Doctor insights on: Exercise induced pulmonary hypertension
With Exercise Induced Pulmonary Hypertension, what is the statistical shortening of lifespan? All data just talks about untreated PHTN
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
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
Can exercise induced wheezing without asthma potentially be be caused by pulmonary hypertension? I have a small LA and LV and abormal septal motion
Mgt and workup:
I agree that an asthma follow up appointment should be made, but your cardiac history also warrants further evaluation. If there is fluid around the airway, this may mimic asthma.
A virtual appointment with EMR can be booked at
Code: NCYPHZ ...Read more
Is it potentially possible for wheezing during exercise for less than 5 minutes to be a symptom of Pulmonary hypertension when I don't have asthma?
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 moreSee 3 more doctor answers
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
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 moreSee 2 more doctor answers
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 moreSee 2 more doctor answers
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 moreSee 3 more doctor answers
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 moreSee 2 more doctor answers
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 moreSee 4 more doctor answers
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 moreSee 2 more doctor answers
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 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
Exercise Or Physical Activity (Definition)
Exercise is a physical activity that is completed to maintain or improve health. Benefits of exercise include weight maintenance, improving mood, increasing energy, preventing or controlling chronic diseases, promoting better sleeping, and improving sex life and libido. ...Read more