Complex. Gout may predispose to secondary joint or renal infection. Infection can produce sepsis which can exacerbate heart failure by multiple mechanisms. Hypertension may lead to heart failure.
Obesity? There is no clear link in the various processes listed above, but morbid obesity put you at risk for all of these... If I saw a thin patient with all of those i'd say that central sleep apnea could account for three (sepsis, heart failure, and hypertension), but not gout. With weight loss heart failure, hypertension, and gout can be easier controlled or eliminated.
Great Question. My best answer is they can all occur do to the domino effect of a serious disease.
YES. Yes u can.
No. Portal hypertension is due to obstruction of flow of blood through the liver on its way back to the r heart. High pressures in the r heart may be reflected back to the liver causing portal hypertension but not the other way round.
Yes. Heart failure for the fetus and seizures with heart failure in mothers.
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.
No. The patients who develop phtn initially do not have heart failure. They have shortness of breath, fatigue, and even syncope. But heart failure develops over time in our patients with phtn and is the cause of death. Thus, patients with phtn need to be monitored closely so that if they develop heart failure, doctors can treat them quickly and increase medications.
PH and Heart Failure. High blood pressure (BP) in the lungs is called pulmonary hypertension (ph) or pulmonary arterial hypertension (pah). Pah is a chronic and life-changing disease that can lead to right heart failure if left untreated. Many treatments are now available to prevent heart failure associated with ph.
Consult a physician. I am assuming you are talking about pulmonary hypertension causing right heart failure. Cause by any lung condition severe enough to damage the arteries and veins of the lungs. 2008 who updated the classification of ph. Idiopathic ph refer to sporadic cases with no cause. Secondary due to connective tissue dz, drug and toxins, HIV infection, congenital heart dz, severe copd, interstitial lung dz.
Depends. First need to make sure you have it then follow closely with your physician to see if you are a candidate for medical treatment.
Treat heart failure. Pulm HTN worsens heart failure status, but is treated by aggressive management of the heart failure status. Adequate decongestion with water pills, and adequate afterload reduction agents should be used.
There. Are case reports of such an association. I would guess however that it is RARE! (The name of this association is called ORTNER's SYNDROME (Google it!) (also called "CARDIO-VOCAL SYNDROME) Hope this helps Dr Z.
Yes. But depending on the severity of your condition, it might not be advisable since you would be putting your life at risk. You might have to stop certain medications you are taking sine they are not safe in pregnancy. Consult with your doctor.
Yes. But higher risks to mother and child. See OB for high risk pregnancy.
Yes but. This can be done successfully. But there can be significantly increased risks. I highly, highly recommend you specifically see a cardiologist trained in adult congenital heart disease and pulmonary hypertension. They are trained to help with these issues as there are significant changes that occur during pregnancy.
Massage. Right heart failure should not preclude a massage.
Yes. A regular massage is not a problem for pah. Continue your meds and continue close medical followup. If symptoms worsen you may need prostacyclin.
Many. Many medications can be used for this depending on your overall history. Some common ones include lasix, (furosemide) aldactone/spironolactone, ace inhibitors (e.g. Lisinopril), arbs (e.g. Losartan), and nitrates. This requires a discussion with your doctor who knows your history well.