Pulmonary Hypertensionn by Slidesgo.pptx

Hipertensión pulmonar en recién nacidos

1. Hipertensión pulmonar Gerlisma Ospino Durant

2. Introducción La hipertensión pulmonar no es una enfermedad sino una condición hemodinámica que puede estar asociada a diferentes patologías y que, en la mayoría de los casos, es progresiva y limitante, y además causa gran morbilidad y mortalidad asociada. En los niños clásicamente se considera como una entidad infrecuente, cuya incidencia y prevalencia son subestimadas.

3. Definición Se define hipertensión pulmonar como un valor de presión pulmonar media mayor de 25 mm Hg en ninos ˜ mayores de 3 meses y que habiten a nivel del mar. En niños menores, prematuros y los de muy bajo peso, no existe una definición establecida y la aplicación de la anterior es debatible ya que es frecuente observar presión sistémica media ≤ 70 mm Hg

4. Etiología y clasificación En la población pediátrica la causa más frecuente de hipertensión arterial pulmonar es la asociada con cardiopatías congénitas, idiopática y hereditaria (casi el 80% en muchas series) y muchas veces de orden multifactorial.

5. Diagnóstico El diagnóstico inicial es tan importante como para cualquier enfermedad, así como lo son una historia clínica y un examen físico completos sumados a exámenes diagnósticos que permitan establecer la etiología/clasificación y el estado funcional del corazón. La radiografía de tórax, el electrocardiograma el ecocardiograma forman parte fundamental de la aproximación inicial. Este último es el examen de elección para tamizaje, y es útil además para evaluar y descartar algunas causas, así como para valorar la función del ventrículo derecho y algunos factores pronósticos en el seguimiento no invasivo.

6. Diágnostico

7. Tratamiento y seguimiento Durante los últimos años ha habido importantes avances en el manejo, aunque en Pediatría el uso de muchas medicaciones vasodilatadoras pulmonares específicas es off- label o en forma compasiva, por ausencia de estudios suficientes en niños. El manejo consiste en la llamada terapia de soporte y medicaciones específicas

8. Gracias

9. Risk factors Many diseases occur more frequently in certain age brackets Some diseases have a hereditary component and can be passed down through families Exposure to certain substances in the environment can increase the risk of developing some diseases A personal or family history of certain illnesses can increase the risk of developing related or similar conditions Age Genetics Lifestyle Certain behaviors can increase the risk of developing certain illnesses Some illnesses are more common in one gender than the other Environment Medical history Gender

10. Patients treated 85% Success rate 10,000 1,000 Suffered secondary effects

11. Investment in disease research is crucial for improving public health outcomes, advancing medicine and improving quality of life for patients, which in turn has the potential for significant economic growth and global health benefits $1 billion

12. Disease prevalence Follow the link in the map to modify its data and then paste the new one here. For more info, click here 15-30% of the population in these regions are affected by the disease 6-14% of the population in these regions are affected by the disease 0-5% of the population in these regions are affected by the disease

13. Symptoms and diagnosis Follow the link in the graph to modify its data and then paste the new one here. For more info, click here Most common symptoms Use this slide to display the most common symptoms of the disease being discussed. Include a graph with a clear title and labels for each axis. You can also explain how the disease is diagnosed, including the types of tests or procedures used, to help your audience understand how it is identified and treated

14. Risk factors Description Prevalence Contributing factors Complications Severity Enter the risk factors here In this part, include a brief description 80% of cases Enter the contributing factors here In this part, enter the complications of the disease High Enter the risk factors here In this part, include a brief description 30% of cases Enter the contributing factors here In this part, enter the complications of the disease Moderate Enter the risk factors here In this part, include a brief description 40% of cases Enter the contributing factors here In this part, enter the complications of the disease High Enter the risk factors here In this part, include a brief description 10% of cases Enter the contributing factors here In this part, enter the complications of the disease Moderate Risk factors and complications

15. Disease history Discovery of the disease Early research First treatment Milestone discoveries Breakthrough treatment Epidemic outbreak Current research Future directions Event 1 Event 2 Event 3 Event 4 Event 5 Event 6 Event 7 Event 8

16. Diagnosis and treatment flowchart Start Diagnostic test Patient symptoms Diagnosis confirmed List the symptoms that the patient is experiencing: Enter the symptoms of the patient Enter the symptoms of the patient Enter the symptoms of the patient List the diagnostic tests that were performed: Enter the diagnostic test performed Enter the diagnostic test performed Enter the diagnostic test performed Prescribe treatment List the recommended treatment options Enter the treatment options Enter the treatment options Enter the treatment options End This step represents the confirmation or ruling out of a specific disease diagnosis based on the results of the diagnostic tests

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18. Region Number of cases Percentage of cases North 1,000 20% South 2,500 50% East 1,200 24% Disease management Number of cases of the disease over time Follow the link in the graph to modify its data and then paste the new one here. For more info, click here Describe the trend of the disease cases over time Provide key insights or observations about the graph Explain any significant changes or patterns in the graph List the regions or areas that are relevant for the disease Enter the number of cases for each region, area or country Describe any notable variations or trends among the regions Provide additional details or observations about the table

19. Disease overview and conclusions Information Causes Enter in this section specific information about causes Symptoms Enter in this section specific information about symptoms Diagnosis Enter in this section specific information about the diagnosis Treatment Enter in this section specific information about the treatment Prevention Enter in this section specific information about prevention Key findings Summarize the most important or relevant aspects of the disease Use bullet points to present the key findings in a clear and organized manner Conclusions In this section, summarize the key findings from the disease study Provide an overview of the implications for the current diagnosis and treatment plan 1 2

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