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Doctor insights on: Hypertension Cardiologist

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Dr. Sanjiv Kaul
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


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Heart condition arterial fibrillation?

Heart condition arterial fibrillation?

Atrial fibrillation?: Most common cardiac dysthymia on the general population. Affect over 2 million people in usa. Incidence increase with age. Associated with hypertension, coronary artery disease, valvular heart dz, hyperthyroidism, copd, alcohol intake. Can be sustained or episodic. Need physical exam and ECG for diagnosis. Many patients are asymptomatic. Symptoms like: palpitations, chest pain, shortness ofbreath. ...Read more

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Difference between pulmonary hypertension and pulmonary atrial hypertension?

Difference between pulmonary hypertension and pulmonary atrial hypertension?

PH and PAH: Pulmonary hypertension (PH) is often first detected by echocardiogram and may be caused by a variety of conditions. Pulmonary arterial hypertension (PAH) is caused narrowing of the small lung arteries and must be diagnosed by heart catheterization. PAH requires treatment by an expert specialist. ...Read more

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How are pulmonary hypertension, congestive heart failure interrelated?

How are pulmonary hypertension, congestive heart failure interrelated?

Closely: Impaired left heart function leads to elevated filling pressure of the left heart and this pressure is transmitted to the right heart creating pulmonary htn, this is the most common cause of pulmonary htn. When the right heart is the primary heart disease it reuslts in the right heart enlarging and pushing into the left heart. This will impair the forward flow of blood by the heart. ...Read more

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Pectoris atherosclerosis congestive heart failure coronary artery disease dilate hypertension myocardial angina pectoris, what are these?

Pectoris atherosclerosis congestive heart failure coronary artery disease dilate hypertension myocardial angina pectoris, what are these?

Cv words: These all refer to cardiovascular particulars. Pectoris = Chest. Atherosclerosis = vascular wall scarring from cholesterol deposit. Coronary artery disease = narrowing and atherosclerosis of heart arteries. Dilate = expand diameter. Hypertension = high blood pressure (within arterial network). Myocardial = heart. Angina pectoris = pain of chest from coronary artery disease, lack of oxygen to heart ...Read more

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Mitral valve regurgitation and hypertension related?

Mitral valve regurgitation and hypertension related?

Not necessarily: They are two separate entities and may coexist but generally are not causative of one another. ...Read more

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Can pulmonary hypertension cause tachycardia?

Can pulmonary hypertension cause tachycardia?

Yes: If the heart function is reduced (called heart failure) by working against the pulmonary hypertension, then one way the heart compensates to increase blood flow is by increasing the heart rate, i.e. Tachycardia. ...Read more

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Can hypertension cause atrial fibrillation?

Can hypertension cause atrial fibrillation?

Yes: Atrial fibrillation is an irregularly irregular heart rhythm , it can happen when the atrium( upper chamber of the heart) is enlarged. Hypertension causes the heart to work harder, develops hypertrophy to have enough force to push the blood forward from the ventricle ( lower chamber of the heart); the atrium in turn enlarges to push blood to ventricle and eventually dilates then a-fib develops. ...Read more

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Diastolic murmur go with aortic regurgitation?

Diastolic murmur go with aortic regurgitation?

Yes: A diastolic decreshendo high pitched murmur heard best leaning forward with the stethoscope over the lower sternum suggest aortic regurgitation, although further evaluation will be necessary. ...Read more

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Is pulmonary hypertension hereditable?

Is pulmonary hypertension hereditable?

Yes: If you have primary pulmonary hypertension there are several classes of drugs to treat it. Tracleer, (bosentan) revatio, letaris are some of the drugs that can be used in the right situation. ...Read more

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Pulmonary hypertention a heart or lung condition?

Pulmonary hypertention a heart or lung condition?

Dual workup: Typically you should see both a cardiologist and pulmonologist individually to work this up since they will often take different but complimentary approaches. ...Read more

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Define?accute anteroseptal myocardial infarction, atherosclerotic obstructive coronary artery disease, pulmonary edema, cardiogenic shock, hypokalemia

Define?accute anteroseptal myocardial infarction, atherosclerotic obstructive coronary artery disease, pulmonary edema, cardiogenic shock, hypokalemia

Here are some...: A 400-letter space is impossible to address many indicated subjects as questioned here. Why not type in the terms as keywords to search online? Thereby you surely gain a lot of pertinent information to feed your appetite of knowledge. Or you may just ask your doc who should be able to answer your questions to the point much easier. ...Read more

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Is pulmonary hypertension always associated with heart failure?

Is pulmonary hypertension always associated with heart failure?

No: Only when the pulmonary hypertension causes the right ventricle to dilate (enlarge) does heart failure occur. This type of failure may affect the right side of the heart causing increased leg swelling, fluid buildup in the abdomen and elevation of liver enzymes. If the swelling of the right heart becomes severe it can affect the function of the left side of the heart and cause pulmonary edema. ...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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Could an echocardiogram detect pulmonary disease/pulmonary hypertension?

Could an echocardiogram detect pulmonary disease/pulmonary hypertension?

ECHO for PH: Pulmonary hypertension (ph) is often first detected by echocardiogram (echo) which estimates the pulmonary artery systolic pressure. The diagnosis is confirmed by right heart catheterization which measures mean pulmonary artery pressure and resistance. ...Read more

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Is valvular heart disease dangerous?

Is valvular heart disease dangerous?

Yes and no: There are four valves in the heart and a variety of disorders may affect each. Many are benign, but some are progressive and fatal. Specifics will dictate outcome. ...Read more

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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

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