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Doctor insights on: Pulmonary Hypertension

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Dr. Charles Burger
275 doctors shared insights

Pulmonary Hypertension (Overview)

Pulmonary hypertension is elevated blood pressure in the lungs and can be a primary problem or due to other causes. The right side of the heart pumps blood to the lungs and if the BP in the lungs is elevated, the right side of the heart can often fail over time. Pulmonary hypertension can be difficult to diagnose and usually requires echocardiography (cardiac ultrasound) to diagnose.


Dr. Charles Burger
275 doctors shared insights

Pulmonary Hypertension (Overview)

Pulmonary hypertension is elevated blood pressure in the lungs and can be a primary problem or due to other causes. The right side of the heart pumps blood to the lungs and if the BP in the lungs is elevated, the right side of the heart can often fail over time. Pulmonary hypertension can be difficult to diagnose and usually requires echocardiography (cardiac ultrasound) to diagnose.


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I am experiencing severe leg edema, is this a common symptom of pulmonary hypertension?

I am experiencing severe leg edema, is this a common symptom of pulmonary hypertension?

It can be: Edema can result from right sided heart failure but there are many other causes including left heart failure, venous obstruction, inflammation, and other causes as well. All edema needs an evaluation and explanation however. ...Read more

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What are the symptoms of pulmonary hypertension in an ex-preemie preschooler?

What are the symptoms of pulmonary hypertension in an ex-preemie preschooler?

Breathing probs.: Breathing problems worse with exercise and activities. Short of breath with activity; fainting, feeling short of breath when active; more tired than ususal, chest pain, blue lips, hands/feet-"cyanosis", and edema of legs. Go to your doctor for a listening your ex premie's heart. An echocardiogram/ekg would also be indicated. ...Read more

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I've noticed my neck veins have become engorged, is this a sign of pulmonary hypertension

I've noticed my neck veins have become engorged, is this a sign of pulmonary hypertension

Can be: It can be but problems with the left side of the heart are far more common and need to be ruled out first with testing and an exam and medical history. Some engorgement can be normal when you're lying flat but would be abnormal if relaxed and sitting upright. ...Read more

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Are there tests to confirm the doctor's diagnosis of primary pulmonary hypertension?

Are there tests to confirm the doctor's diagnosis of primary pulmonary hypertension?

Echo and cath: Echocardiogram is a good noninvasive tool to evaluate pulmonary hypertension. A right heart cath is a more direct and precise way of measuring pulmonary artery pressure and assesss response to treatment. ...Read more

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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

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Can a tilt-table test plus the adrenaline shot cause problems to patients with pulmonary hypertension?

Can a tilt-table test plus the adrenaline shot cause problems to patients with pulmonary hypertension?

TTT Pulm HTN: A TTT assesses how your BP/HR responds to standing. Adrenaline is normally released in response to standing to raise the HR. It could have a vaso constrictor effect on pulmonary circulation. Guazzi MD, De Cesare N, Fiorentini C, et al. Pulmonary vascular supersensitivity to catecholamines in systemic high blood pressure. J Am Coll Cardiol. 1986;8(5):1137-1144. doi:10.1016/S0735-1097(86)80393= ...Read more

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What are the tests for pulmonary hypertension?

PH evaluation: The conclusive diagnostic test for PAH is a right heart catheterization to measure pulmonary artery pressures and cardiac output. The diagnosis may be supported by physical findings, blood tests, chest x-rays, electrocardiograms, echocardiograms, pulmonary function tests, exercise tolerance tests (six-minute walk tests) and nuclear scans (ventilation/perfusion scan), but these tests may be negative or only suggestive of the diagnosis. ...Read more

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If you have pulmonary hypertension. Is it a good idea to move to a lower altitude?

If you have low o2: The risk of higher altitude is lower oxygen in the air. This can lead to further strain and stress on the body and worsen pulmonary hypertension, especially in more advanced disease. Your doctors can check your oxygen levels to see if you are at risk for low oxygen. These levels should be checked with rest, activity and with sleep. If your saturations remain in a safe range you dont need to move. ...Read more

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Dr. Andrew Berry
320 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


Dr. Lois Freisleben-Cook
1 doctor shared a insight

Respiratory (Definition)

Pertaining to the work of breathing done by the chest ...Read more