Pulmonary hypertension is a type of high blood pressure that affects right side of the heart and the arteries in the lungs – that means you have high blood pressure in your pulmonary arteries.
Pulmonary arteries are the blood vessels that carry pure oxygenated blood from your heart to the lungs.
A typical heart has two upper chambers and two lower chambers. Each time blood moves through the heart, the lower right chamber pumps blood to the lungs. The blood passes through a large blood vessel called the pulmonary artery.
In pulmonary arterial hypertension, blood vessels in the lungs are narrowed, blocked or destroyed and the damage slows blood flow through the lungs – ultimately the blood pressure in the lung arteries goes up. The extra effort of the heart to pump the blood eventually causes the heart muscle to become weak and fail.
Chronic pulmonary hypertension is a dangerous or a fatal condition, because it disrupts the flow of blood through your heart and lungs.
Common Symptoms
The symptoms of pulmonary hypertension develop slowly and one may not notice any symptoms them for months or even years.
Pulmonary hypertension symptoms may include that get worse as the disease progresses:
- Shortness of breath during exertion at first and ultimately while at rest too.
- Bluish or grey colour on your skin or lips due to lack of oxygen.
- Chest pain or pressure.
- Fatigue
- Low appetite that is less hungry than usual.
- Pain in the upper right side of your tummy.
- Swelling (oedema) in your ankles, legs or tummy.
- Dizziness or fainting spells.
- Fast pulse or pounding heartbeat.
Possible Causes & Risk Factors
The most common causes are heart or lung diseases and hypoxia.
Changes in the lung arteries can cause the artery walls to become narrow, stiff, swollen and thick. These changes may slow down or stop blood flow through the lungs, causing pulmonary hypertension.
- Genetic or heritable pulmonary arterial hypertension.
- Usually get diagnosed in people ages 30 to 60.
- Congenital heart defects.
- Certain medical disorders such scleroderma, lupus and chronic liver disease such as cirrhosis.
- Left heart failure.
- Scarring of the lungs, called pulmonary fibrosis.
- COPD – Chronic obstructive pulmonary disease.
- Sleep apnoea.
- Chronic blood clots or blockages in the pulmonary arteries.
- Blood disorders, including polycythemia vera and essential thrombocythemia.
- Inflammatory disorders such as sarcoidosis.
- Metabolic disorders, including glycogen storage disease.
- Kidney disease.
- Being overweight.
- Smoking
- Exposure to asbestos.
- Living at a high altitude.
- Use of certain drugs, including some weight-loss medicines and illegal drugs such as cocaine or methamphetamine.
Further Complications – Pulmonary hypertension can cause serious problems in your body, including:
- Anaemia
- Arrythmia
- Blood clots in your pulmonary arteries.
- Pericardial effusion.
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