Surgeons

A comprehensive updated guideline on the diagnosis and management of patients with pulmonary hypertension from the European Society of Cardiology and the European Respiratory Society. James W. Mold, MD, MPH

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Pulmonary hypertension (PH) is a pathophysiological disorder that may involve multiple clinical conditions and may be associated with a variety of cardiovascular and respiratory diseases. The complexity of managing PH requires a multifaceted, holistic, and multidisciplinary approach, with active involvement of patients with PH in partnership with clinicians. Streamlining the care of patients with PH in daily clinical practice is a challenging but essential requirement for effectively managing PH. In recent years, substantial progress has been made in detecting and managing PH, and new evidence has been timeously integrated in this fourth edition of the ESC/ERS Guidelines for the diagnosis and treatment of pulmonary hypertension. Reflecting the multidisciplinary input into managing patients with PH and interpreting new evidence, the Task Force included cardiologists and pneumologists, a thoracic surgeon, methodologists, and patients. These comprehensive clinical practice guidelines cover the whole spectrum of PH, with an emphasis on diagnosing and treating pulmonary arterial hypertension (PAH) and chronic thrombo-embolic pulmonary hypertension (CTEPH).

Author/s:

Humbert, M., Kovacs, G., Hoeper, M. M., Badagliacca, R., Berger, R. M. F., Brida, M., Carlsen, J., Coats, A. J. S., Escribano-Subias, P., Ferrari, P., Ferreira, D. S., Ghofrani, H. A., Ginnakoulas, G., Kiely, D. G., Mayer, E., Meszaros, G., Nagavci, B., Olsson, K. M., Pepke-Zaba, J., Quint, J. K., Rådegran, G., Simonneau, G., Sitbon, O., Tonia, T., Toshner, M., Vachiery, J. L., Noordegraaf, A. V., Delcroix, M., Rosenkranz, S., ESC/ERS Scientific Document Group

2022 ESC/ERS Guidelines for the diagnosis and treatment of pulmonary hypertension

Aubrey Delammermore — Thu, 08 Sep 2022 23:15:04 +0000

Date Added:

September 8, 2022

Journal/Publication:

European Heart Journal

URL:

2022 ESC/ERS Guidelines for the diagnosis and treatment of pulmonary hypertension

Format:

Article

DOI (1):

10.1093/eurheartj/ehac237

Keywords

Chronic Thrombo-embolic pulmonary hypertension

clinical practice

cardiovascular

respiratory disease

Pathophysiological disorder

PMID (1):

36017548

MeSH

Surgeons

Cardiologists

Hypertension, Pulmonary

Pulmonary Arterial Hypertension

pulmonary embolism

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Author/s:

Infant with edematous, erythematous toe

Bethie Seay — Thu, 14 Oct 2021 05:00:00 +0000

Date Added:

October 14, 2021

Journal/Publication:

MDedge

Publication Date:

October 7, 2021

Type:

Meta-analyses, Reviews, and Guidelines

A picture and explanation of hair tourniquet syndrome in an infant. Worth knowing about.

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A 3-month-old baby presented with a tender and swollen fourth toe and increasing irritability. On examination, the distal portion of the digit was pale and cold to the touch. There was a delay in capillary refill time.

What’s your diagnosis?

Author/s:

Osmani, S., Stulberg, D., Osmani, O.

Unhealthy alcohol use in a 65-year-old man awaiting surgery

Bethie Seay — Tue, 17 Aug 2021 05:00:00 +0000

Date Added:

August 17, 2021

Type:

Meta-analyses, Reviews, and Guidelines

DOI (1):

10.1503/cmaj.202128

MeSH

substance withdrawal syndrome

Not surprisingly, unhealthy levels of alcohol use is associated with surgical complications. Adressing it through screening and clinical management could improve outcomes.

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Three months before elective hip arthroplasty, a 65-yearold man with osteoarthritis presents to his family physician to discuss his alcohol consumption. His surgeon had expressed concern and advised him to speak to his family physician about decreasing his drinking before surgery. He reports drinking around 6 to 10 ounces of whiskey daily for the past 5 years. His alcohol intake increased gradually after retirement, and he now has cravings daily. He recently abstained from alcohol for 4 days while visiting family and developed irritability, tremor, nausea and headache. He has never had withdrawal seizures or delirium tremens, and he does not use any other substances. He is otherwise healthy, apart from hypertension that is controlled with perindopril. He is alarmed by his cravings, withdrawal symptoms and surgeon’s concerns, and is considering decreasing his alcohol use.

Author/s:

Brothers, T. D., Kaulbach, J., Tran, A.