Ricker Polsdorfer, MD
Pressure helps blood flow through blood vessels. Hypertension occurs when this pressure gets too high. When this happens in the blood vessels in the lungs it is called pulmonary hypertension.
Normal pressure for blood flow through the lungs is one-sixth of the pressure for the rest of the body. Pressure may rise for any number of reasons. It creates a potentially serious condition. The right side of the heart needs to pump harder to move blood against the pressure. If left untreated the right side of the heart can eventually fail.
Pulmonary hypertension can happen for many reasons.
The increase may be caused by:
Other factors and conditions that can create pulmonary hypertension include:
Factors that may increase your chance of pulmonary hypertension include:
Pulmonary hypertension may cause:
Your doctor will ask about your symptoms and medical history. A physical exam will be done. You may be referred to a specialist in heart or lung diseases. A cardiologist focuses on the heart. A pulmonologist focuses on the lungs.
Tests may include the following:
Most cases of pulmonary hypertension are due to another disease. In this case the underlying cause is treated.
For some, no treatable cause is found. In either case, there are several medications that might be of benefit. Talk with your doctor about the best plan for you. Treatment options include the following:
Pulmonary hypertension may be treated with:
A lung transplant may be necessary if the disease has progressed or is advanced. It is generally not considered unless other treatment methods fail.
To help reduce your chances of getting pulmonary hypertension, take the following steps:
American Heart Association
National Library of Medicine
Heart and Stroke Foundation of Canada
Pulmonary hypertension classification and treatment. EBSCO DynaMed Plus website. Available at: http://www.dynamed.com/topics/dmp~AN~T905845/Pulmonary-hypertension-classification-and-treatment. Updated May 27, 2016. Accessed September 29, 2016.
Rubin LJ, Badesch DB. Evaluation and management of the patient with pulmonary arterial hypertension.
Annals of Internal Medicine. 2005;143(4):282-292.
Last reviewed September 2016 by Michael J. Fucci, DO, FACC
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