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Doctor insights on: Pulmonary Hypertension

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Dr. Charles Burger
313 Doctors shared insights

Pulmonary Hypertension (Overview)

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 (cardiac ultrasound) to diagnose.


Dr. Charles Burger
313 Doctors shared insights

Pulmonary Hypertension (Overview)

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 (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?

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 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 don't need to move. ...Read more

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Do panic attacks cause pulmonary hypertension? Or could pulmonary hypertension cause panic attacks?

No and yes: Panic attacks, while frightening cannot cause any disease themselves. Pulmonary hypertension is a chronic heart/lung disease which develops over years. Any disease process which causes shortness of breath can trigger panic attacks in people who are prone. Panic attacks are an inappropriate triggering of the system which helps us recognize when we are in danger, so shortness of breath can trip it. ...Read more

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What does it mean if an echo shows you have a mildly dilated right ventricle & mild pulmonary hypertension?

What does it mean if an echo shows you have a mildly dilated right ventricle & mild pulmonary hypertension?

Pulmonary HTN: Normally the right side of the heart is a low pressure system (only needs to pump blood to the lungs for oxygenation). For many different reasons, sometimes this low pressure system increases in pressure. This can create shortness of breath and low oxygen levels. If someone is asymptomatic with pulmonary hypertension, they should be followed especially if there is no known cause. ...Read more

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How do you treat? Pulmonary hypertension?

Depends on the cause: Pulmonary hypertension can be caused by a large variety of illnesses - chief amongst them heart failure and chronic respiratory disease. These are best treated by treating the underlying illness - sometime if ph is caused in isolation or from more exotic entities like scleroderma or pulmonary embolism the correct treatment is surgery or medications directed at relaxing the pulmonary vasculature. ...Read more

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What's the best treatment for pulmonary hypertension?

Debated: There are multiple medications available to treat pulmonary hypertension. Most of these function to cause vasodilation (relaxation of the blood vessels of the lungs). It is debated which class of medications work best for pulmonary hypertension. I personally feel that combinations of medications seem to be the very best therapy. ...Read more

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Are there good homeopathic treatments for pulmonary hypertension?

Danger!: While there is no cure for pah, there are treatments that are effective at both halting or slowing disease progression and improving quality of life. Taking water (the only thing in a homeopathic remedy) is fine is the absence of effective treatments or if the disease is benign. Pah is fatal and has treaments. Take the real thing! ...Read more

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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

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Can pulmonary hypertension get better without treatment?

Can pulmonary hypertension get better without treatment?

No: Without treatment, the condition is life-threatening. There are many factors that influence survival such as age, sex, presence of heart failure, etc. Thus, it is best not to make a general statement about prognosis before a thorough evaluation. Some keys to survival are early diagnosis and treatment. ...Read more

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What happens when a person with primary pulmonary hypertension stops taking drugs?

What happens when a person with primary pulmonary hypertension stops taking drugs?

Bad idea: Untreated pulmonary hypertension is a life-threatening condition. Medications have been developed that can improve the condition and the outcome. ...Read more

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Is pulmonary hypertension hereditary?

Is pulmonary hypertension hereditary?

It may be inherited: Up to 5% of patients with pulmonary arterial hypertension (pah) may have a genetic or heritable cause. Research studies have identified a genetic abnormality affecting bone morphogenetic protein receptor 2 (bmpr2) that appears to predispose a patient to pah. Fortunately, even if an individual inherits the abnormal gene, the likelihood of developing pah is only 1 in 5. ...Read more

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What are the risks of pulmonary hypertension during pregnancy?

Big: Very complex condition, if taking era drugs are toxic. Other no, will depend on the pressures, fc, etc. Talk with your ph expert soon or ger a ph center appt. ...Read more

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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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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

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What's pulmonary hypertension?

What's pulmonary hypertension?

High BP in the lung: The pressure in the blood vessels of the lung is increased in pulmonary htn. Causes can include heart disease, disease of the lung and primary disease of the blood vessel of the lung. The symptoms are mainly shortness of breath but can also include chest pain and dizziness. The disease can go unrecognized for some time before its diagnosed. ...Read more

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What is pulmonary hypertension?

What is pulmonary hypertension?

See below: Normal pulmonary artery pressure (pap) in a person living at sea level has mean value of 12-16 mm of hg.Pulmonary hypertension is present when mean pa pressure is above25 mm of hg at rest or 30 mm of hg with exercise! ...Read more

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Stages of pulmonary hypertension?

PH Stages: There are not any specific stages of pulmonary hypertension (ph); however, one of the several ways your doctor determines the severity of the ph is by assessing your symptoms using the new york heart association (nyha) score from 1 to 4. Four is the worse and typically involves shortness of breath at rest. ...Read more

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Is pulmonary hypertension hereditary?

It may be inherited: Up to 5% of patients with pulmonary arterial hypertension (pah) may have a genetic or heritable cause. Research studies have identified a genetic abnormality affecting bone morphogenetic protein receptor 2 (bmpr2) that appears to predispose a patient to pah. Fortunately, even if an individual inherits the abnormal gene, the likelihood of developing pah is only 1 in 5. ...Read more

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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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What exactly is pulmonary hypertension?

What exactly is 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 a chronic and life-changing disease that can lead to right heart failure if left untreated. ...Read more

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Can pulmonary hypertension be reversed?

Can pulmonary hypertension be reversed?

Possibly: FDA approved treatments include oral, inhaled and infusion medications. These treatments widen lung blood vessels and ease the symptoms of Pulmonary Arterial Hypertension (PAH). ...Read more

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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

Dr. Creighton Wright
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


Dr. Sanjiv Kaul
1 Doctor shared a insight

Respiratory (Definition)

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