Doctor insights on:
Are There Any Effective Alternative Treatments For Pulmonary Hypertension
A blood pressure reading has two numbers: a systolic blood pressure and a diastolic blood pressure. The systolic blood pressure is the maximum pressure the blood exerts on the vessels when the heart is beating. The diastolic blood pressure is the pressure the blood exerts on the vessels in between heartbeats. Hypertension, or high blood pressure, begins when the systolic blood pressure remains above 140 or when the diastolic blood pressure remains above 90. Hypertension can be a result of increased blood flow through vessels or increased resistance to ...Read more
Danger!: While there is no cure for pah, there are treatments that are effective at both halting or slowing disease progression and improving quality of life. Taking water (the only thing in a homeopathic remedy) is fine is the absence of effective treatments or if the disease is benign. Pah is fatal and has treaments. Take the real thing! ...Read moreSee 3 more doctor answers
Pulmonary hypertensi: There are a variety of causes for pulmonary hypertension. The treatments for each are not all the same. Even knowing the 'cause' of a case of pulmonary hypertension, the appropriate therapy may not always be effective. Discussing with the treating physician is the best first step. Referral to a Pulmonary hypertension specialty center may be needed. ...Read moreSee 1 more doctor answer
Vasodilator meds: Treatment of primary pulmonary htn, meaning disease of the pulmonary artery itself, includes medications to lower the BP of the lung blood vessels. The class of meds include prostanoids, endothelin receptor antagonists and phosphodiesterase inhibitors. All of these medication dilated the blood vessel in the lung and lower the pressure. Other medications can include blood thinners and diuretics. ...Read moreSee 1 more doctor answer
Depends : It depends on the cause of your pulmonary hypertension. There are multiple medications that are now available to treat the many causes. It would be best to see a pulmonary HTN expert in your area. You can search online to for the pah center in you area. ...Read moreSee 2 more doctor answers
PH Treatment : Fda approved treatments include oral endothelin receptor antagonists (eras), ambrisentan and bosentan; oral phosphodiesterase inhibitors, tadalafil and sildenafil; and prostanoids (iloprost, epoprostenol, and treprostinil) that can be delivered via inhalation or by intravenous or subcutaneous infusion. The "best" treatment of pulmonary hypertension (ph) should be discussed with your doctor. ...Read moreSee 1 more doctor answer
Debated: There are multiple medications available to treat pulmonary hypertension. Most of these function to cause vasodilation (relaxation of the blood vessels of the lungs). It is debated which class of medications work best for pulmonary hypertension. I personally feel that combinations of medications seem to be the very best therapy. ...Read moreSee 1 more doctor answer
No: Without treatment, the condition is life-threatening. There are many factors that influence survival such as age, sex, presence of heart failure, etc. Thus, it is best not to make a general statement about prognosis before a thorough evaluation. Some keys to survival are early diagnosis and treatment. ...Read moreSee 2 more doctor answers
Many: There are many different causes of pulmonary hypertension and various treatments. Surgery can be an option if it is due to clots in the pulmonary arteries. In addition, oral medications, inhaled medications, or continuous 24 hour medications can be given under the skin or into an IV line. Finally, lung transplant is an option if a patient qualifies and their pulmonary hypertension is progressing. ...Read more
Pulmonary htn: Pulmonary hypertension is a serious problem with serious treatments depending on the causation. It is best managed by physicians specializing in its treatment. New treatments for some of the primary causes are appearing but if you have pulmonary hypertension its best you seek specialized attention for diagnosis and treatment. General answers here can't cover the problem. ...Read more
Can borderline pulmonary hypertension reverse itself? My RSVP numbers go up and down, but rest of echo is normal. Is treatment/ precautions needed?
Pulmonary: hypertension is not usually a borderline or fluctuating diagnosis. In addition, the Right sided pressures are often significantly influenced by the hydration status of the patient. You need to discuss these concerns with your health care provider who has all of your health history available to determine if this is something significant for you or not. ...Read more
Can primary pulmonary hypertension appear/disappear without treatment? 3 yr. at ca. 40 mmHg> down 1 yr. ca. 25> up 1 yr. 45> now down ca. 25 -by echo
I hope that this question isn't too general. Is the treatment for pulmonary hypertension always the same as the usual treatment for cardiac failure? Please elaborate if possible.
What is the treatment for someone who has severe pulmonary hypertension, especially in an elderly person who has COPD and pulmonary oedema? Would a diuretic and frusemide spray be likely to be enough?
Several types : There are several types of pulmonary hypertension and to some extent there is a difference in the likelihood of medication success between types. When a clotting problem is related then blood thinners can help. When left heart or congenital heart disease is the cause there are other treatments. For primary pulmonary hypertension there are other classes of drugs. The type suggests the medicine. ...Read moreSee 1 more doctor answer
Which calcium channel blocker is most effective for severe raynauds, digital ischemia and exercise-induced pulmonary hypertension? I take 7.5 mg amlodipine but now wondering if diltiazem was better.
Unsure. But: You can always try and see which one works best for you, with the support of you doc. There are many issues that vary the results among different calcium blockers including different absorption and metabolism from a patient to another. We usually use amlodipine but you can tell better if Diltiazem feels more effective for you. Would discuss with my doc regarding a possible switch trial. ...Read moreSee 2 more doctor answers
Elevated blood pressure in the lungs that can be a primary problem or due to other causes. The right side of the heart pumps blood to the lungs and if the blood pressure in the lungs is elevated, the right side of the heart can fail. Pulmonary hypertension can be difficult to diagnose and usually requires echocardiography ...Read more
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