Publications by authors named "K O Kudelko"

Pulmonary vascular disease (PVD), and in particular, pulmonary hypertension (PH), is a highly specialized area of medicine comprised of complex diagnostics, classification systems, risk assessment tools, and therapeutics, the correct application of which has been shown to impact patient outcomes. The PVD scientific and patient community recognizes the importance of standardization of care patterns and has thus implemented a clinical accreditation process for PH care centers across the United States. However, a similar standardization system is lacking in PVD sub-specialty provider training.

View Article and Find Full Text PDF
Article Synopsis
  • * Patients with pulmonary hypertension often need noncardiac surgery, but their condition can lead to higher rates of complications and death during the perioperative period.
  • * The statement outlines a multistep process for managing pulmonary hypertension in noncardiac surgery, focusing on classification, risk assessment, preoperative optimization, and careful management during and after surgery, while also noting the lack of strong evidence in this area and the need for more research.
View Article and Find Full Text PDF

Pulmonary hypertension is a complication of chronic lung diseases (PH-CLD) associated with significant morbidity and mortality. Management guidelines for PH-CLD emphasize the treatment of the underlying lung disease, but the role of PH-targeted therapy remains controversial. We hypothesized that treatment approaches for PH-CLD would be variable across physicians depending on the type of CLD and the severity of PH.

View Article and Find Full Text PDF

The relative pulmonary to systemic pressure ratio (mean pulmonary arterial pressure/mean arterial pressure) has been proven to be valuable in cardiac surgery. Little is known on the prognostic value of baseline and trajectory of mean pulmonary arterial pressure/mean arterial pressure in pulmonary arterial hypertension. Patients with confirmed idiopathic, familial, drug and toxins, or connective tissue disease-related pulmonary arterial hypertension and at least one complete right heart catheterization were included and prospectively followed-up for 5.

View Article and Find Full Text PDF