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Related Concept Videos

Pulmonary Embolism III: Nursing Management01:27

Pulmonary Embolism III: Nursing Management

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A pulmonary embolism occurs when a thrombus, amniotic fluid, tumor tissue, fat, or air embolus blocks one or more pulmonary arteries. Effective nursing management and patient education are crucial for improving outcomes and preventing recurrence.Nursing management starts with obtaining a comprehensive patient history, particularly noting any history of deep vein thrombosis (DVT). Assess for clinical manifestations, including dyspnea, chest pain, crackles, heart murmurs, and signs of right-sided...
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Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care01:29

Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care

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Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...
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Venous Thrombosis III: Interprofessional Care01:29

Venous Thrombosis III: Interprofessional Care

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Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
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Venous Thrombosis IV: Nursing Management01:30

Venous Thrombosis IV: Nursing Management

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Nursing management begins with a thorough assessment of the patient's health history. Key factors include trauma to veins, peripherally inserted central catheters, varicose veins, recent pregnancy or childbirth, surgery, bacteremia, prolonged bed rest, atrial fibrillation, COPD, heart failure, cancer, coagulation disorders, myocardial infarction, spinal cord injury, stroke, prolonged travel, recent bone fractures, and dehydration. Review medication intake, particularly oral contraceptives,...
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Pulmonary Embolism I: Introduction01:29

Pulmonary Embolism I: Introduction

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Pulmonary embolism (PE) occurs when a thrombus, fat or air embolus, amniotic fluid, or tumor tissue blocks one or more pulmonary arteries. These blockages originate in the venous system or the right side of the heart.EtiologyPE primarily arises from deep vein thrombosis (DVT) and other hypercoagulable states, such as inherited thrombophilias. Additional etiological factors include venous stasis, commonly seen in obesity, and endothelial injury from surgery and trauma. Less common causes include...
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Treatment for Pulmonary Arterial Hypertension: Receptor Tyrosine Kinase Inhibitors and Calcium Channel Blockers01:26

Treatment for Pulmonary Arterial Hypertension: Receptor Tyrosine Kinase Inhibitors and Calcium Channel Blockers

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Receptor tyrosine kinase inhibitors (TKIs) and calcium channel blockers (CCBs) are two critical categories of drugs employed in the treatment of pulmonary artery hypertension (PAH). PAH is a disease that causes high blood pressure in the pulmonary arteries, resulting in chest pain, fatigue, and shortness of breath.
TKIs, such as imatinib (Gleevec), are particularly effective in tackling the growth and mitogenic factors that become upregulated in PAH patients. These factors contribute to the...
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Related Experiment Video

Updated: Jul 24, 2025

Chronic Thromboembolic Pulmonary Hypertension and Assessment of Right Ventricular Function in the Piglet
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Published on: November 4, 2015

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Lessons learned in developing a chronic thromboembolic pulmonary hypertension program.

Nancy D Bair1, Gustavo A Heresi

  • 1Department of Pulmonary Medicine, Respiratory Institute Cleveland Clinic, Cleveland, Ohio, USA.

Current Opinion in Pulmonary Medicine
|July 3, 2023
PubMed
Summary
This summary is machine-generated.

Building a successful Chronic Thromboembolic Pulmonary Hypertension (CTEPH) team is crucial. A multidisciplinary approach with expert specialists is essential for optimal patient outcomes in CTEPH treatment.

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Area of Science:

  • Cardiology
  • Pulmonology
  • Vascular Surgery

Background:

  • Chronic thromboembolic pulmonary hypertension (CTEPH) is a severe, underdiagnosed condition.
  • Traditional treatment involves pulmonary thrombendarterectomy (PTE), but new therapies like balloon pulmonary angioplasty (BPA) and medical management have emerged.
  • This evolution necessitates a re-evaluation of CTEPH care models.

Approach:

  • This review outlines the essential components for establishing a high-functioning CTEPH team.
  • It emphasizes the need for a multidisciplinary approach involving specialists in pulmonary hypertension, PTE surgery, BPA, radiology, anesthesia, and vascular medicine/hematology.
  • The importance of dedicated expertise, sufficient volume, and rigorous assessment of imaging and hemodynamic data for operability is highlighted.

Key Points:

  • A successful CTEPH center requires a dedicated, multidisciplinary team.
  • Expertise in pulmonary hypertension, PTE, and BPA is critical.
  • Multimodality treatment strategies, combining surgery, BPA, and medical therapy, are increasingly used.

Conclusions:

  • Establishing an expert CTEPH center demands a collaborative team of specialists.
  • Developing experience and achieving high patient volumes are key to improving outcomes.
  • A comprehensive, multidisciplinary approach ensures optimal management of CTEPH.