Directly from the ACCP Pulmonary drugs Board overview 2009 direction, this article covers each subject in a concise, easy-to-use layout. Use as a self-study source to organize for the pulmonary drugs subspecialty board exam.
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Extra info for ACCP Pulmonary Medicine Board Review: 25th Edition
Streptokinase, urokinase, and tissue plasminogen activator are approved for use in the United States. Thrombolytic treatment of DVT has been associated with decreased pain, swelling, loss of venous values, and a reduced incidence of postphlebitic syndrome. For the treatment of PE, thrombolytic agents produce more rapid resolution of intravascular abnormalities than have been Pulmonary Vascular Diseases (Moores) . demonstrated by either V/Q lung scans or pulmonary angiography. However, no proven effect on mortality has yet been demonstrated.
Importantly, it has been found to be an independent predictor of survival in patients with PAH. Treatment of PAH No treatment for PAH has been found to achieve a cure for this devastating disease. There are six main types of treatment for PAH. The first is prevention. Because some forms of PAH have clear causal mechanisms, these factors should be eliminated where possible. The second line of treatment is screening of high-risk patients (as previously discussed) because it is generally believed that earlier diagnosis and treatment may improve outcomes.
The major changes noted in these revisions were as follows: (1) abandonment of the term secondary PH and (2) the replacement of the term primary PH with idiopathic pulmonary arterial hypertension (IPAH) or, when supported by genetic testing, familial pulmonary arterial hypertension (FPAH). PAH is a subset of PH that is defined as a mean PAP of Ͼ 25 mm Hg at rest or Ͼ 30 mm Hg during exercise with a normal pulmonary capillary wedge pressure (Ͻ 15 mm Hg) and a lesion localized to the pulmonary arteriole.