Doctor insights on:
Severe Pulmonary Hypertension Life Expectancy
Pulmonary hypertensi: Complicated question, if the cause of pah is found and resolved before pulmonary elevated resistance is fixed, a cure is possible. Most often however pah is not cured, it is treated. ...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
Pulm HTN: This very much depends on why there is pulmonary hypertension in the first place. Also, what the severity of the pulmonary hypertension is and what other underlying medical problems are also present. This should be managed with a multidisciplinary approach with pediatric cardiologist; pediatric heart surgeon; primary care team; among others. ...Read more
Is severe pulmonary hypertension generally considered to be life-threatening in a 90 year old, especially if it is untreated?
Very high pressure:
"severe pulmonary hypertension" means that the blood pressure in the lungs is very high. This is different than "systemic hypertension, " which is high blood pressure in the vessels of the body. The concept, however, is the same.
There are a number of causes of this pulmonary hypertension, and when very severe, it can cause significant disease. This should be followed closely by a specialist. ...Read more
How could I lose weight with pulmonary hypertension, my exercising is limited due to severe breathing problem?
If severe pulmonary hypertension is discovered in an elderly person then what, if anything, should be done to treat it? Should the condition be monitored and how would this be done?
Depends: There are several variables to consider and generally age alone isn't a reason not to be evaluated and treated for pah. ...Read more
What is the difference between severe pulmonary hypertension and raised jugular venous pressure? Do they always coincide?
Difficult to discern: The real test called jvp was designed to determine presence of heart failure or fluid overload. The presence of high pressure against which the right ventricle has to work in pah causes the exaggerated bulging back of the tricuspid in rv systole and also causes jvp. Tricuspid stenosis thus would do the same thing. ...Read more
I have moderate pulmonary hypertension (pressure 37) and severe sleep apnea (94 times an hour on asvmachine) could my pH be reduced if my sleep apnea
Questionable: Treating sleep apnea will decrease the rate of progression of phtn. Treating your severe sleep apnea also has other benefits for your body. It reduce the chance of stroke or heart attacks. Untreated people with sleep apnea live five years less than people without sleep apnea. ...Read more
What is the treatment for someone who has severe pulmonary hypertension, especially in an elderly person who has COPD and pulmonary oedema? Would a diuretic and frusemide spray be likely to be enough?
Severe chest pressure & pain. Microvascular heart disease. History of pulmonary hypertension. No relief w/rest. Clear right cath recent. Er?
Which calcium channel blocker is most effective for severe raynauds, digital ischemia and exercise-induced pulmonary hypertension? I take 7.5 mg amlodipine but now wondering if diltiazem was better.
Unsure. But: You can always try and see which one works best for you, with the support of you doc. There are many issues that vary the results among different calcium blockers including different absorption and metabolism from a patient to another. We usually use amlodipine but you can tell better if Diltiazem feels more effective for you. Would discuss with my doc regarding a possible switch trial. ...Read more
My brain hurts my mom went from severe CHF and diabetic to now pulmonary hypertension but still can't bare weight or walk... Grrrrrrr I need to marry a doctor so he can explain these things to me?
Complicated: Your mother has a set of conditions that often occurr together and depending on the severity of the problems, can be debilitating. If you are going to marry a doctor to solve this problem, make sure he is a cardiologist. ...Read more
Severe chest pain, calcium screening showed chronic pulmonary hypertension& lung nodules. Had CT of chest 3mm & 8mm noncalcified granulomas. Helpplease?
Lung nodules: Many causes of lung granulomas. Histoplasmosis a fungus in the dirt is probably most common cause. Being around construction sites or bird handling are frequent causes especially around Ohio river. Connective tissue causes like sarcoidosis and wegeners can also cause. Working in dusty areas or around talc is known cause. With pulmonary hypertension you need to see a pulmonologist for definitive dx ...Read more
Pulmonary HTN: It truly depends on the cause of pulmonary htn. If it is idiopathic (no clear cause) they should be referred to a pulmonologist (or cardiologist) that is comfortable treating it. The treatments are somewhat new and not all specialists are comfortable treating it. ...Read more
Is there anything done as a child that can cause them to have pulmonary hypertension later in life?
Unsure: There are certainly medical conditions that can lead to pulmonary hypertension later in life. If you are referring to possibly exposures, then it depends on the substance, but unlikely. I apologize as I'm not sure how best to answer your question, but there are few things a parent/person could potentially do to cause pulmonary hypertension. ...Read more
Complicated: I'm assuming you're referring to idiopathic or primary pulmonary hypertension? I don't think there has ever been a world wide study - most studies include a registry in their own country, so I don't think the answer to your question is known. There are genetic factors so the incidence may well be different in different races. ...Read more
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
One is in the lungs: Our blood pressure generally averages around 120/80 although lower is not necessarily bad. When it gets to 130/90 and above this is considered hypertension. The normal pressure in the arteries in the lungs is 25/15 because the right side of the heart only has to push blood through the lungs, not the whole body. When this pressure gets above 35/20 it's pulmonary hypertension. ...Read more
Yes: I have not seen one but literature says that it can indeed cause portal hypertension due to the liver problem and blood return is impeded. The smaller pulmonary arteries can be deemed pulmonary hypertension unless left and right heart cath can be done to prove the pulmonary circulation is ok and only the larger artery involved, cath may be difficult due to the pressure and size of vessels. ...Read more
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
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
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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