PHTY300 Lecture Notes - Lecture 24: Vascular Resistance, Pulmonary Hypertension, Ventricular Remodeling
Document Summary
Increase hr and rr at rest: pre-syncope/syncope, chest pain/tightness, deconditioning, peripheral oedema, hepatomegaly, anxiety, diagnosis, cardiac function, right heart cardiac catheter, cardiac magnetic resonance imaging. L and r ventricular end diastolic volume and end systolic volume. Full blood count polycythaemia from copd / osa. Liver fx test clinical evidence cirrhosis, portal hypertension. Describe the adaptations achieved by exercise training for patients with pulmonary hypertension. Shown to: exercise capacity, muscular function muscle oxidative capacity and capillary density, qol, o2 delivery through improved cardiac fx (possible rv, in pulmonary haemodynamic with a lowering of pap. Discuss strategies to address the prevention of, and risk factor modification for patients with pulmonary hypertension. Mobility, balance, orthopaedic limitations, cognitive fx: exercise prescription in pah, high risk category, exercise is individualised and based on. 300 m, or changes in spo2 between rest and peak distance is comparable to pts with mod/sever copd, desaturation 26% in death for each 1% desaturated.
