Doctor insights on:
Baby Pulmonary Hypertension In Children
High heart pressure: Pulmonary hypertension can be defined in multiple ways. This can include mean pulmonary artery pressure greater than 25mmHg or a specific measure of pulmonary resistance obtained in the cath lab (>3 indexed wood units). It is often diagnosed by echocardiogram in newborns. The treatment depends on the severity and presence of other issues. Please discuss with you/your child's physician. ...Read more
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
Maybe: Depends on the cause. If chronic lung disease is the result of extreme prematurity (< 28 weeks), the pulmonary hypertension is largely due to an under developed pulmonary vascular bed (smaller arteries and fewer branches). This may not improve, even with good growth and nutrition. While they may improve, it often becomes apparent again after the growth spurt associated with adolescence. ...Read more
If an infant has pulmonary hypertension secondary to BPD (bronchopulmonary dysplasia), will the pulmonary hypertension go away as the lungs mature?
BPD: It may. Close follow up with your peds pulmonologist is very important. Best of luck. ...Read more
I have a ten year old son. He is having memory problems. Sometimes he is unable to repeat simple things he was just told. As an infant, he was in nicu for 3 weeks with under developed lungs. He suffered a collapsed lung, had pulmonary hypertension and
Evaluation needed: He should be evaluated by a neurologist or psychologist. Spending three weeks in an ICU with under developed lungs may have left subtle signs affecting the child's neurodevelopment. ...Read more
Good question: I had a patient with a failure of normal breathing control in brainstem .She had pulmonary hypertension. Thus, i think that enters into the causative mechanism.It may sound strange when i say that it could be something as simple as viamin b1 deficiency, particularly if he craves sugar. I doubt very much that the doc in charge will take that seriously! ...Read more
Is there anything done as a child that can cause them to have pulmonary hypertension later in life?
Unsure: There are certainly medical conditions that can lead to pulmonary hypertension later in life. If you are referring to possibly exposures, then it depends on the substance, but unlikely. I apologize as i'm not sure how best to answer your question, but there are few things a parent/person could potentially do to cause pulmonary hypertension. ...Read more
15*18mm asd child also develop pulmonary hypertension 30 to 35 mmhg. When should we go for asd closure right now child is 2 year old weight 11 kg.
I lost my son in 3 days due to IUGR,pulmonary hypertension,sepsis.born with distress&short cord, blue baby 2.5kg too.c section.now want 2 conceive.
Need more info: Unanswered: did umbilical artery doppler show an abnormal S/D ratio from abnormal placental resistance? What did the fetal/postnatal echocardiography show? Autopsy? Chromosomal analysis? how early was first US? fetal growth normal until? when was IUGR noted? What was cause of PH? Any unusual facial or physical features? Length and HC? Autopsy? How long was cord.? Placental path report? ...Read more
Very high pressure:
"severe pulmonary hypertension" means that the blood pressure in the lungs is very high. This is different than "systemic hypertension, " which is high blood pressure in the vessels of the body. The concept, however, is the same.
There are a number of causes of this pulmonary hypertension, and when very severe, it can cause significant disease. This should be followed closely by a specialist. ...Read more
Complicated: I'm assuming you're referring to idiopathic or primary pulmonary hypertension? I don't think there has ever been a world wide study - most studies include a registry in their own country, so i don't think the answer to your question is known. There are genetic factors so the incidence may well be different in different races. ...Read more
Discuss with doctor: Limitations for pulmonary HTN could be summarized by "listen to your body". As there are many causes for pulmonary HTN the discussion of activity limitations should be with a physician familiar with the disease. Generally one should avoid salt and should note how quickly the heart rate raises with activity. Certainly actvities in high altitude should be avoided. ...Read more
One is in the lungs: Our blood pressure generally averages around 120/80 although lower is not necessarily bad. When it gets to 130/90 and above this is considered hypertension. The normal pressure in the arteries in the lungs is 25/15 because the right side of the heart only has to push blood through the lungs, not the whole body. When this pressure gets above 35/20 it's pulmonary hypertension. ...Read more
Yes: I have not seen one but literature says that it can indeed cause portal hypertension due to the liver problem and blood return is impeded. The smaller pulmonary arteries can be deemed pulmonary hypertension unless left and right heart cath can be done to prove the pulmonary circulation is ok and only the larger artery involved, cath may be difficult due to the pressure and size of vessels. ...Read more
PH Cure: There are 9 available medications for pulmonary arterial hypertension (pah) including phosphodiesterase-5 inhibitors, endothelin receptor blockers and prostaclins. The treatment can be quite effective but does not generally cure pah. Lung transplant can cure the disease but has other significant issues. ...Read more
PAH is treatable: FDA approved treatments include oral endothelin receptor antagonists, ambrisentan and bosentan; nitric oxide pathway, riociguat, tadalafil and sildenafil; and Prostanoids (iloprost, epoprostenol, and treprostinil) that can be oral, inhaled, or intravenous or subcutaneous infusion. These treatments widen lung blood vessels and ease the symptoms of Pulmonary Arterial Hypertension ...Read more
Potentially: Potentially but is is very rare. Likely less than 1 in a million. There is a mutation that is frequent among patient with unexplained pulmonary htn, formally termed idiopathic pulmonary arterial hypertension. Current research is focused on identifying potential target of therapy that involve the genes related to familial pulmonary htn. ...Read more
PH: High blood pressure in the lungs is called pulmonary hypertension (ph) or pulmonary arterial hypertension (pah). Primary ph is now known as idiopathic (no clear cause) pah which is a chronic and life-changing disease that can lead to breathlessness and right heart failure if left untreated. ...Read more
Sometimes: There are some forms of pulmonary HTN that are inherited and there are some conditions that lead to pul HTN that are inherited but there are also forms of pul HTN that are not inherited. ...Read more
Pulmonary hypertension can be defined in multiple ways. This can include mean pulmonary artery pressure greater than 25mmHg or a specific measure of pulmonary resistance obtained in the cath lab (>3 indexed wood units). It is often diagnosed by echocardiogram in newborns. The treatment depends on the severity and presence of other issues. Please discuss ...Read more
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