Pre-Recorded

Plenary Presentation

PH, PAH, CTEPH

Intensive care unit admission in a patient with pulmonary arterial hypertension (PAH) carries significantly increased morbidity and mortality. The need for ionotropes, mechanical ventilation, dialysis, and cardiopulmonary resuscitation are associated with increased mortality. Current literature lacks prospective data on management of these critically ill patients, and management is based on understanding the pathophysiology of disease and expert opinion. This case-based session will include challenging cases of critically ill PAH patients. The presentations will focus on current management strategies, advanced therapies, mechanical circulatory support for right ventricular failure in PAH patients, and urgent transplantation as rescue therapy.

Identify common causes of acute decompensation of right heart failure in a PAH patient and prognostic factors on admission to ICU.

Discuss intensive care management strategies to optimize physiology while treating the underlying cause of decompensation.