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Ralph Matar (talk | contribs) (New page: {{Pulmonary hypertension}} {{CMG}} ==Lab== *Biochemistry,hematology and Thyroid function tests are required in all patients with pulmonary Hypertension.(Important for diagnosis of Chronic...) |
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==Lab== | ==Lab== | ||
*Biochemistry,hematology and Thyroid function tests are required in all patients with pulmonary | *Biochemistry,hematology and Thyroid function tests are required in all patients with pulmonary hypertension.(Important for diagnosis of chronic hemolytic anemia,myeloproliferative disorders,thyroid disorders chronic renal failure on dialysis). | ||
* Serologic testing to detect Connective tissue diseases( | * Serologic testing to detect Connective tissue diseases(systemic sclerosis), HIV and Hepatitis. | ||
'''Systemic sclerosis''' is very important to exclude in pulmonary hypertension | '''Systemic sclerosis''' is very important to exclude in pulmonary hypertension because this systemic disease has a very high prevalence of pulmonary arterial hypertension.Anti-Scl-70, anti-centromere,and U3-RNP are typically positive. | ||
*Liver function tests to exclude portal hypertension. | *Liver function tests to exclude portal hypertension. | ||
*Both ANP and BNP have been shown to correlate with the survival in Idiopathic Pulmonary Hypertension,However NT-proBNP | *Both ANP and BNP have been shown to correlate with the survival in Idiopathic Pulmonary Hypertension,However NT-proBNP appears to be an independant predictor of survival and correlates with RV dysfunction. | ||
*Serum uric acid: reflects impaired oxidative metabolism of ischemic peripheral tissues.. | *Serum uric acid: reflects impaired oxidative metabolism of ischemic peripheral tissues.. | ||
Revision as of 17:56, 8 September 2011
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Lab
- Biochemistry,hematology and Thyroid function tests are required in all patients with pulmonary hypertension.(Important for diagnosis of chronic hemolytic anemia,myeloproliferative disorders,thyroid disorders chronic renal failure on dialysis).
- Serologic testing to detect Connective tissue diseases(systemic sclerosis), HIV and Hepatitis.
Systemic sclerosis is very important to exclude in pulmonary hypertension because this systemic disease has a very high prevalence of pulmonary arterial hypertension.Anti-Scl-70, anti-centromere,and U3-RNP are typically positive.
- Liver function tests to exclude portal hypertension.
- Both ANP and BNP have been shown to correlate with the survival in Idiopathic Pulmonary Hypertension,However NT-proBNP appears to be an independant predictor of survival and correlates with RV dysfunction.
- Serum uric acid: reflects impaired oxidative metabolism of ischemic peripheral tissues..