Tuesday, May 15, 2012

Treatment of Primary pulmonary hypertension

Mgt:
IV vasodilator  challenge (prostacyclin, NO, adenosine) in order to decide definitive treatment

Definitive treatment:
If responsive to vasodilator challenge, start Calcium channel blockers. Try for at least 3-6months, if no response use prostacyclin

If no response to vasodilator challenge, other modalities including Transplant depending on the NYHA classification

Anticoagulation for all patients (Warfarin)

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