Pulmonary hypertension

Introduction to Pulmonary Hypertension


Welcome to the Pulmonary Hypertension subsection of the Respiratory for the MSRA course. This section is designed to provide comprehensive and structured learning materials to help you understand and master the topic of Pulmonary Hypertension for the MSRA.


In this subsection, you will find the following Pulmonary Hypertension MSRA resources:

  1. Pulmonary Hypertension Revision Notes for MSRA: Detailed and concise traditional revision notes covering all essential aspects of Pulmonary Hypertension, including its causes, symptoms, diagnosis, and treatment. These notes are based on UK NICE guidelines and formatted in tables for easy recall.
  2. Pulmonary Hypertension Flashcards for MSRA: Interactive flashcards to help you memorise key facts and concepts about Pulmonary Hypertension. These are perfect for quick reviews and reinforcing your knowledge for the MSRA exam.
  3. Pulmonary Hypertension Accordion Q&A Notes for the MSRA: Engage in active learning with question-and-answer style revision notes in the accordion format. This is useful for testing your understanding of Pulmonary Hypertension and focusing on areas needing improvement.
  4. Pulmonary Hypertension Rapid Fire Quiz for MSRA: A short quiz to test your knowledge and recall of Pulmonary Hypertension-related concepts. It’s an excellent way to assess your progress and pinpoint areas for further review.

Key Points about Pulmonary Hypertension:

  • Definition: Pulmonary hypertension (PH) is a condition characterised by elevated blood pressure in the pulmonary arteries, leading to increased workload on the right side of the heart.
  • Causes: Classified into five groups based on underlying cause: pulmonary arterial hypertension (e.g., idiopathic, connective tissue disease), left heart disease, lung disease/hypoxia (e.g., COPD, interstitial lung disease), chronic thromboembolic pulmonary hypertension (CTEPH), and unclear/multifactorial mechanisms.
  • Symptoms: Progressive dyspnoea, fatigue, chest pain, syncope, and palpitations. In advanced stages, signs of right heart failure such as peripheral oedema and ascites may occur.
  • Diagnosis: Based on clinical suspicion, echocardiography to estimate pulmonary artery pressure, right heart catheterisation for definitive diagnosis, and additional tests (e.g., CT pulmonary angiography, lung function tests) to identify the underlying cause.
  • Management: Depends on the type and severity of pulmonary hypertension. Includes diuretics, oxygen therapy, anticoagulation, specific pulmonary vasodilators (e.g., endothelin receptor antagonists, phosphodiesterase-5 inhibitors), and lifestyle modifications. Advanced cases may require lung transplantation.
  • Complications: Can lead to right ventricular failure, arrhythmias, thromboembolism, and, in severe cases, death.

We hope you find these MSRA revision resources helpful and engaging as you prepare for the MSRA.


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