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Lucilla Piccari @LucillaPiccari@med-mastodon Profile picture
Lucilla Piccari @LucillaPiccari@med-mastodon
@LucillaPiccari
Pulmonologist, #PulmonaryHypertension spec at @hospitaldelmar, pre-doc @UniBarcelona, registries & data, environmental activist, she/her. I claim my opinions 😊
Jul 22, 2023 • 11 tweets • 6 min read
🚨Mechanisms of hypoxemia in #COPD patients w severe #PulmonaryHypertension is finally out!

A long, long work but worth the effort 😅

We wondered: why is it that COPD patients with severe PH often have less airflow obstruction and yet more hypoxemia?
🌐 https://t.co/MgGxT0tV0F https://t.co/uFQnaf8dzXbit.ly/3Wnzpik


Image
Image To study this phenomenon, we used an old-fashioned technique called Multiple Inert Gas Elimination Technique (MIGET), which directly measures the exhaled & retained fraction of 6 inert gases to understand gas exchange in a given patient, while performing a RHC (not shown in pic) Image
Aug 27, 2022 • 10 tweets • 11 min read
🚨🚨🚨New @EuroRespSoc @escardio #PulmonaryHypertension guidelines 2022
There is a lot of new guidance, this is just a short thread to begin with the most notable changes...

Let's go! 🧵 👇👇👇 (1/10) 1⃣New definition:
📌Same mPAP threshold as Nice 2018 (mPAP> 20 mmHg)
📌Lower PVR threshold (PVR >2 WU)! 👈
📌No more DPG to differentiate Ipc & Cpc
📌Re-introduction of #ExercisePH in definition!👈
(2/10)