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Doctor insights on: How Could Pulmonary Hypertension In Mitral Stenosis Prevent Pulmonary Edema

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How could pulmonary hypertension in mitral stenosis prevent pulmonary edema?

How could pulmonary hypertension in mitral stenosis prevent pulmonary edema?

Less flow to lungs: If the pressure in the pulmonary artery is high enough, the right ventricle's ability to pump bood to the lungs is diminished. Less blood flow to the lungs means that there is less fluid to leak out into the air spaces ( alveoli). ...Read more

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Dr. John Landi
325 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


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Echo result shows three mild leaking valves" mitral, tricuspid,and pulmonary"plus mild/moderate pulmonary HTN 42,57 Any problem will occur in future?

Echo result shows three mild leaking valves" mitral, tricuspid,and pulmonary"plus  mild/moderate pulmonary HTN 42,57
Any problem will occur in future?

Hard to know...: More follow-up and directed testing may be necessary, especially for the pulmonary hypertension, in order to offer you an accurate prognosis. What's the cause? And how rapidly are the valve architecture and pulmonary pressures changing? These questions need to be answered to offer you a prognosis. Coordinate with Cardiologist. ...Read more

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What can cause my RA and RV enlarged + tricuspid regur, without present of pulmonary hypertention or mitral valve disease? Is it possible congenital?

What can cause my RA and RV enlarged + tricuspid regur, without present of pulmonary hypertention or mitral valve disease? Is it possible congenital?

Mgt/workup: It is possible that the right sided heart problem is related to a change in the anatomy on that side. The leaky valve makes the heart work more with each beat. Since you have experienced leg swelling, the regurgitation may have been significant enough to allow back up of the blood, resulting in leg edema. The valve may be repaired to alleviate this cause. It is important to follow up. ...Read more

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How do problems with the tricuspid valve affect pulmonary hypertension?

How do problems with the tricuspid valve affect pulmonary hypertension?

TV,PH: Complicated question and probably not enough room here to expound. In the face of significant pulmonary hypertension, tricuspid stenosis can impair cardiac output and exacerbate fluid retention like edema and ascites. Tricuspid insufficiency can do similar things for slightly different physiology but similar endpoints. You might read this: http://www.nhlbi.nih.gov/health/health-topics/topics/pah/ ...Read more

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Can 5 weeks of pulmonary hypertension (as well as a few other diagnoses) lead to moderate anoxic brain injury? A patient in his early 50's receives diagnosis of mssa- causing pulmonary hypertension, chf, aortic valve regurgitation, a stretched mitral valv

Can 5 weeks of pulmonary hypertension (as well as a few other diagnoses) lead to moderate anoxic brain injury? A patient in his early 50's receives diagnosis of mssa- causing pulmonary hypertension, chf, aortic valve regurgitation, a stretched mitral valv

Endocarditis: Anoxic brain injury can occur after cardiac arrest. The heart disease you mention could lead to cardiac arrest but you did not mention this in your history. I am concerned about endocarditis, infection of the heart valve, with history of mssa bacteremia. ...Read more

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How could a thoracic aortic aneurysm lead to pulmonary congestion/cough?

How could a  thoracic aortic aneurysm lead to pulmonary congestion/cough?

Several: Descending aorta can be quite large and compress the lung or the left airway- bronchus. Ascending aorta can have valve disruption and congestive failure as features of progression. Many are asymptomatic in the early stage and only detected by x-rays. ...Read more

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What is pulmonary stenosis? Lung or heart problem?

What is pulmonary stenosis? Lung or heart problem?

Heart valve problem: Pulmonic stenosis is narrowing of the heart valve leading from the right ventricle to the lung. If valve is constricted it can lead to "backup" of venous blood into the liver, and veins can cause symptoms such as dizziness, fatigue. May require surgery or opening it up with a balloon valvuoplasty. ...Read more

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Could hypertension lead to pulmonary hypertension?

Could hypertension lead to pulmonary hypertension?

Yes: There are many causes of pulmonary hypertension and one specific cause is from left heart disease. If systemic high blood pressure (hypertension) remains untreated for a long time, it can cause consequences to the left ventricle of the heart and cause problems of relaxation or thickening. This in turn causes high pressure in the left side of the heart and ultimately backup of blood and Pulm Hyptn. ...Read more

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How does DVT with pulmonary embolisms in my lungs effect my diagnosis of pulmonary hypertensiion?

How does DVT with pulmonary embolisms in my lungs effect my diagnosis of pulmonary hypertensiion?

Variant of PAH: Multiple pe associated with recurrant DVT can cause chronic thromboembolic pulmonary hypertension (cteph), a variant of pulmonary hypertension (pah). These patients often have a hypercoagulopathy. Cteph occurs more frequently than previously thought, and unlike other types of pulmonary hypertension, cteph has the potential to be cured. A v/q scan can help diagnose. ...Read more

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How could mitral stenosis be complicated by pulmonary fibrosis?

How could mitral stenosis be complicated by pulmonary fibrosis?

Can't fix it: The two conditions are separate but both lead to similar symptoms. So fixing the mitral valve might not resolve the symptoms as anticipated. Fixing the valve is also made riskier by the lung problem. So one complicates the other. ...Read more

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Can a low heart cause pulmonary embolism?

Can a low heart cause pulmonary embolism?

No: I'm guessing that you mean a heart that lays low in the chest. This would not cause pulmonary embolism; in fact the position of the heart would have no effect on pulmonary embolism, which is caused by clots in veins (usually in the legs or pelvis) breaking loose and traveling to the lung. ...Read more

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Can scleroderma lead to pulmonary hypertension?

Can scleroderma lead to pulmonary hypertension?

Yes: If pulmonary hypertension occurs, it can severely affect quality of life and may cause premature death. Certain types of scleroderma such as limited cutaneous scleroderma are associated with pulmonary hypertension. Other types such as morphea are not. Screening is essential. ...Read more

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Chronic heart failure mechanism in cor pulmonale due to occupational disease.?

Chronic heart failure mechanism in cor pulmonale  due to occupational disease.?

RV overload: Chronic lung disease causes pressure overload of the right ventricle which eventually fails with enlargement and rise in pressure in the right ventricle, right atrium and the systemic venous circulation including the liver, spleen, intestines, genitals, and legs. ...Read more

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Are pulmonary edema and a pulmonary embolism the same?

Are pulmonary edema and a pulmonary embolism the same?

No: Pulmonary edema refers to fluid in the lungs, most commonly as a result of a failing heart. Pulmonary emboli are blood clots that form somewhere in the body (usually the legs) and travel to the lungs. ...Read more

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How does mild congestive heart failure develop from hypertension?

How does mild congestive heart failure develop from hypertension?

Heart wall weakens.: High blood pressure increases the load against which the heart has to pump. The heart compensates by thickening its walls, a phenomenon called left ventricular hypertrophy. Over time, this impairs heart function by decreasing its ability to relax and fill between beats. To add insult to injury, the kidneys add to the volume of blood to support blood flow, exacerbating the problem. ...Read more

Dr. Sue Ferranti
634 doctors shared insights

Fluid In The Lungs (Definition)

Fluid around lungs has many causes. It can be exudate(thick i.E pus from infection, malignancy etc) or transudative(heart failure). It may be treated based on the problem found by sampling(thoracentesis). Labs on the fluid help the clinician determine the etiology. For recurring pleural fluid, sometime pleuradesis is necessary to hep prevent recurrance. Need ...Read more


Dr. Thomas Fiala
3 doctors shared insights

Edema (Definition)

Fluid in the tissues, either caused by something local to the swollen area like an injury or inflammation, or from the body's retention of water. Gravity brings the fluid to the feet & legs in that case. As a general rule, if one foot is swollen, something is wrong with the foot. If both feet are swollen, it's not the feet, but water ...Read more