Top
30
Doctor insights on: Baby Pulmonary Hypertension In Children

Share
1

1
What is the definition or description of: Baby pulmonary hypertension?

What is the definition or description of: Baby pulmonary hypertension?

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

Dr. Austina Cho
324 doctors shared insights

Hypertension (Definition)

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


2

2
Can pulmonary hypertension resolve when my babies chronic lungs grow?

Can pulmonary hypertension resolve when my babies chronic lungs grow?

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

3

3
Can viagra (sildenafil) help babies with chronic pulmonary hypertension?

Can viagra (sildenafil) help babies with chronic pulmonary hypertension?

Yes: However it depends on the etiology of the pulmonary hypertension. Congenital heart disease is considered group 1 pah and as such can be treated with drugs like sildenafil(viagra), eras and prostanoids. ...Read more

4

4
How could viagra (sildenafil) help babies with chronic pulmonary hypertension?

How could viagra (sildenafil) help babies with chronic pulmonary hypertension?

Yes: Sildenafil - the active ingredient in viagra (sildenafil) - is fda approved as Revatio for treatment of pulmonary HTN in adults. It is likely that it would also be effective in children and is widely used in children as other other adult approved medicines for pulmonary htn. ...Read more

5

5
My infant is sweating during feeding, can this be a sign of pulmonary hypertension?

My infant is sweating during feeding, can this be a sign of pulmonary hypertension?

Possibly: Could be pulmonary hypertension. It could also be from a respiratory problem, heart problem, or in fact (and hopefully) nothing at all. I strongly recommend you take your child to see the pediatrician as soon as reasonably possible (not an emergency, but during day hours). ...Read more

7

7
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

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

8

8
Artrial septial defect with pulmonary hypertension in children?

Artrial septial defect with pulmonary hypertension in children?

Talk to MD: As long as there is no reversal of flow which can happen soon due to pulmonary hypertension, a surgical repair may be beneficial. The answer should be given by a cardiologist. Talk to the cardiologist please for your child's sake. Good luck. ...Read more

9

9
Can children get pulmonary hypertension?

Yes: Sometimes there are congenital cardiac defects that can cause pulmonary hypertension even in newborns. While rare, a pulmonary embolism can cause acquired pah in a child. Primary pah can occur in the teen years. Secondary pH can occur with lung diseases such as cystic fibrosis. ...Read more

10

10
How can I tell if my baby is having pulmonary hypertension?

How can I tell if my baby is having pulmonary hypertension?

Must see a doctor: Children or infants can usually be diagnosed with pulmonary HTN with the help of echocardiography though a heart catheterization is required to confirm the diagnosis. These tests are done when there is clinical suspicion on the part of the treating physicians. ...Read more

11

11
What makes a child get primary pulmonary hypertension?

What makes a child get primary pulmonary hypertension?

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

12

12
Is there anything done as a child that can cause them to have pulmonary hypertension later in life?

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

13

13
I lost my child due to pulmonary hypertension.is there any test to diagnose this inside my womb?

I lost my child due to pulmonary hypertension.is there any test to diagnose this inside my womb?

Prenatal testing: If it is an isolated finding, and there are no other abnormalities in the heart, pulmonary hypertension can't be seen prenatally. ...Read more

14

14
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.

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.

Anytime: Discuss with your pediatric cardiologist and pediatric cardiac surgeon. They are the ones that can advise you about the timing of your childs surgery. ...Read more

15

15
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.

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

16

16
What does severe pulmonary hypertension means?

What does severe pulmonary hypertension means?

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

17

17
What is the best way to deal with pulmonary hypertension?

Depends: Pulmonary hypertension is classified into five groups. Each group has differing causes, prognosis and response to therapy. ...Read more

18

18
How to know the cause of my moderate pulmonary hypertension?

Pulmonary HTN: If confirmed by a catheter study then there is a differential diagnosis list to assess cause,do not smoke,do drugs,avoid amphetamines etc:go and discuss with whoever made the initial diagnosis ...Read more

19

19
Does pulmonary hypertension affect all races at similar rates?

Does pulmonary hypertension affect all races at similar rates?

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

20

20
What activities must somneone avoid with pulmonary hypertension?

What activities must somneone avoid with pulmonary hypertension?

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

21

21
What's the difference between hypertension and pulmonary hypertension?

What's the difference between hypertension and pulmonary hypertension?

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

22

22
Is it possible that alagilles syndrome be mistook portal pulmonary hypertension?

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

23

23
What classes of medications are helpful to treat or control pulmonary hypertension?

What classes of medications are helpful to treat or control pulmonary hypertension?

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

24

24
Is pulmonary hypertension treatable?

Is pulmonary hypertension treatable?

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

25

25
What's primary pulmonary hypertension ?

What's primary pulmonary hypertension ?

High BP in the lungs: High blood pressure (BP) in the lungs is called pulmonary hypertension (ph) or pulmonary arterial hypertension (pah). Pah is considered primary or idiopathic if no clear cause is identified. ...Read more

26

26
Is there a cure for pulmonary hypertension?

Is there a cure for pulmonary hypertension?

Hard to tell: It depends on what the cause of it is. Obstructive sleep apnea if causing it, may be cured by weight loss and some surgical techniques, whereas primary pulmonary hypertension will not get cured but may be adequately controlled by some medications. ...Read more

27

27
Primary pulmonary hypertension, what to do?

PHAssociation: Check web link phassociation.org to find pulmonary hypertension expert and center near you for medical evaluation and treatment. ...Read more

28

28
Will pulmonary hypertension run in families?

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

29

29
What is primary pulmonary hypertension like?

What is primary pulmonary hypertension like?

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

30

30
Is pulmonary hypertension an inherited disease?

Is pulmonary hypertension an inherited disease?

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

Dr. Jonathan Popler
5 doctors shared insights

Baby Pulmonary Hypertension (Definition)

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


Dr. Charles Burger
314 doctors shared insights

Pulmonary Hypertension (Definition)

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