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Doctor insights on: Pulmonary Hypertension High Heart Rate

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What is the cause of irregular heartbeat, could it be associated with moderate pulmonary hypertension? Also heart rate less than 60b/min?

What is the cause of irregular heartbeat, could it be associated with moderate pulmonary hypertension? Also heart rate less than 60b/min?

Reviewing a case: These little text boxes are not enough to review a complex case. You might consider having a consult with a physician here on HealthTap. ...Read more

Dr. Lynne Weixel
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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My cardiologist is sending me for a echo, having symptoms of pulmonary hypertension, if diagnosed would a slow heart rate and having pacs be connected?

My cardiologist is sending me for a echo, having symptoms of pulmonary hypertension, if diagnosed would a slow heart rate and having pacs be connected?

No: Pulmonary hypertension is elevation of the pressures in the lung circulation. There are both primary (intrinsic lung disease) and secondary causes (valve disease, systemic hypertension). An echo is a good place to start as it will help diagnoses the cause and severity of your issue. A slow heart rate is not typically associated with this. Good luck. ...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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I have pulmonary hypertension and a enlarged heart will I die soon?

I have pulmonary hypertension and a enlarged heart will I die soon?

Honest discussion: You need an honest discussion with your doctors, they know your situation much better than we do. ...Read more

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What is the risk of pulmonary hypertension complicated heart failure and how I can manage?

What is the risk of pulmonary hypertension complicated heart failure and how I can manage?

Treat heart failure: Pulm HTN worsens heart failure status, but is treated by aggressive management of the heart failure status. Adequate decongestion with water pills, and adequate afterload reduction agents should be used. ...Read more

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I have moderate pulmonary hypertension, enlarged heart, what can I expect? What is the prognosis? Please give me your opinion.

I have moderate pulmonary hypertension, enlarged heart, what can I expect? What is the prognosis? Please give me your opinion.

Need more info: Pulm HTN is a complex syndrome, and it can be the result of a number of diseases, or it can be "idiopathic". Given your age and gender, a lot of things are potentially treatable, but you likely need more evaluation. You need a lung doc. I don't know of any in athens, but I know several in zanesville. I could also see you in columbus, if you were willing to make the trip. ...Read more

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If I have a heart mur mur & pulmonary hypertension (mild). Is this something I should be concerned about? As the doc hasn't given me anything.. Thank

If I have a heart mur mur & pulmonary hypertension (mild). Is this something I should be concerned about? As the doc hasn't given me anything.. Thank

Ask questions: Mitral stenosis and pulmonary hypertension it's a cause of concern. But I do not know if your valvular heart disease and the pulm HTN are related. Could be 2 different conditions. Ask your doctor to explain to you the pathophysiology of both conditions and how they relate if they relate. You have to understand your own condition. Get copy of your studies and keep them in a safe area. ...Read more

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Is pulmonary hypertension officially classified as a condition of the lung or heart?

Is pulmonary hypertension officially classified as a condition of the lung or heart?

Lung: Officially it is a condition of the blood vessels of the lung. The ultimate result of untreated disease however is right sided heart failure. ...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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Pulmonary hypertension. Would symptoms present before right sided heart enlargement began?

Pulmonary hypertension. Would symptoms present before right sided heart enlargement began?

PH: While symptoms of pulmonary hypertension (ph) often correlate with right ventricular size and function, it possible to have symptoms, particularly with heavy exertion, early in the disease state. ...Read more

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Does a ordinary heart echo include checking the pulmonary arterial pressure and does a normal echo rule out pulmonary hypertension?

Does a ordinary heart echo include checking the pulmonary arterial pressure and does a normal echo rule out pulmonary hypertension?

Typically an estimat: Echocardiography typically estimates pulmonary artery pressure indirectly. PA pressure is measured directly with heart catheterization. Echo is a good screening test. ...Read more

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I get tired when standing for a while& in hot weather+I feel heaviness and bounding heart, I have moderate pulmonary hypertension, can it cause that?

I get tired when standing for a while& in hot weather+I feel heaviness and bounding heart, I have moderate pulmonary hypertension, can it cause that?

Pulmonary HTN: Certainly pulmonary hypertension could cause those kind of symptoms. The bigger question is why does someone who is 19 years old have pulmonary hypertension in the first place? If it is somehow reversible, that would be vital to know. You should see your doctor to examine this. Good luck. ...Read more

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Can pulmonary hypertension and/or heart failure lead to a hoarse voice?

Can pulmonary hypertension and/or heart failure lead to a hoarse voice?

There: Are case reports of such an association. I would guess however that it is RARE! (The name of this association is called ORTNER's SYNDROME (Google it!) (also called "CARDIO-VOCAL SYNDROME)
Hope this helps
Dr Z ...Read more

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Can I have kids while having pulmonary hypertension and right heart failure?

Can I have kids while having pulmonary hypertension and right heart failure?

Yes but: This can be done successfully. But there can be significantly increased risks. I highly, highly recommend you specifically see a cardiologist trained in adult congenital heart disease and pulmonary hypertension. They are trained to help with these issues as there are significant changes that occur during pregnancy. ...Read more

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Can a person with pulmonary hypertension with right heart failure receive a massage?

Can a person with pulmonary hypertension with right heart failure receive a massage?

Yes: A regular massage is not a problem for pah. Continue your meds and continue close medical followup. If symptoms worsen you may need prostacyclin. ...Read more

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Small left sided heart with abnormal septal motion in ventricle EF 60-65% heart is normal including thickness. Possible pulmonary hypertension cause?

Small left sided heart with abnormal septal motion in ventricle EF 60-65% heart is normal including thickness. Possible pulmonary hypertension cause?

MRI: If you have severe pulmonary hypertension, you may have Primary Pulmonary Hypertension. This is potentially a serious diagnosis. Intracardiac and intrapulmonary shunting must be ruled out. A cardiac MRI and nuclear shunt test can make this determination. These tests are likely only available at a major referral center - London. Good luck. ...Read more

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Pulmonary hypertension in echo, so heart catheterization next. With EDS (weaker collagen)&many vascular symptoms, is the test OK for me? Other option?

Pulmonary hypertension in echo, so heart catheterization next. With EDS (weaker collagen)&many vascular symptoms, is the test OK for me? Other option?

It is the best tests: EDS can cause pulmonary hypertension, a condition that usually is difficult to diagnose with the physical exam only. Most cardiologist would start with non-invasive testing like an echocardiogram but to confirm such diagnosis right heart catheterization is still the best (invasive) diagnostic procedure. Follow up with your cardiologist because there is treatment for pulmonary HTN. ...Read more

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Does a right atrium dilated, RV pressure of 25-30 mHg, IVC dynamics 5-10 mmHg subjective possibly of pulmonary hypertension or heart failure?

Does a right atrium dilated, RV pressure of 25-30 mHg, IVC dynamics 5-10 mmHg subjective possibly of pulmonary hypertension or heart failure?

If accurate, only: Mildly ↑ed. RA ~5 mmHg, RV systolic ~25 mmg Hg generally ~optimally healthy; similar to the values stated. Thus RA enlargement likely: mismeasurement (common, not rare; study image data yourself), marked tricuspid regurgitation, congenital variant, atrial muscle problem [eg advanced arterial disease in RA arteries; (lumens too small to see by angiography) producing RA ischemia/fibrosis], etc. ...Read more

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What is differences between right ventricular hypertrophy & right heart failure; cor pulmonale & pulmonary hypertension? Do they hv the same meaning?

Related: Pulmonary hypertension leads to right ventricular hypertophy. If the hypertension is severe and prolongued, the hypertrophied right ventricle begins to enlarge out of proportion to it's thickness. That is called cor pulmonale. Subsequently the right ventricle begins to fail, the right ventricular end diastolic pressures rise over 20mmhg, the rv cardiac output gets compromised, legs, liver, abdswell. ...Read more

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Please, what is the cause of alteration between bradycardia & tachycardia+bounding heart, +tired, had sleep apnea before&moderate pulmonary hypertension?

Please, what is the cause of alteration between bradycardia & tachycardia+bounding heart, +tired, had sleep apnea before&moderate pulmonary hypertension?

Heart rhythm: You are describing a heart rhythm disorder that should be evaluated. Atrial fibrillation may be at cause except that you are a little too young. See your family doctor or cardiologist asap. ...Read more

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I'm 23 with pulmonary hypertension and right heart failure. The pills my lung doctor puts me on constantly makes me sick. Could surgery help?

I'm 23 with pulmonary hypertension and right heart failure. The pills my lung doctor puts me on constantly makes me sick. Could surgery help?

PAH: Pulmonary arterial hypertension (pah) is best treated medically, assuming your doctor has excluded chronic lung blood clots as a cause. The only surgery for group 1 pah is lung transplant which is reserved for patients who fail medical therapy. There are several drugs available for pah, perhaps there are other options. Please discuss with your doctor. ...Read more

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I have been experiencing high heart rate (100+ while lying down) and high blood pressure (150/101 at times) all night. Unable to sleep.

I have been experiencing high heart rate (100+ while lying down) and high blood pressure (150/101 at times) all night. Unable to sleep.

See doctor asap: This heart rate and blood pressure are not normal. You need to see your doctor as soon as possible to have your blood pressure treated and to find out why your heart rate is soon high. Please see doctor today or tomorrow if possible. In the mean time avoid all salt or salty foods, drink plenty of water, avoid caffeine, alcohol and nicotine and rest until you can be seen. ...Read more

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17 year old with high blood pressure and high heart rate. Was put on the beta blocker bystolic (nebivolol) 10 mg. Is this a good choice?  

17 year old with high blood pressure and high heart rate. Was put on the beta blocker bystolic (nebivolol) 10 mg. Is this a good choice?  

Yes: Bystolic, (nebivolol) a vasodilating beta-blocker seems a good choice for this patient given its ability to lower BP and heart rate coupled w added efficacy and fewer side-effects when allowing for its nitrous oxide vasodilating properties. While essential hypertension remains most likely, a search for secondary hypertension is worthwhile in such a young patient (centering on assessment of renal arteries. ...Read more

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Why do I experience a low heart rate with normal/high blood pressure and a high heart rate with low blood pressure? Thanks

Why do I experience a low heart rate with normal/high blood pressure and a high heart rate with low blood pressure? Thanks

No Easy Answers from: A distance. Everything you describe is a behavior/sign/symptom, none causal. Heart rate, strength of contraction (both heart functions) ; BP (mean arteriole resistance) are all controlled 24/7, split-second by split-second, by our brain/mind at below conscious, autonomic nervous system level. While alterations in heart muscle size & function (usual doc focus) are also a factor, these are secondary ...Read more

Dr. Charles Burger
314 Doctors shared insights

Pulmonary Hypertension (Definition)

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


Heart Rate (Definition)

Heart rate is a measurement of the number of times a person's heart beats in one minute. Normal heart rates vary with a person's age and with excitement and exercise. Abnormal heart rates are too slow, too fast, and/or irregular (too much ...Read more