Get ACCP Pulmonary Medicine Board Review: 25th Edition PDF

By Multiple

ISBN-10: 0916609774

ISBN-13: 9780916609771

Directly from the ACCP Pulmonary medication Board evaluate 2009 path, this article covers each subject in a concise, easy-to-use structure. Use as a self-study source to organize for the pulmonary drugs subspecialty board exam.

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Additional resources for ACCP Pulmonary Medicine Board Review: 25th Edition

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Galie N, Rubin LJ, eds. Pulmonary arterial hypertension: epidemiology, pathobiology, assessment, and therapy. J Am Coll Cardiol 2004; 43(suppl):1S−90S 34 This entire supplement is devoted to PH, with articles by noted authorities. Geerts WH, Bergqvist D, Pineo GF, et al. Prevention of venous thromboembolism. American College of Chest Physicians evidence-based clinical practice guidelines. 8th ed. Chest 2008; 133:381S−453S Evidence-based recommendations on prevention of VTE in all surgical and medical populations.

Either single- or double-lung transplantation are options, but surgeons in most centers prefer double transplantation because of concerns about postoperative reperfusion injury after a single-lung transplant. Experience has shown that lung transplant recipients with primary PH have survival rates of 73% at 1 year, 55% at 3 years, and 45% at 5 years. Obliterative bronchiolitis is a common complication in transplant patients with PAH. The recurrence of PAH after lung transplantation has not been reported in the transplanted lung.

The use of two or more drugs may allow for dosing below the levels that cause important side effects. A few small studies have confirmed this theory, but more data are needed before firm recommendations can be made. Authors of the American College of Chest Physicians evidence-based guideline published updated guidance for medical therapy for PH in June 2007. Their overall recommended approach is shown in Figure 4. If pharmacologic treatment fails, surgical (the sixth line) treatment (lung transplantation or atrial septostomy) should be considered.

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ACCP Pulmonary Medicine Board Review: 25th Edition by Multiple


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