Pulmonary hypertension and the rheumatologist, part 1: A bit of background
Release Date: 02/12/2025
ILD for the rheumatologist: Digging through the past and making sense of the present
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In this week’s episode we interview Joseph Parambil, MD, staff member in the department of pulmonary, allergy and critical care medicine at Cleveland Clinic, about the current challenges of interstitial lung disease, or ILD. · Intro by Adam J. Brown, MD 0:12 · Welcome back Joseph Parambil, MD 0:32 · But first, some medical history on ILD 1:04 · ILD vs. IPF 2:26 · A quick...
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History of polymyalgia rheumatica: The origin of the pain & link to giant cell arteritis
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In this episode, we dive into the history of polymyalgia rheumatica, how it was discovered and its link to giant cell arteritis. Intro 0:01 In this episode 0:10 What is polymyalgia rheumatica (PMR)? 0:24 The history of PMR 02:12 PMR in the 1950s: A formally recognized disease 04:52 What was probably PMR in the 1880s 06:27 Naming PMR: Senile rheumatic gout 07:26 1957: The witch’s shot and finally landing on polymyalgia rheumatica 08:30 Where is PMR coming from? 14:42 Injecting joins with saline 16:39 A biopsy study in 1964 19:54 Technetium bone scintigraphy in 1971 and bone scan history...
info_outlineIn this series, we dive into what rheumatologists should know about pulmonary hypertension, starting an interview with Joseph Parambil, MD, where we learn about the disease, when to suspect and how to work up!
- Intro 0:11
- In this episode 0:16
- Preview of the four-part series 4:46
- Interview with Joseph Parambil, MD 6:27
- How did you become interested in pulmonary hypertension? 7:02
- Brown and Parambil discuss the histology of pulmonary hypertension. 10:13
- Brown and Parambil discuss a case of pulmonary hypertension. 12:26
- What is pulmonary hypertension and what does that mean for a rheumatologist? Where is pulmonary hypertension happening? 13:25
- Describe the different groups of pulmonary hypertension. 19:51
- A note about Dr. Chatterjee 20:25
- Brown and Parambil discuss the groups of pulmonary hypertension. 23:35
- What should we know about evaluating patients with pulmonary hypertensions? 26:51
- Brown and Parambil discuss bendopnea and other signs of pulmonary hypertension. 29:58
- What about the heart sound? 33:06
- What should we look for in patients who we suspect to have pulmonary hypertension? 36:52
- What should we look for in the tricuspid jet? 38:18
- Brown and Parambil discuss the use of echocardiograms in pulmonary hypertension. 39:28
- Tell us about the threshold of diagnosis. 40:47
- What is the difference between the mean pressure and the wedge pressure? 41:41
- What about the role of the pulmonary function test? 43:55
- Summary 46:41
- Do you think the pulmonary hypertension in scleroderma and lupus are different entities? 48:37
- Brown and Parambil discuss the connection of autoimmune disease and pulmonary hypertension. 50:49
- Coming up in episode 91 51:50
- Thanks for listening 52:25
Disclosures: Brown and Parambil report no relevant financial disclosures.
Joseph Parambil, MD, is a staff member in the Respiratory Institute and the director of the HHT Center of Excellence and the Vascular Anomalies Center at the Cleveland Clinic. He is associate professor of medicine at Cleveland Clinic’s Lerner College of Medicine. He is certified by the American Board of Internal Medicine with additional specialty certification in pulmonary medicine and critical care medicine.
We’d love to hear from you! Send your comments/questions to Dr. Brown at rheuminationspodcast@healio.com. Follow us on Twitter @HRheuminations @AdamJBrownMD @HealioRheum.