Doctor insights on:
What Is The Difference Between Arterial Hypertension And Pulmonary Hypertension
Peripheral vs Lung: Systemic arterial hypertension or just regular hypertension is elevated pressure in aorta or peripheral circulation (arms, legs). Pulmonary hypertension is elevated pressure in the pulmonary arteries in the lungs. Pulmonary hypertension usually has different causes, prognosis and much different treatment than systemic arterial hypertension. ...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
Lungs vs body:
Arterial hypertension is simply high blood pressure, as in 150/95 vs a normal 120/80.
Pulmonary hypertension is increased pressure in the vessels sending blood to the lungs to be oxygenated. This puts stress on right side of the heart and can lead to heart failure if not treated. ...Read more
Is medical marajuina good for asthma my sister have arterial pulmonary hypertension & suffers from asthma. She is on oxygen much of the time. Could marajuina help her?
Does a ordinary heart echo include checking the pulmonary arterial pressure and does a normal echo rule out pulmonary hypertension?
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
What is the difference between pulmonary venous congestion and pulmonary hypertension, if there is a difference?
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
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
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
Is there connection between systemic hypertension and pulmonary hypertension 42mmHg and LA mild dilation??
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
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
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
Potentially: Potentially but is is very rare. Likely less than 1 in a million. There is a mutation that is frequent among patient with unexplained pulmonary htn, formally termed idiopathic pulmonary arterial hypertension. Current research is focused on identifying potential target of therapy that involve the genes related to familial pulmonary htn. ...Read more
PH: High blood pressure in the lungs is called pulmonary hypertension (ph) or pulmonary arterial hypertension (pah). Primary ph is now known as idiopathic (no clear cause) pah which is a chronic and life-changing disease that can lead to breathlessness and right heart failure if left untreated. ...Read more
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
There would be the same issues with morphine in any case:
respiratory depression if large amounts are taken and in patients in whom there are other issues with sedation (the sedation of the morphine, especially with other sedatives can make breathing issues)
fundamentally, yes, it is even used to lower pulmonary hypertension in contexts such as acute heart attack pain. ...Read more
Arteries are defined as blood vessels which carry blood away from the heart (to either the body or lungs). Arteries: higher pressure, thicker walls, stretch (pulse) with each heart contraction & deliver blood to the arterioles which control the flow to individual capillaries. Veins are blood vessels which carry blood from capillaries back to the heart (body to right heart; ...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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