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Doctor insights on: Pulmonary Hypertension Patients With Low Bp

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Dr. Sheila Smith
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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Is it normal for a pulmonary hypertension patient who is 65 yrs old end up bed bound?

Is it normal for a pulmonary hypertension patient who is 65 yrs old end up bed bound?

Sadly sometimes: Pulmonary hypertension can become devastating and sometimes does, in fact, progress to the point where one is bed bound. I assume he has been thoroughly evaluated for treatable causes? If not, he should see someone show specializes in ph at a university hospital. The university of michigan and henry ford hospital in detroit are 2 that come to mind in your state. ...Read more

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How can I treat a patient with pulmonary hypertension but have systemic hypotension?

How can I treat a patient with pulmonary hypertension but have systemic hypotension?

Referral: If there is hypoxia, o2 can be given, even with desaturation to exercise. Then refer to the expert or to a pah center as not all pulmonary hypertensions are because of the lung per se and the meds for pah may not be safe. Sometimes when meds are given appropriately, the forward flow of blood improves and improves bp. ...Read more

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Help please? What is medicine for dry cough , patient is suffering from primary pulmonary hypertension?

Help please? What is medicine for dry cough , patient is suffering from primary pulmonary hypertension?

Varies.: See a doctor for management. OTC cough suppressants like Robitussin (guaifenesin) could help with cough. A doctor can prescribe stronger cough medication, follow up on pulmonary hypertension, and check your medications to see if they are causing cough. ...Read more

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Is a Octostim (DDAVP) test for bleeding issues contraindicated in a patient with mild pulmonary hypertension requering notreatment?

Is a Octostim (DDAVP) test for bleeding issues contraindicated in a patient with mild pulmonary hypertension requering notreatment?

Test with caution: DDAVP (desmopressin) is contraindicated in patients with known allergy, kidney failure or low sodium levels. It is known to cause fluctuations in your BP and a decrease in sodium levels. It should be used with caution in patients with cystic fibrosis, heart failure as they are prone to sudden drops in sodium. If your pulmonary hypertension is not related to any of the above, then you can proceed with caution. ...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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Can 5 weeks of pulmonary hypertension (as well as a few other diagnoses) lead to moderate anoxic brain injury? A patient in his early 50's receives diagnosis of mssa- causing pulmonary hypertension, chf, aortic valve regurgitation, a stretched mitral valv

Can 5 weeks of pulmonary hypertension (as well as a few other diagnoses) lead to moderate anoxic brain injury? A patient in his early 50's receives diagnosis of mssa- causing pulmonary hypertension, chf, aortic valve regurgitation, a stretched mitral valv

Endocarditis: Anoxic brain injury can occur after cardiac arrest. The heart disease you mention could lead to cardiac arrest but you did not mention this in your history. I am concerned about endocarditis, infection of the heart valve, with history of mssa bacteremia. ...Read more

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What are your chances is getting pulmonary hypertension from phintermine? Low or high?

What are your chances is getting pulmonary hypertension from phintermine? Low or high?

A rare side effect: If mild, you may not feel anything at all. If severe and prolonged, you may have trouble with your heart--right-sided heart strain/failure. You may notice neck vein distention. You may notice shortness of breath, especially on exertion etc..If you used Phentermine for longer than 6 month, or have any such symptoms above, consult doc. An echocardiogram (ultrasound) can show this. Best of luck. ...Read more

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My daughter has cchs- her dr seems puzzled when we explain that her o2 sats run low, while still maintaining an appropriate co2 level. The best they have come up with is malacia- she shows no signs of pulmonary hypertension. What else should we have rul

My daughter has cchs- her dr seems puzzled when we explain that her o2 sats run low, while still maintaining an appropriate co2 level.  The best they have come up with is malacia- she shows no signs of pulmonary hypertension.  What else should we have rul

A few things: As you know, cchs is a rare condition and is not fully understood. There are a number of diseases that are associated with and syndromic with cchs. An example is hirschprungs disease, which seems to share a link with an underlying genetic defect that also can cause cchs. The best way to evaluate is a pulmonoligist affiliated with a children's hospital that has a wide range of subspecialities. ...Read more

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Could cryofibrinogenemia cause shortness of breath and/or mild pulmonary hypertension that increases at times in intensity, improving overall with daily low-dose hydrocortisone?

Could cryofibrinogenemia cause shortness of breath and/or mild pulmonary hypertension that increases at times in intensity, improving overall with daily low-dose hydrocortisone?

Theoretically yes: Cryofibrinogenemia increases your risk of arterial and venous clots. Anything that does this, including clotting disorders, can increase your risk for pulmonary hypertension. And because cryofibrinogenemia is associated with inflammation, Hydrocortisone treatment would theoretically decrease inflammation and your risk for pulmonary hypertension. ...Read more

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Can I take vitamin C pills (always made of sodium/potassium bicarbonate, (sodium bicarbonate) ascorbate, benzoate...) w. pulmonary hypertension requiring low sodium diet?

Can I take vitamin C pills (always made of sodium/potassium bicarbonate, (sodium bicarbonate) ascorbate, benzoate...) w. pulmonary hypertension requiring low sodium diet?

Yes, however...: I strongly advise you take Vitamin C, ideally 1000 mg 2-3x/day, but you should try to find forms without sodium. I don't know what's available in Denmark, but in the US you can find ascorbic acid, or calcium or magnesium ascorbate without sodium. Lypo-spheric Vit. C is esp. well-absorbed,but has 120 mg of sodium, but a low sodium diet usually allows 2000mg/day. Vit. C is best with bioflavonoids. ...Read more

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Stages of pulmonary hypertension?

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?

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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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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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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What are the stages of pulmonary hypertension?

PH Stages: Pulmonary hypertension (ph) does not have stages; however, the symptoms are often graded using a functional class system. Class i is little to no symptoms all the way to class IV which includes shortness of breath at rest and right heart failure. ...Read more

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Could you give me info on pulmonary hypertension?

Could you give me info on pulmonary hypertension?

Narrower question: Could you narrow this down a little - whole books are written on the topic. We'd be glad to try to address a specific concern. ...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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Can you takebisoprolol for pulmonary hypertension?

Can you takebisoprolol for pulmonary hypertension?

Bisoprolol for PH: Pulmonary hypertension (ph) can be caused by heart disease. If so, medication such as bisoprolol may be helpful. Bisoprolol would not be beneficial for pulmonary arterial hypertension (pah). ...Read more

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How is pulmonary hypertension vs. Regular hypertension?

Very different: Pulmonary hypertension is high pressure in the lungs and associated with chest pain, shortness of breath and fainting spells. Essential or systemic hypertension is different and is high pressure in blood vessels outside of the lungs. It can cause headaches, cheat pain but usually no fainting spells. ...Read more

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In what ways are the stages of pulmonary hypertension rated?

1 thru 4: Stages may refer to functional class which is
i: no symptoms
ii: symptoms with moderate exertion
iii: symptoms with minimal exertion(short walk)
iv: symptoms at rest. ...Read more

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How rapidly is pulmonary hypertension progresses? And what accelerates it?

How rapidly is pulmonary hypertension progresses? And what accelerates it?

Progression: There are multiple causes for pulmonary hypertension. The rate of progression depends on the causative factors. One answer doesn't fit all. ...Read more

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If I have pulmonary hypertension should I be doing high tenacity exercises?

If I have pulmonary hypertension should I be doing high tenacity exercises?

Depends: If on therapy and tolerating exercise you can increase intensity. However pulm HTN usually decreases exercise tolerance. ...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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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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Is pulmonary hypertension an inherited disease?

Is pulmonary hypertension an inherited disease?

Sometimes: There are some forms of pulmonary HTN that are inherited and there are some conditions that lead to pul HTN that are inherited but there are also forms of pul HTN that are not inherited. ...Read more

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Would HGH help you if you have pulmonary hypertension?

Probably not: Talk to your pulmonologist. Ph is a serious disease. ...Read more

Dr. Charles Burger
313 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


Dr. Jerome Zacks
1,358 doctors shared insights

Abnormal Blood Pressure (Definition)

Abnormal blood pressure is a symptom in which a person's blood pressure is much higher or much lower than it should be for his age and body size. If either the systolic (upper number) pressure or the diastolic (lower number) pressure is not in the normal range, then the ...Read more