Pulmonary hypertension

What is pulmonary hypertension?

A rare disease, pulmonary hypertension, is high blood pressure in the pulmonary vasculature. High pressure is applied to the walls of the pulmonary artery, pulmonary vein and pulmonary capillaries that form the pulmonary vasculature.

If you notice signs of shortness of breath, dizziness, fainting or other symptoms that are exacerbated by exertion, this may be due to pulmonary hypertension. Pulmonary hypertension can be a serious condition, characterized by reduced exercise tolerance and often heart failure. If you have any of the signs and symptoms above, I recommend that you undergo a thorough examination.

There are several general terms related to this disorder that should be known to know about this type of hypertension.

Primary pulmonary hypertension (PPH), which is characterized by high pulmonary arterial pressure for no apparent reason, is also known as pre-capillary pulmonary hypertension, or more commonly today idiopathic pulmonary arterial hypertension (IPAH).

The term IPAH is now preferred for pulmonary arterial hypertension (PAH) with an unknown etiology, which is why IPAH is a pulmonary vascular disease.

This disease was first described by Dr. Ernst von Romberg identified. Since then, it has been studied as a rare but significant heart and lung disease.

According to the most recent classification, it can be one of the five different types on which treatment depends.

  • arterial
  • venous
  • hypoxic
  • thromboembolic
  • various

How common is pulmonary hypertension?

As a rare disease, it causes approximately 125 to 150 deaths per year in the United States only, while it has an incidence rate of approximately 2 to 6 cases per million people per year.

There is approximately the same worldwide incidence of HPAI as there is in the United States, with minor variations around the world. A register of IPAH patients in France showed about 6 cases per million IPAH patient populations.

We also find that the incidence and prevalence of APAH is significantly higher than that of APIH.

We inform you about all aspects of this disease so that you can get an overview of your disease.

Symptoms of pulmonary hypertension

What are the symptoms of pulmonary hypertension?

Yesterday we talked about what pulmonary hypertension is. Now you need to have an idea of what it really is. However, the online pharmacy will help you to understand this in detail.

In my previous article, I highlighted the basic symptoms of the disease, but they were just a short list and the most common. Here's what you need to see to distinguish it from other lung and heart conditions.

What symptoms should I look for?

Although the first symptoms of the disorder are not specific, they can develop over time. The main symptoms that usually occur in patients with pulmonary hypertension are:

  • shortness of breath,
  • shortness of breath
  • fatigue
  • unproductive cough
  • angina pectoris
  • fainting or fainting
  • peripheral edema (swelling around the ankles and feet)

In some cases, hemoptysis (coughing up of blood) can occur, but this is very rare.

Although these symptoms indicate a serious problem, they gradually develop over time and delay the visit to the doctor. Some people can delay it so much that they don't go to the doctor for years. This will further worsen your health and make recovery very difficult.

There are even differences in the symptoms of pulmonary hypertension that occur in the arteries and veins of the pulmonary vasculature. If it is venous in origin, it will take your breath away when you lie flat (orthopnea) or asleep (paroxysmal nocturnal dyspnea), while it generally does not have any symptoms of pulmonary arterial hypertension (PAH).

What signs does a doctor test for pulmonary hypertension?

As long as the doctor is considered, they may need to look for important signs in your arsenal. To do this, he needs to do a physical exam on you to look for the typical signs of this disease:

  • a strong P2 (sound of the pulmonary valve closing)
  • (para) sternal elevation
  • jugular venous expansion
  • pedal edema
  • ascites
  • hepatojugular reflex
  • clubs
  • tricuspid insufficiency

What is the significance of these signs for the doctor?

These signs are of cardiovascular origin and are therefore of the utmost importance to the doctor to examine the disease.

As a rule, the pulmonary component of the second heart tone is elevated, which indicates that the present paradox or cleavage is a severe right ventricular dysfunction. In many cases, the second heart sound can be felt by the doctor here.

In many cases there can be an eructation of pulmonary origin, also known as Graham-Steell marbles.

Tricuspid insufficiency noise may be present most of the time, while right ventricular elevation (elevation) can also be noted.

In the event of volume overload or right ventricular failure, or even if both exist simultaneously, the jugular venous pulsations are high. Here we often see large V-waves due to severe tricuspid insufficiency, and hepatomegaly is often always present with palpable liver pulsations and an abnormal abdominal jugular reflex.

Ascites (abdominal swelling due to fluid buildup) occurs in untreated patients or in patients with worsening of congestive heart failure.Stinging edema of varying degrees can occur, while you are likely to develop if you are bedridden

Examination of the extremities can reveal varying degrees of edema. Bedridden patients may experience presacral edema, and lung examination is generally normal for the general population.

Now you have to remember that these are the signs that will help doctors diagnose your condition. Doctors may also need more important and specific tests to further diagnose and confirm pulmonary hypertension.