Pulmonary or pulmonic stenosis is a relatively common cardiac defect that can occur in isolation or, more commonly, be associated with other congenital heart defects (eg, tetralogy of Fallot). Pulmonary stenosis can cause varied degrees of obstruction to the right ventricle (RV) outflow, ranging from mild to severe. Pulmonary stenosis usually refers to narrowing at the pulmonary valve level. However, obstruction can also occur at the subvalvular (ie, RV outflow tract) or supravalvar level (ie, main pulmonary artery and its branches). Mild pulmonary stenosis is usually asymptomatic. However, this should be promptly recognized and treated as required to decrease the morbidity and sometimes the mortality associated with moderate and severe pulmonary stenosis. Symptomatic patients are generally those with moderate or severe pulmonary stenosis who typically experience dyspnea on exertion or associated fatigue, depending on the severity of the obstruction and cardiac compensatory reserve.[31] Rarely patients can experience angina or sudden cardiac arrest. Markedly enlarged pulmonary artery aneurysms can cause angina via compression of the left main coronary artery.Diagnosis is made with echocardiography; however, cardiac computed tomography and cardiac magnetic resonance are often used in patients who require intervention to relieve the RV outflow obstruction. Treatment depends on the severity of flow restriction across the pulmonary valve and the valve anatomy. Management should be guided by the American Heart Association and American College of Cardiology’s recommendations. This activity for healthcare professionals aims to enhance learners’ competence in selecting appropriate diagnostic tests, managing pulmonary stenosis, and fostering effective interprofessional teamwork to improve outcomes.
- Provider:StatPearls, LLC
- Activity Link: https://www.statpearls.com/ArticleLibrary/viewarticle/28064
- Start Date: 2023-09-01 05:00:00
- End Date: 2023-09-01 05:00:00
- Credit Details: AMA PRA Category 1 Credit™️: 1.0 hours
Nursing: 1.0 hours
Pharmacy: 1.0 hours - MOC Credit Details: ABS - 1.0 Point; Credit Type(s): Accredited CME (ABS)
ABPATH - 1.0 Point; Credit Type(s): Lifelong Learning (ABPATH)
ABA - 1.0 Point; Credit Type(s): Lifelong Learning (ABA)
ABTS - 1.0 Point; Credit Type(s): Accredited CME (ABTS)
ABIM - 1.0 Point; Credit Type(s): Medical Knowledge (ABIM)
ABS - 1.0 Point; Credit Type(s): Self-Assessment (ABS)
ABP - 1.0 Point; Credit Type(s): Lifelong Learning and Self-Assessment (ABP)
ABTS - 1.0 Point; Credit Type(s): Self-Assessment (ABTS) - Commercial Support: No
- Activity Type: Enduring Material
- CME Finder Type: Online Learning
- Fee to Participate: Variable
- Measured Outcome: Learner Knowledge, Learner/Team Competence
- Provider Ship: Directly Provided
- Registration: Open to all
- Specialty: Adolescent Medicine, Adult Cardiac, Adult Congenital Heart Disease, Advanced Heart Failure and Transplant Cardiology, Ambulatory/Outpatient, Cardiac Anesthesia, Cardiothoracic, Cardiovascular, Cardiovascular Disease, Clinical Pathology, Congenital Cardiac, Critical Care Medicine, General Operative Anesthesia, General Pediatrics, General Surgery, Hospital Medicine, Internal Medicine, Neonatal-Perinatal Medicine, Pediatric Cardiology, Pediatric Critical Care Medicine, Pediatric Emergency Medicine, Pediatric Pulmonology, Pulmonary Disease, Thoracic Anesthesia