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Medical Emergencies in Pulmonary Hypertension by Samuel Seitler; Konstantinos Dimopoulos; Sabine Ernst; Laura C. Price is a Medicine article available to read on EtoBox.

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## Abstract The management of acute medical emergencies in patients with pulmonary hypertension (PH) can be challenging. Patients with preexisting PH can rapidly deteriorate due to right ventricular decompensation when faced with acute physiological challenges that would usually be considered low-risk scenarios. This review considers the assessment and management of acute medical emergencies in patients with PH, encompassing both pulmonary arterial hypertension (PAH) and chronic thromboembolic pulmonary hypertension (CTEPH), acknowledging these comprise the more severe groups of PH. Management protocols are described in a systems-based approach. Respiratory emergencies include pulmonary embolism, airways disease, and pneumonia; cardiac emergencies including arrhythmia and chest pain with acute myocardial infarction are discussed, alongside PH-specific emergencies such as pulmonary artery dissection and extrinsic coronary artery compression by a dilated proximal pulmonary artery. Other emergencies including sepsis, severe gastroenteritis with dehydration, syncope, and liver failure are also considered. We propose management recommendations for medical emergencies based on available

Who reads Medical Emergencies in Pulmonary Hypertension?

Author

Samuel Seitler; Konstantinos Dimopoulos; Sabine Ernst; Laura C. Price

Publisher

Georg Thieme Verlag KG

Published

2023

Field

Medicine (Health Sciences)