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Pulmonary Hypertension: A Case-Based Approach
Pulmonary hypertension is a progressive and debilitating condition characterized by elevated blood pressure in the pulmonary arteries, leading to impaired functioning of the heart and lungs. This case-based approach focuses on individual patient scenarios to understand the diverse causes, clinical presentations, and management strategies for pulmonary hypertension. Diagnostic tools such as echocardiography, right heart catheterization, and pulmonary function tests play crucial roles in establishing the diagnosis and determining the severity of pulmonary hypertension. Regular follow-up and monitoring of patients are essential to evaluate treatment response, adjust therapy if needed, and address potential complications associated with pulmonary hypertension. Supportive care, including exercise training, supplemental oxygen, and psychological support, plays a crucial role in improving quality of life for patients with pulmonary hypertension. Case discussions also focus on the multidisciplinary approach involving pulmonologists, cardiologists, rheumatologists, obstetricians, and other specialists to provide comprehensive care for patients with pulmonary hypertension. Treatment approaches for pulmonary hypertension include vasodilator therapy, diuretics, anticoagulation, and in advanced cases, lung transplantation. Case-based management involves tailoring treatment to the specific underlying cause, assessing disease severity, and considering individual patient factors such as age, comorbidities, and response to therapy. Research and advancements in the understanding of pulmonary hypertension have led to the development of targeted therapies, such as endothelin receptor antagonists, phosphodiesterase-5 inhibitors, and prostacyclin analogs, offering new treatment options.
About the Speaker
Dr MV Ramachandra
Consultant Pulmonologist Kauvery Hospitals.
Upcoming Case Discussions
Treatment of Renal Disease in ANCA Vasculitis
The treatment of renal disease in ANCA-associated vasculitis (AAV) typically involves a combination of immunosuppressive therapies to control inflammation and prevent further kidney damage. First-line treatment often includes high-dose corticosteroids and cyclophosphamide or rituximab, both of which help to induce remission by targeting the underlying immune system dysfunction. In cases of kidney failure or rapidly progressive glomerulonephritis, plasmapheresis may be used to remove circulating autoantibodies. Once remission is achieved, maintenance therapy with lower doses of immunosuppressants, such as azathioprine or mycophenolate mofetil, is used to prevent relapses and preserve kidney function.
Pulmonary Tuberculosis: Challenges in Diagnosis
Diagnosing pulmonary tuberculosis (TB) poses significant challenges, particularly in resource-limited settings. The disease often mimics other respiratory conditions, leading to delayed or missed diagnoses. Traditional diagnostic methods like sputum smear microscopy have limited sensitivity, especially in HIV co-infected or low-bacterial-load patients. Advanced techniques such as GeneXpert and culture tests, though more accurate, are often unavailable in remote areas. Children and immunocompromised patients present additional hurdles due to atypical symptoms and difficulty obtaining diagnostic samples. Non-specific imaging findings further complicate diagnosis. Addressing these challenges requires expanded access to molecular diagnostics, improved point-of-care tools, and greater healthcare awareness.
NIV in Acute Respiratory Failure
Dr Viny Kantroo is a Chest, Critical Care & Sleep medicine specialist based in Delhi, boasting over more than 15 years of professional experience. She is currently practising as a full time Senior consultant in Indraprastha Apollo Hospitals New Delhi and Visiting Consultant Apollo Hospitals Noida in the department of Respiratory, Critical Care and Sleep Medicine. She is recognised for her expertise in various aspects of Chest medicine, which includes EBUS (Convex probe, Radial), Bronchoscopic procedures, pleural effusion management, interstitial lung disease, Covid-19, lung cancer, pneumonia, and intensive care patient management. Dr Kantroo is renowned not only for her medical proficiency but also for her empathy and positive attitude towards patient care. Patients consulting with Dr Viny can be assured of receiving an accurate diagnosis and effective treatment, thanks to her commitment to prompt and comprehensive care.
AI in Genetics and Genomics
AI is revolutionizing genetics and genomics by enabling faster and more accurate analysis of complex genetic data. Machine learning algorithms can identify patterns in DNA sequences, helping to discover new genetic variants linked to diseases. Additionally, AI assists in predicting gene functions, personalizing medicine, and accelerating drug development. Its integration promises significant advancements in understanding genetic diseases and improving healthcare outcomes.
Management of Pediatric Type 1 Diabetes
Pediatric type 1 diabetes management focuses on maintaining glycemic control while supporting normal growth. Insulin therapy, via multiple daily injections or pumps, is essential, with doses adjusted based on blood glucose monitoring or continuous glucose monitoring (CGM). Nutrition plans emphasizing carbohydrate counting and balanced meals are crucial, alongside adjustments for physical activity to prevent glucose fluctuations. Education for families on recognizing hypo- and hyperglycemia symptoms and managing sick days is vital. Regular follow-ups with a pediatric endocrinologist help monitor HbA1c levels, growth, and complications. Psychosocial support is key for ensuring adherence and addressing emotional challenges.
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Dr MV Ramachandra 's Talks on Assimilate
- 27th-June-2023, TIME : 5:00PM - 6:00PM
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Pulmonary hypertension is a progressive and debilitating condition characterized by elevated blood pressure in the pulmonary arteries, leading to impaired functioning of the heart and lungs. This case-based approach focuses on individual patient scenarios to understand the diverse causes, clinical presentations, and management strategies for pulmonary hypertension. Diagnostic tools such as echocardiography, right heart catheterization, and pulmonary function tests play crucial roles in establishing the diagnosis and determining the severity of pulmonary hypertension. Regular follow-up and monitoring of patients are essential to evaluate treatment response, adjust therapy if needed, and address potential complications associated with pulmonary hypertension. Supportive care, including exercise training, supplemental oxygen, and psychological support, plays a crucial role in improving quality of life for patients with pulmonary hypertension. Case discussions also focus on the multidisciplinary approach involving pulmonologists, cardiologists, rheumatologists, obstetricians, and other specialists to provide comprehensive care for patients with pulmonary hypertension. Treatment approaches for pulmonary hypertension include vasodilator therapy, diuretics, anticoagulation, and in advanced cases, lung transplantation. Case-based management involves tailoring treatment to the specific underlying cause, assessing disease severity, and considering individual patient factors such as age, comorbidities, and response to therapy. Research and advancements in the understanding of pulmonary hypertension have led to the development of targeted therapies, such as endothelin receptor antagonists, phosphodiesterase-5 inhibitors, and prostacyclin analogs, offering new treatment options.