Pulmonary Arterial Hypertension

Time: 45 minutes

Audience: Internal Medicine Interns and Residents

Learning Objectives:

• Define pulmonary hypertension 

• Review the five WHO group categories for pulmonary hypertension

• Describe the underlying pathophysiology of pulmonary arterial hypertension and the four major classes of medication

• Develop a framework for identification and management of acute inpatient complications in a patient with pulmonary arterial hypertension

Please click on the above image to view the slides

Evaluations:

• Resident Evaluations 2019

Reflections: I feel the scope was appropriate for internal medicine interns and residents with the aim to provide an overview for a complex topic as well as deliver concrete and practical take-aways for the time on the wards. In future iterations I may add a slide illustrating why volume status is so difficult in these patients. I discussed this point verbally, but it might help to have a slide accompanying it. Additionally topics on the supplemental material did come up (such as the work-up for elevated PASP noted on an echocardiogram). There were some comments from residents requesting clinical cases to consolidate learning. In the next iteration (time permitting) I will include a few cases.