Pulmonary hypertension- How do you know?

Pulmonary hypertension- How do you know?

Pulmonary hypertension is a rare and serious lung disorder involving abnormally high pressure in the pulmonary arteries. This high pressure can eventually place too much strain on the heart, leading to difficulty in breathing, chest pain, and even abnormal heartbeat.

The exact cause of pulmonary hypertension is unknown, however, it is thought to be caused by a narrowing or obstructing of the pulmonary arteries, a structure that normally transports oxygenated blood from the heart to the lungs. Common causes include chronic lung diseases, valve abnormalities, congenital heart defects, and certain medications.

Although there is no cure for pulmonary hypertension, managing the condition can help improve quality of life. It is important to see a doctor immediately if any signs or symptoms of possible pulmonary hypertension arise. Furthermore, it is important to follow the doctor’s instructions, take all medications as prescribed, and regularly follow up with the care team to monitor progress. With careful management and proper lifestyle changes, individuals may achieve remission and lead healthy and active life.

What is Pulmonary hypertension?

Pulmonary hypertension is a serious and potentially life-threatening condition that occurs when the blood pressure in the pulmonary artery (the blood vessel that carries blood from the heart to the lungs) rises above the average range. This elevated pressure affects the function of the heart and the lungs, leading to symptoms such as shortness of breath, dizziness, and fatigue. If left untreated, it can lead to heart failure or death.

Pulmonary hypertension functional classification:

Class I:

This class describes people who experience slight breathing impairment but still engage in the same activities as a person without pulmonary hypertension.

Class II:

This class includes people with mild impairments that may require minor adjustments to their activities and lifestyle.

Class III:

This is where patients usually start to experience more serious symptoms, such as shortness of breath, fatigue, and dizziness. This class requires significant activity adjustments.

Class IV:

This class describes those who need supplemental oxygen, may require support actions like a wheelchair or walking aids, and need to follow a special diet and lifestyle.

Class V:

This is the last class that includes those who have advanced symptoms and respiratory failure, sometimes requiring intensive care intervention.

What are the symptoms of Pulmonary hypertension?

Pulmonary hypertension can be caused by many different conditions, including heart and lung diseases and other serious illnesses. If left untreated, it can lead to serious complications and even death. The following are the 7 most common signs and symptoms of pulmonary hypertension:

1. Shortness of breath:

Shortness of breath is one of the first and most common symptoms of pulmonary hypertension. It is usually worsened by exercise, but can also occur during normal physical activity.

2. Fatigue:

Patients with pulmonary hypertension often experience extreme tiredness and difficulty performing simple tasks due to the lack of oxygen in the blood.

3. Chest Pain:

Patients may experience chest pain or tightness, which can range from mild to severe in intensity.

4. Rapid Heartbeat:

This symptom may be accompanied by a fluttering feeling in the chest or lightheadedness.

5. Swelling of Legs and Ankles:

Swelling of the feet, ankles, and legs is a common symptom of PH.

6. Dizziness and Fainting:

Patients may experience dizziness and fainting due to low blood pressure.

7. Bluish Color of Lips and Fingernails:

This symptom can be caused by low oxygen levels in the blood.

If you have any of these signs or symptoms, it’s important to see your doctor for diagnosis and treatment. This is a serious condition and can lead to serious complications if left untreated, so it is important to get the treatment you need to manage it.

Read More: Pulmonologists & the Diseases They Treat

What are the causes of Pulmonary hypertension?

Common causes of pulmonary hypertension include chronic obstructive pulmonary disease (COPD), heart valve diseases, congenital heart defects, certain medications and recreational drugs, sleep apnea, and connective tissue diseases such as lupus, scleroderma, and scleroderma. In some cases, pulmonary hypertension can be related to blood clots in the lungs, lung diseases such as emphysema, chronic infections such as bronchitis, or long-term exposure to air pollution.

Some cases of secondary pulmonary hypertension may also be caused by other diseases, such as polycythemia, obesity-hypoventilation syndrome, HIV/AIDS, and chronic liver disease.

Although these conditions and diseases can contribute to pulmonary hypertension, in some cases the cause remains unknown. This is known as idiopathic pulmonary hypertension and is more common in women and those between 25-40 years of age. In some cases, lifestyle and environmental factors such as smoking, a severe lack of exercise, and living at high altitudes may increase the risk of developing pulmonary hypertension.

It is important to note that pulmonary hypertension is a very serious condition and can be life-threatening if not treated. If you or someone you know is experiencing symptoms of pulmonary hypertension, it is important to consult a doctor for diagnosis and for proper treatment.

What is the diagnosing procedure for Pulmonary hypertension?

Diagnosis of this condition is important for proper treatment and outcome. There are four procedures for accurately diagnosing pulmonary hypertension:

1. Right heart catheterization:

This procedure uses a small catheter to measure the pressure within the pulmonary artery. The catheter is first inserted into an artery in the arm and is then directed to the right side of the heart. This procedure is used to evaluate how much strain is being placed on the heart and how well the lungs are responding to the pressure.

2. Echocardiogram:

This test uses sound waves to create images of the heart and measure how well the lungs are functioning. Additionally, the presence and extent of any structural damage can be detected, allowing for a more accurate diagnosis of the severity of pulmonary hypertension.

3. Chest x-ray:

During this procedure, a technician places a thin beam of x-ray energy through the chest. After that, he records the shape, size, and position of the organs in the chest. A chest x-ray can help to detect any abnormalities in the lungs, including an increase in pressure within the pulmonary arteries.

4. Pulmonary function test:

This test is used to evaluate how well the lungs are working by measuring the amount of air exhaled and how much-exhaled air remains in the lungs after a breath. During this test, an individual will breathe into a tube, and the pressure within the lungs will be monitored. Abnormal results can indicate the presence of it.

5. CT Scan:

Computerized tomography or CT scanning can also be in use to diagnose PH. This procedure uses X-ray imaging to produce detailed images of the chest and allow the doctor to view the lungs and the major pulmonary healing vessels. It can aid in the diagnostic process and can help identify any abnormalities or blockages present in the arteries or veins.

It is important to receive an accurate diagnosis of pulmonary hypertension in order to provide the necessary treatment and improve health outcomes. While each of these four procedures serves as an important tool for diagnosing pulmonary hypertension, combining the results of all four tests can help to make a more informed diagnosis.

Read More: What does a Pulmonologist do?

What are the treatment options for Pulmonary hypertension?

The treatment options for pulmonary hypertension are:


Medication is the primary treatment for Pulmonary Hypertension, a condition characterized by high blood pressure in the lungs. The most common medications used to treat the condition are phosphodiesterase-5 inhibitors, endothelin receptor antagonists, and prostacyclin analogs. These medications work to reduce the severity of symptoms. This prevents the progression of the disease and improves the quality of life for patients. In some severe cases, surgeries such as pulmonary thromboendarterectomy may be necessary. The treatment course should be tailored to each individual, and close monitoring of symptoms is important.


Surgery for pulmonary hypertension typically entails the repair or replacement of various structures within the body, such as parts of the lungs. Lung transplant is an option for those whose pulmonary hypertension has progressed to advanced stages and traditional treatments are no longer effective. Additionally, pulmonary valve replacement can help to improve blood flow and reduce pulmonary pressure.

Visit Dr. Pankaj Gulati in Jaipur for treatment!

Dr. Pankaj Gulati is a renowned pulmonologist in Jaipur, India. He has extensive experience in the diagnosis and treatment of respiratory conditions and has even won several awards for his work. He has been actively involved in research and clinical studies related to the field of Pulmonology.

Patients who visit Dr. Pankaj Gulati for treatment can rest assured that they will receive the best care possible. He is the best who knows how to utilize the most latest treatments and therapies to ensure the best outcomes for his patients. He takes the time to listen to patients and provide individualized care