Unexplained dyspnea may have many causes, which is why patients must have a complete diagnostic work-up to rule out pulmonary hypertension (PH) as a root cause. The differential diagnosis of PH is multifaceted and should be a collaborative effort between the community healthcare provider and the PH specialist at the PH center. Many diagnostic evaluations may be performed outside of the PH center, but right heart catheterization, which is the definitive procedure, and adjoining tests should be performed at the center. Newer and emerging diagnostic imaging techniques may also prove helpful, particularly in diagnosing chronic thromboembolism leading to chronic thromboembolic pulmonary hypertension. This program reviews the diagnostic approach to determining whether PH is the root cause of patients’ dyspnea and considers when community physicians, having created an index of suspicion for PH, should immediately refer their patients to the PH center for a full work-up.
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Sleuthing Unexplained Dyspnea: Diagnostic Tools
Sleuthing Unexplained Dyspnea: Diagnostic Tools
Your patient has unexplained dyspnea. Do you know why? Review the process of determining whether pulmonary hypertension is the root cause.
Overview
Target Audience
This activity has been designed to meet the educational needs of physicians, registered nurses, pharmacists and other healthcare professionals involved in the care of patients with pulmonary hypertension.
Learning Objectives
After participating in this educational activity, participants should be better able to:
- Review the potential causes of unexplained dyspnea and the implications of delayed diagnosis of underlying causes as they pertain to pulmonary hypertension
- Discuss collaborative diagnostic roles of the community physician and the PH specialty center in determining the potential presence of pulmonary hypertension and the need for expedient referral to the specialty center
- Compare and contrast the diagnostic tools available to determine the presence, cause and severity of pulmonary hypertension and newer diagnostic modalities that are influencing the diagnostic process
- Review the necessary diagnostic values and implications needed to create an “index of suspicion” that pulmonary hypertension is at the core of a patient’s unexplained dyspnea
Accreditation and Credit Designation Statements
In support of improving patient care, this activity has been planned and implemented by Global Learning Collaborative (GLC) and TotalCME, Inc. GLC is jointly accredited by the American Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE) and the American Nurses Credentialing Center (ANCC) to provide continuing education for the healthcare team.
This activity was planned by and for the healthcare team, and learners will receive 1.0 Interprofessional Continuing Education (IPCE) credit for learning and change.Faculty Disclosure of Commercial Relationships
In accordance with the ACCME Standards for Integrity and Independence, Global Learning Collaborative (GLC) requires that individuals in a position to control the content of an educational activity disclose all relevant financial relationships with any ineligible company. GLC mitigates all conflicts of interest to ensure independence, objectivity, balance, and scientific rigor in all its educational programs.
The following faculty has reported relationships with ineligible companies:
Ioana Preston, MD, faculty for this educational event, receives research funds from Janssen, United Therapeutics and PhaseBio; and receives consulting fees from Janssen, United Therapeutics, Altavant, Respira, Gossamer and Liquidia.
All the relevant financial relationships for these individuals have been mitigated.
Planners and Managers Disclosure List
The following reviewers/planners have reported no relationships with ineligible companies:
Dixon W. Wilde, PhD., FAHA, planner for this educational event, has no relevant financial relationships with ineligible companies.
Chad McQueen, PharmD, planner for this educational event, has no relevant financial relationships with ineligible companies.
William Mencia, MD, FACEHP, CHCP, planner for this educational event, has no relevant financial relationships with ineligible companies.
All the relevant financial relationships for these individuals have been mitigated.
Provider(s)/Educational Partner(s)
Jointly provided by Global Learning Collaborative (GLC) and TotalCME, Inc.
Commercial Support
This activity is supported by educational grants from Actelion Pharmaceuticals US, Division of Janssen Pharmaceuticals and United Therapeutics Corporation.
Disclaimer
The views and opinions expressed in this educational activity are those of the faculty and do not necessarily represent the views of GLC and TotalCME, Inc. This presentation is not intended to define an exclusive course of patient management; the participant should use his/her clinical judgment, knowledge, experience, and diagnostic skills in applying or adopting for professional use any of the information provided herein. Any procedures, medications, or other courses of diagnosis or treatment discussed or suggested in this activity should not be used by clinicians without evaluation of their patient's conditions and possible contraindications or dangers in use, review of any applicable manufacturer’s product information, and comparison with recommendations of other authorities. Links to other sites may be provided as additional sources of information. Once you elect to link to a site outside of MedEd On The Go you are subject to the terms and conditions of use, including copyright and licensing restriction, of that site.
Reproduction Prohibited
Reproduction of this material is not permitted without written permission from the copyright owner.System Requirements
Our site requires a computer, tablet, or mobile device and a connection to the Internet. For best results, a high-speed Internet connection is recommended (DSL/Cable/Fibre). We also recommend using the latest version of your favorite browser to ensure compliance with W3C standards, such as Chrome, Safari, Firefox, or Microsoft Edge.
Overview
Unexplained dyspnea may have many causes, which is why patients must have a complete diagnostic work-up to rule out pulmonary hypertension (PH) as a root cause. The differential diagnosis of PH is multifaceted and should be a collaborative effort between the community healthcare provider and the PH specialist at the PH center. Many diagnostic evaluations may be performed outside of the PH center, but right heart catheterization, which is the definitive procedure, and adjoining tests should be performed at the center. Newer and emerging diagnostic imaging techniques may also prove helpful, particularly in diagnosing chronic thromboembolism leading to chronic thromboembolic pulmonary hypertension. This program reviews the diagnostic approach to determining whether PH is the root cause of patients’ dyspnea and considers when community physicians, having created an index of suspicion for PH, should immediately refer their patients to the PH center for a full work-up.
Target Audience
This activity has been designed to meet the educational needs of physicians, registered nurses, pharmacists and other healthcare professionals involved in the care of patients with pulmonary hypertension.
Learning Objectives
After participating in this educational activity, participants should be better able to:
- Review the potential causes of unexplained dyspnea and the implications of delayed diagnosis of underlying causes as they pertain to pulmonary hypertension
- Discuss collaborative diagnostic roles of the community physician and the PH specialty center in determining the potential presence of pulmonary hypertension and the need for expedient referral to the specialty center
- Compare and contrast the diagnostic tools available to determine the presence, cause and severity of pulmonary hypertension and newer diagnostic modalities that are influencing the diagnostic process
- Review the necessary diagnostic values and implications needed to create an “index of suspicion” that pulmonary hypertension is at the core of a patient’s unexplained dyspnea
Accreditation and Credit Designation Statements
In support of improving patient care, this activity has been planned and implemented by Global Learning Collaborative (GLC) and TotalCME, Inc. GLC is jointly accredited by the American Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE) and the American Nurses Credentialing Center (ANCC) to provide continuing education for the healthcare team.
This activity was planned by and for the healthcare team, and learners will receive 1.0 Interprofessional Continuing Education (IPCE) credit for learning and change.Faculty Disclosure of Commercial Relationships
In accordance with the ACCME Standards for Integrity and Independence, Global Learning Collaborative (GLC) requires that individuals in a position to control the content of an educational activity disclose all relevant financial relationships with any ineligible company. GLC mitigates all conflicts of interest to ensure independence, objectivity, balance, and scientific rigor in all its educational programs.
The following faculty has reported relationships with ineligible companies:
Ioana Preston, MD, faculty for this educational event, receives research funds from Janssen, United Therapeutics and PhaseBio; and receives consulting fees from Janssen, United Therapeutics, Altavant, Respira, Gossamer and Liquidia.
All the relevant financial relationships for these individuals have been mitigated.
Planners and Managers Disclosure List
The following reviewers/planners have reported no relationships with ineligible companies:
Dixon W. Wilde, PhD., FAHA, planner for this educational event, has no relevant financial relationships with ineligible companies.
Chad McQueen, PharmD, planner for this educational event, has no relevant financial relationships with ineligible companies.
William Mencia, MD, FACEHP, CHCP, planner for this educational event, has no relevant financial relationships with ineligible companies.
All the relevant financial relationships for these individuals have been mitigated.
Provider(s)/Educational Partner(s)
Jointly provided by Global Learning Collaborative (GLC) and TotalCME, Inc.
Commercial Support
This activity is supported by educational grants from Actelion Pharmaceuticals US, Division of Janssen Pharmaceuticals and United Therapeutics Corporation.
Disclaimer
The views and opinions expressed in this educational activity are those of the faculty and do not necessarily represent the views of GLC and TotalCME, Inc. This presentation is not intended to define an exclusive course of patient management; the participant should use his/her clinical judgment, knowledge, experience, and diagnostic skills in applying or adopting for professional use any of the information provided herein. Any procedures, medications, or other courses of diagnosis or treatment discussed or suggested in this activity should not be used by clinicians without evaluation of their patient's conditions and possible contraindications or dangers in use, review of any applicable manufacturer’s product information, and comparison with recommendations of other authorities. Links to other sites may be provided as additional sources of information. Once you elect to link to a site outside of MedEd On The Go you are subject to the terms and conditions of use, including copyright and licensing restriction, of that site.
Reproduction Prohibited
Reproduction of this material is not permitted without written permission from the copyright owner.System Requirements
Our site requires a computer, tablet, or mobile device and a connection to the Internet. For best results, a high-speed Internet connection is recommended (DSL/Cable/Fibre). We also recommend using the latest version of your favorite browser to ensure compliance with W3C standards, such as Chrome, Safari, Firefox, or Microsoft Edge.
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