This is Dr. Shreya Trevetti an internist at Bethisodekness Medical Center.

And this is Adam Rodman, also a general internist at BIDMC.

And this is Dr. Hannah Robertson, a resident at the ADMC. This is the Core I am

Five Pearls podcast bringing you high-yield evidence-based pearls. Today I'm

super excited to delve into pulmonary hypertension and unpack what the echo can tell us about pulmonary hypertension also known as pH.

Oh man, Hannah, I love this so much because sometimes I feel like I don't know 50% of the echoes that

I order come back with a mention of some sort of mild moderate pulmonary

hypertension. Yeah I a hundred percent echo that feeling Adam pun intended but in all seriousness sometimes I feel like it can be easy to underappreciate these findings

A patient of mine yesterday told me her exact words were I would rather feel pain than not

being able to breathe this much.

And I mean, I just listened to her and felt a fire of motivation inside of me for us to try to do better by these patients and so there's the suffering there's the

human component of it. That's Dr. Unjali Vivavia, a cardiologist and

co-director of the pulmonary hypertension program at Temple University Hospital

and she's going to help us all do better by these patients.

All right, let's get into the purls we're going to be covering in this episode.

Test yourself by pausing after each of the five questions.

Remember, the more you test yourself, the deeper your learning gains.

Pearl 1. Interpreting the pulmonary artery systolic pressure on echo.

All right, how reliable is the pulmonary artery systolic pressure or PASP on the echo,

and what should you be trending over time on the echo?

Pearl two, confounding clinical scenarios.

What are some acute clinical scenarios that might affect the PSP on the echo? echo.

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