2022 ACC/AHA Guideline for the Diagnosis and Management of ...
How To Know If You Have Pulmonary Hypertension? Here Are Some Signs
What is pulmonary hypertension? Pulmonary artery hypertension is a condition in which there is elevated blood pressure in the blood vessels carrying blood to the lungs. This blood vessel is known as Pulmonary artery; hence the name of the disease is pulmonary artery hypertension. In general, this means that a person has high blood pressure in pulmonary arteries. Due to resistance because of the high blood pressure in the pulmonary artery, the heart works harder to push the blood across to the lungs.
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As a result, heart muscles become thicker and weaker, and due to this at times heart failure can occur.Here's what the expert says Dr. Tushar Tayal, Consultant, Internal Medicine, CK Birla Hospital, Gurugram says, "There are multiple causes that a person can develop pulmonary hypertension. However, it usually happens when there is a problem with heart or lung disease but there could be other factors also that a person develops PAH such as coronary artery disease, cirrhosis, blots clots to the lungs and even genetics play a critical role in aggravating the disease. It is observed that PAH can happen at any age, but it tends to grow with the increasing age. It is important to have proper treatment, otherwise it can cause ripple effects on the body and can lead problems to other working organs of the human body."
Symptoms of pulmonary hypertension Well, the common symptom observed in patients dealing with PAH is the shortness of breath while doing normal activities or even when the body is at rest. There are other symptoms which include* Bluish or Grayish colour of skin* Chest pain* fainting spells.* Rapid heart rate* Swelling in feet* Dizziness* Fatigue.* Feeling less hungry than usual.* Pain in the upper right side of the stomachPAH can also cause complications such as * Low haemoglobin* irregular heart rate* Blood clots in your pulmonary arteries.* Pericardial effusion.
Causes of pulmonary hypertension "There are multiple causes of pulmonary artery hypertension which may be genetic, autoimmune, secondary to underlying lung disease, infectious disease or drug abuse," says Tayal.Some common causes are -* Congenital heart disease* HIV.* Liver disease and portal hypertension* Lupus* Scleroderma.* Recreational drugs like methamphetamine.* COPD* OBSTRUCTIVE SLEEP APNOEA* Aortic and mitral valve disease* Sarcoidosis* kidney disease* Thyroid disease* Tumors
The takeaway "Diagnosis of pulmonary artery hypertension can be done on the basis of history and clinically and ascertained with the help of certain tests such as ECG or EKG, Echocardiogram, 2 D echo, Chest X ray , CT Scan Chest etc. However, depending on the condition of the lungs and pulmonary arteries there are other tests also done such as Exercise stress test, MRI, lung function test, sleep study, lung biopsy, Ventilation/perfusion (V/Q) scan to check the possible cause of pulmonary hypertension and basis on the same treatment undergoes," advises Dr. Tayal.
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