Is Pulmonary Hypertension a Rare disease?
No , pulmonary high blood pressure ( PH ) is not at all a rarified disease . The reason is very simple that it is associated with lots of disease and hence because of so many affiliation its occurrence is quite rough-cut .
It is assure that isolated pulmonary hypertension is rarified to occur . It is normally accompany by heart diseases . So while diagnosing any pulmonary abnormality it is rule of thumb to check for cardiac abnormalities as any abnormality in heart have a direct wallop on the pulmonary system so as a wise clinician never block to check cardiovascular system while name a case of pulmonic origin .
It is always articulate that a doctor is none less than a detective who postulate to unveil the hidden mystery and this is the fact what is to be followed while making a diagnosing .
Pulmonary Hypertension PH is Quite Common
So considering pulmonary high blood pressure , it is a mutual disease which can go on when there are any cardiac abnormalities . To be a precise gain in pulmonary hypertension can be split into arterial and venous causes .
Pulmonary arteria hypertension can be colligate with Collagen vascular disorder , the comportment of congenital shunting which leads to carry-over of line of descent from systemic to pulmonary circulation .
Other causes which can take place from pulmonary vein high blood pressure include left - sided valvular heart disease , pulmonary venous obstruction , and pulmonary venoocclusion disease .
The most commonly encounter problem in many patients is thromboembolism . It is aver that chronic thromboembolism for more than 3 months is a risk factor for pneumonic hypertension .
Many people believe that pulmonary hypertension is an adult disease but this is really untrue . Many developmental anomalies which include patent ductus arteriosus and septal defect which increase pressure on correct atrium can have pulmonic arteria high blood pressure . So grant to the defect , one can divide into pulmonary artery or venous hypertension .
Pulmonary hypertension can also take place in various disease of lung which include interstitial lung disease , assort with fibrosis of lung parenchyma . This bring resistivity to pulmonary circulation and thus there is increase pressure in both arterial and venous system . Therefore pulmonary hypertension is associated with multiple disease stray from innate diseases to adulthood diseases . The disease present with dyspnoea and most of the time consociate with any warmness freakishness .
Infections
In many develop countries pulmonary hypertension can come from an infectious cause which include mostly HIV in developing countries and bilharzia , histoplasmosis , sarcoidosis in developing country . So consequently it varies .
So a disease with so many etiology can never be uncommon . Instead of it is mostly seen in cardiac patients . So being a rarified disease it should be diagnosed too soon and treated appropriately by every clinician . So discussion depends upon the etiological factor but it should be kept in mind that the primary cause must be treat first so as to forestall the progression of the disease . Like in eccentric of cardiac abnormalities which can be a septal defect , it should be treated early as if it is not treated betimes there is no use of handle pulmonary hypertension as it may reoccur because the underlying defect is still not corrected .
So what Drugs should be given in Pulmonary Hypertension?
Calcium distribution channel blockers are the favourite drugs as these causes vasodilation and scale down pulmonary hypertension . Nifedipine 240 mg / dl is the pet drug as it reduces the resistance and decrease high blood pressure . Another class of drug let in endothelin receptor antagonist which include bosentan as even approved for the treatment of pulmonary hypertension . Phosphodiesterase-5 inhibitor includes sildenafil can also be break but certain precautions to take while give this drug in hypotension patient role .
There are few other drugs which can be used which include iloprost a prostacyclin analog . In severe cases , lung transplant can be done .
Special emphasis should be taken while treating a patient of refractory hypertension as these may not react to medical therapy hence another socio-economic class of drugs should be used in such patients
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