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When Is It Not PAH?

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The hemodynamic definition of pulmonary arterial hypertension (PAH) provides sensitive diagnostic criteria, but these criteria are often mistaken to be equally specific. The discussion will emphasize ways to identify non-PAH patients with chronic heart failure, normal wedge pressures, and hypoxic lung disease, specifically discussing hemodynamic clues and whether “out of proportion” PH is a viable concept.

Course Objectives

After completing this online course, you will be able to:

  • Recognize that hemodynamics consistent with PAH are nonspecific to that diagnosis.
  • Recognize both hemodynamic and clinical clues that can differentiate types of PH.
  • Assimilate diverse approaches to challenging patients into a systematic, personalized clinical plan.

Supported in part by an independent educational grant from Actelion Pharmaceuticals US, Inc.
Supported in part by an educational grant from Bayer HealthCare Pharmaceuticals Inc.
Supported in part by an educational grant from United Therapeutics Corporation.

Item Number: 7207.59

Faculty

John Kingrey, MD
Director of Pulmonary Hypertension Center
Integris Baptist Medical Center
Oklahoma City, OK

Sandeep Sahay, MD, FCCP
Assistant Professor,
Division of Pulmonary and Critical Care Medicine,
Department of Internal Medicine,
Weill Cornell Medical College,
Houston Methodist Hospital,
Houston, TX

Physician Credit
The American College of Chest Physicians is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The American College of Chest Physicians designates this enduring material for a maximum of .5 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Nursing Credit
Provider approved by the California Board of Registered Nursing, Provider Number 16433, for .5 contact hours.

Nurse Practitioners
The American Academy of Nurse Practitioners Certification Program (AANPCP) accepts AMA PRA Category 1 CreditTM from organizations accredited by the ACCME. Individuals are responsible for checking with the AANPCP for further guidelines.

Physician Assistants
American Academy of Physician Assistants (AAPA) accepts certificates of participation for educational activities certified for AMA PRA Category 1 Credit™ from organizations accredited by ACCME or a recognized state medical society. PAs may receive a maximum of .5 Category 1 credit for completing this activity.

Maintenance of Certification Statement
Successful completion of this CME activity enables the participant to earn up to .5 MOC points in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC points.

Upon successful completion of this course, CHEST will submit your completion data to ABIM via ACCME's Program and Activity Reporting System (PARS) for MOC points. Please allow 3-5 business days after claiming for points to be reflected on your ABIM record.

DISCLAIMER
The American College of Chest Physicians (“CHEST”) and its officers, regents, executive committee members, members, related entities, employees, representatives and other agents (collectively, “CHEST Parties”) are not responsible in any capacity for, do not warrant and expressly disclaim all liability for, any content whatsoever in any CHEST publication or other product (in any medium) and the use or reliance on any such content, all such responsibility being solely that of the authors or the advertisers, as the case may be. By way of example, without limiting the foregoing, this disclaimer of liability applies to the accuracy, completeness, effectiveness, quality, appearance, ideas, or products, as the case may be, of or resulting from any statements, references, articles, positions, claimed diagnosis, claimed possible treatments, services, or advertising, express or implied, contained in any CHEST publication or other product. Furthermore, the content should not be considered medical advice and is not intended to replace consultation with a qualified medical professional. Under no circumstances, including negligence, shall any of CHEST Parties be liable for any DIRECT, INDIRECT, INCIDENTAL, SPECIAL or CONSEQUENTIAL DAMAGES, or LOST PROFITS that result from any of the foregoing, regardless of legal theory and whether or not claimant was advised of the possibility of such damages.

CHEST Learning Category(s)
Learning Category 2: Self-Directed

Maintenance of Licensure
Scope of Practice – Pulmonary Education

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