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Kaplan Qbank USMLE



Author3 Posts
  #1

One should always test if patient shows vasoreactivity before starting him on NO or other vasodilators.

How to test for vasoreactivity....? never seen that done..,


  #2

Vasoreactivity is defined as a decrease in the mean pulmonary artery pressure by 20% or to normal values in PPH. This is done by meauring the pulmonary artery pressure during catheterisation by using nitrc oxide or epoprostenol.

If the patient shows a decrease in 20%, then he/she ahs a good prognosis and he could be palced on long term CCB's.

  #3

beside O2 and anticoagulation....prostacyclin PGI2 could make sense...

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