg or greater by ECHO were predominantly women (65%) with average age of 76 years. Sixty percent of patients (70/117) with PHTN had significant left ventricular disease. Right heart catheterization was performed in 19% (23/117) and 4% (7/117) of the patients were on advanced medications with monitoring. About 35% (42/117) of patients with PHTN had no obvious heart disease by ECHO and about 44% (18/42) of these patients did not receive any other evaluation to explain PHTN. About 56% (24/42) of these patients had pulmonary function tests, sleep study, chest imaging or right heart catheterization (4/42) to determine cause of PHTN.
CONCLUSIONS: PHTN is an under-recognized and under-evaluated entity. Recognizing and treating the secondary causes of PHTN may improve outcomes. Also, identifying patients with Pulmonary Arterial Hypertension (PAH) in the early stages of the disease process may improve survival.
CLINICAL IMPLICATIONS: Establishment of Pulmonary Hypertension clinic at Community-based hospitals to facilitate appropriate evaluation and management of PHTN will be useful.
DISCLOSURE: The following authors have nothing to disclose: Puneet Agarwal, Sujay Bangarulingam
No Product/Research Disclosure InformationUniversity of Illinois, Urbana-Champaign, Urbana, IL