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Doctor insights on: Pulmonary Hypertension Pregnancy

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Dr. Payam Rafat
325 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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Difference between pulmonary hypertension and pulmonary atrial hypertension?

Difference between pulmonary hypertension and pulmonary atrial hypertension?

PH and PAH: Pulmonary hypertension (PH) is often first detected by echocardiogram and may be caused by a variety of conditions. Pulmonary arterial hypertension (PAH) is caused narrowing of the small lung arteries and must be diagnosed by heart catheterization. PAH requires treatment by an expert specialist. ...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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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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Could an echocardiogram detect pulmonary disease/pulmonary hypertension?

Could an echocardiogram detect pulmonary disease/pulmonary hypertension?

ECHO for PH: Pulmonary hypertension (ph) is often first detected by echocardiogram (echo) which estimates the pulmonary artery systolic pressure. The diagnosis is confirmed by right heart catheterization which measures mean pulmonary artery pressure and resistance. ...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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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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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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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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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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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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Pulmonary hypertention a heart or lung condition?

Pulmonary hypertention a heart or lung condition?

Dual workup: Typically you should see both a cardiologist and pulmonologist individually to work this up since they will often take different but complimentary approaches. ...Read more

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Can pulmonary hypertension cause tachycardia?

Can pulmonary hypertension cause tachycardia?

Yes: If the heart function is reduced (called heart failure) by working against the pulmonary hypertension, then one way the heart compensates to increase blood flow is by increasing the heart rate, i.e. Tachycardia. ...Read more

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Would pulmonary hypertension cause high blood pressure?

Would pulmonary hypertension cause high blood pressure?

Blood pressure: Usually when there is pulmonary hypertension of significance, there is normal or decreased systemic blood pressure. Sometimes in the early phase of pulmonary hypertension there can be systemic hypertension but not when right heart dysfunction results from the elevated pulmonary resistance ...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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Can gestational hypertension cause heart failure?

Can gestational hypertension cause heart failure?

Yes: Heart failure for the fetus and seizures with heart failure in mothers. ...Read more

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How is pulmonary hypertension vs. Regular hypertension?

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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Is pulmonary hypertension acquired disease?

Is pulmonary hypertension acquired disease?

Generally yes: Usually, it is acquired; however, up to 5% of patients with pulmonary arterial hypertension (PAH) may have a genetic or heritable cause. ...Read more

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Dr. Al Hegab
4 doctors shared insights

Pregnancy (Definition)

When your due date arrives, you will be more than ready to have your baby! Most women deliver the baby somewhere between 37 and 42 weeks. According to the American College of Obstetricians and Gynecologists, only 5% of babies arrive on the exact due date. Approximately 7% of babies are not delivered by 42 weeks, and when that happens, it is referred to ...Read more


Dr. Payam Mehranpour
2,112 doctors shared insights

Hypertension (Definition)

Hypertension is defined as elevated blood pressure systolic over 140 and diastolic over ...Read more