EMCrit Podcast Podcast 181 – Pulmonary Hypertension and Right Ventricular Failure with Susan Wilcox
14 snips
Sep 5, 2016 
Susan Wilcox, an emergency medicine intensivist and researcher focused on pulmonary hypertension and right ventricular failure. She discusses who is at risk and key warning symptoms. Bedside ultrasound and CT clues for recognition are highlighted. Practical management tips cover vasopressors, inotropes, fluids, intubation risks, and prostacyclin pump emergencies.
AI Snips
Chapters
Transcript
Episode notes
Resuscitation That Killed An Undiagnosed RV Patient
- Susan Wilcox recounts a patient who coded after textbook resuscitation and later was found to have severe chronic pulmonary hypertension.
- That case prompted her to study and write about pulmonary hypertension in emergency medicine.
Pulmonary Hypertension Is Underdiagnosed
- Pulmonary hypertension is frequently underrecognized and can take years to diagnose.
- Common US causes include left-sided heart failure, COPD, OSA, interstitial lung disease, and rheumatologic disease.
Refer Unexplained Dyspnea For Echo
- If dyspnea and syncope workup is unrevealing, refer for outpatient echocardiography.
- Consider pulmonary hypertension when patients repeatedly return with unexplained dyspnea.