Doctor insights on:
Pulmonary Hypertension High Heart Rate
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
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
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
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
Honest discussion: You need an honest discussion with your doctors, they know your situation much better than we do. ...Read more
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
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
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
Does a ordinary heart echo include checking the pulmonary arterial pressure and does a normal echo rule out pulmonary hypertension?
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
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
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
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
Can you tell me about congestive heart failure and pulmonary hypertension develop. Which of the following congenital defects may be the cause of these findings?
Too broad: Sorry, this question hasn't been answered because it's too broad - do you have specific concern we can address in 400 characters? Thanks! ...Read more
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
Is it good for a person that has pulmonary hypertension with right heart failure to be in excessive heat? And get on roller coaster rides?
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
A small left atrium normal in thickness on my echo with abnormal septal motion. Heart structure normal with EF 65%. Possible pulmonary hypertension?
I just read your response regarding Lasix/congestive heart failure. I have a family member with CHF & pulmonary hypertension who is also Bi-polar. She was taken off Lithium due to the Lasix & we can't seem to find anything other med that works as well as
Severe chest pressure & pain. Microvascular heart disease. History of pulmonary hypertension. No relief w/rest. Clear right cath recent. Er?
Want to know what is the cause of alteration between bradycardia & tachycardia+bounding heart, I had sleep apnea before&moderate pulmonary hypertension?
See below: That would be really difficult to answer on here. You need an evaluation by your cardiologist. ...Read more
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
Please, what is the cause of alteration between bradycardia & tachycardia+bounding heart, +tired, had sleep apnea before&moderate pulmonary hypertension?
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
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
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
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
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
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