What. Is antihypertensive of choice in interstitial lung disease with mild pulmonary hypertension?

Several choices. In the absence of other heart problems i would tend to try amlodipine in someone with high blood pressure and mild pulmonary hypertension. However many other medications such as acei or arb, beta blockers, Diltiazem or diuretics could also be appropriate. Please discuss with your doctor.

Related Questions

Is it possible to have pulmonary hypertension without any lung disease? My tests suggest I have moderate ph. My cadiocath also

Yes. I gather from your meds that you've either had a transplant or have vasculitis. Vasculitis can cause pulmonary htn. The commonest cause of phtn is congestive heart failure from any cause including valvular disease, cardiomyopathy, and intracardiac shunts. . Primary (or idiopathic) pulmonary HTN also is a possibility but it's thankfully relatively rare. Read more...

What's the relationship between interstitial lung disease and pulmonary fibrosis?

Interchangeable. Pulmonary fibrosis is a pathologic description of interstitial lung disease which is a radiographic description of the disease. The terms are used interchangably but not all interstitial lung disease results in pulmonary fibrosis. Read more...
Same disease. Interstitial lung disease and idiopathic pulmonary fibrosis are different terms for the same disease. Fibrosis means scar tissue in lay terms. For unknown reasons fibrous tissue begins to replace normal lung causing difficulty breathing. At present there is no effective treatment although it is an intense area of research and many new drugs are being studied. Read more...

Tell me about interstitial lung disease and pulmonary fibrosis?

Same. Ipf is one form of ild. It refers to disorders of the interstitium of he lung vs. Diseases that effect the bronchi, or alveolar spaces. Read more...

What cab be done for interstitial lung disease and pulmonary fibrosis?

Not much. Ild/pulm fibrosis is a progressive destruction of lung architecture resulting in progressive shortness of breath. All therapy tried to date has not provided much improvement. Oxygen and exercise while awaiting lung transplant is a current management option. The mortality of ipf is on the order of less than 5 yr after dx. Read more...

Can interstitial lung disease like pulmonary fibrosis and those like pulmonary fib. Be ruled out pretty good with pulse ox, CT of lungs, and chest xra?

Several causes. Pulmonary fibrosis is a pathologic process of lungs that can occur in many disorders of the lungs. Pulse ox, chest xray & ct can be helpful in determining patterns of disease & extent of lung involvement & can sometimes help determine the cause as well. However definitive diagnosis may require other tests including lung biopsy (in some cases). Talk to a pulmonologist for detailed work up. Read more...
No. The above tests are not sensitive enough. Pulmonary function tests and a high resolution ct scan of the lungs are more sensitive. If they are normal, then interstitial lung disease can be essentially ruled out. Read more...

My dr says I have acute interstitial lung disease and wants to do a pulmonary function test and high resolution CT scan. What does all of this mean?

Not simple pneumonia. For a simple pneumonia, the initial x-rays can provide classical features and the doc can send you on your way with simple treatment. Interstitial lung disease requires a more involved evaluation because the potential causes are quite diverse. Differentiating a simple transient from a long term issue is important to identify a cause and course of treatment. Read more...
ILD. Ild refers to a group of lung diseases affecting the interstitium (the tissue and space around the air sacs of the lungs). It concerns alveolar epithelium, pulmonary capillary endothelium, basement membrane, perivascular and perilymphatic tissues. The term ild is used to distinguish these diseases from obstructive airways diseases such as emphysema (COPD) and athma like conditions. Get DX and tx. Read more...
Workup and Mgt. An acute interstitial disease is often related to infection of the lung or a reaction to inhaled substances. I would recommend that since you are being treated for allergies, that you also include a pre and post bronchodilator spirometry. The HRCT will be helpful in identifying structural abnormalities of the lung. If you have crackles on examination, a workup for Hypersen. pneumonitis may be done. Read more...