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Symptoms Of Pulmonary Hypertension

Symptoms of pulmonary hypertension-various aspects-
Pulmonary hypertension is high blood pressure in the blood vessels that supply the lungs (pulmonary arteries).
It is very difficult to diagnose pulmonary hypertension in the early stages,only after 2-3 years after the onset or when the symptoms become severe then only it can be diagnosed.
It can cause  damage to the right side of the heart.
The walls of the pulmonary arteries become thick and stiff, and as  they cannot  expand  to allow blood through,so pulmonary hypertension occurs.
This results in  reduced blood flow to the lungs which makes harder for the right side of the heart to pump blood through the arteries.
If the right side of your heart has to continually work harder, it can  become weak.  This can lead to heart failure.
Pulmonary hypertension has  a rare incidence, but  it can affect people of all ages, but it’s more common in people who have another heart or lung condition.
Symptoms of pulmonary hypertension are-
shortness of breath.
feeling faint or dizzy.
chest pain (angina)
a racing heartbeat (palpitations)
swelling (oedema) in the legs, ankles, feet or tummy (abdomen)
The symptoms often get worse during exercise, which can limit your ability to involve in physical activities.
If a patient  has a type of pulmonary hypertension called as  pulmonary arterial hypertension (PAH), he may not have any symptoms until the condition has  reached  in  advanced stage.
If you have any symptoms of pulmonary hypertension you  may  consult  your  qualified and experienced physician (MD General Medicine) doctor who may  SOS  make  reference  to  Cardiologist  or  Chest physician.
Correct diagnosis of pulmonary hypertension may be delayed  sometimes as symptoms of pulmonary hypertension are similar to those of many other heart and lung conditions.
Investigations in  pulmonary hypertension –
Chest  X-ray
MRI -Chest
ECG .Blood tests can enable to detect the cause of pulmonary hypertension
2-DECHO-which is the ultrasound of the heart.With the help of sound signals it gives measurement of the size and shape of the heart.It also gives idea of the pulmonary arterial pressure.
Right  side  heart  catheterization  to  measure  the  pulmonary  blood pressure.It is a gold standard in the measurement of pulmonary hypertension.
If  the  pulmonary blood pressure is  more  than  25 mm Hg  at  rest  or  more than  30 mm Hg during  exertion, then  it  is diagnosed  as  pulmonary  hypertension.
According to  6 minutes  walk  test  the pulmonary hypertension  is  graded  between  1-4
Stage-1 -In  this  there are no symptoms and  there is no  discomfort  during  exertion
Stage-4 -In this  stage  there are  signs and symptoms of pulmonary hypertension at  rest .
This  stage  is  given  the  name of  6 minutes  walk  test  as  this test  determines  as  to  how  much  a  patient of  pulmonary hypertension  can walk  in 6 minutes and  what  is  the  response  of  body  to  this  activity.
Depending  on  the  response  of  this  6 minutes  walk  test  ,further  treatment  is  planned  by  doctors.

Complications of  pulmonary hypertension –symptoms of pulmonary hypertensionarise only when problem crosses a certain limit.-As purified  ,oxygen  rich blood  arrives in  the  right  side of the  heart  first,it puts lot of  stress  on the  right  side of the  heart  causing right-sided heart  failure.

As a  result  on the  increased  stress on the  right  ventricle  it’s can  cause a  disease  called  right  ventricular  hypertrophy.
Due to  thickened  arterial  wall  there is  occurrence  of  collapse of  the  right  ventricle  due to  which  the  heart  has to  work  more  than  it’s  regular  capacity .The  dimensions of the  ventricle  increase and  the  blood pressure also rises .
This  is life  threatening  complication and  can  result  in  death.
Blood may even  enter the  lungs, causing  haemoptysis and  can  be  lethal- this is very late in symptoms of pulmonary hypertension.
Arrythmia can  also  occur.
If  any  of  these  symptoms  arises  immediately the  family  me  of  the  concerned  individual  should  make  phone  call  to  an  ambulance  with  oxygen  facility, aperture, minimum  two  ward  boys  to  shift  the  patient  in  hospital  of  a  Cardiologist, or  MD General Medicine doctors.

Etiology of pulmonary hypertension –In addition to some types of congenital heart disease, connective tissue disease, coronary artery disease, high blood pressure, liver illness (cirrhosis), blood clots to the lungs, and chronic lung disorders including emphysema are other typical underlying causes of pulmonary hypertension.Cirrhosis is linked to  pulmonary vasodilatation brought on by severe hypoxia and pulmonary arterial hypertension (portopulmonary hypertension) (hepatopulmonary syndrome). Conversely, liver pathology can result from cardio-pulmonary illness. It  occurs  due to the  thickening  of  the  blood vessels  in  the  lungs.

This  causes  narrowing  of the  blood  vessels  in the lungs, thus  reducing  the  volume  of  the  blood  vessels  through  which  the  blood  can flow, this  once the  blood  pressure  and  hence causes pulmonary hypertension .Symptoms of pulmonary hypertension are seen in very late stages.Certain conitions which can lead to the genesis of symptoms of pulmonary hypertension are
Diseases  of the  connective  tissue  called sclerosis.
Congenital  anomalies  of the  heart.
BMPR2 gene  mutation
Some  toxins, drugs
Cirrhosis  of the liver  causing  scarring
Kidney  failure
HIV  infection
Pulmonary  embolism  by  blood  clots
Sickle cell anemia
Metabolic  disorders
Aortic  stenosis
Heart  valve  diseases
Parasitic  infection  by  worms  like  tapeworms
Frequenly  climbing to  high  altitudes .
What are the first  symptoms of pulmonary hypertension?
What are the warning signs of pulmonary hypertension  ?
What are the most  common  presenting  symptoms of pulmonary hypertension  ?
What  is  the  main cause of  pulmonary hypertension  ?
All detailed  answers to these  questions are  given  in  the  article on  symptoms of hypertension above
This above  article describes specifically  symptoms  of  pulmonary hypertension,which is  increased  blood pressure  in  the  pulmonary  blood  vessels  only.
Systemic  hypertension  or  generalised  hypertension  is  a  different  aspect in  which there is elevated blood  pressure  in blood  vessels  through out  the  entire  human body.
For  symptoms, eitiology, investigations, treatment  of  systemic  hypertension  pl  click  on  he  link  given  below
Obesity, hypertension, diabetes, elevated  levels  of  serum  cholesterol  are  frequently associated with each other
For  details  of diabetes -symptoms, types, eitiology, investigations, management pl click on the link given below
This  one  above  is  the  link for the  article  on  diabetes  in  our website
New  health  related  articles are  posted  in  this  website  every  5-10 days  .
After all, Health is  Wealth and  Knowledge is Power !
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