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HomeAnswersCardiologypulmonary hypertensionI am a 20-year-old experiencing cardiac symptoms and my reports indicated moderate pulmonary hypertension. Kindly help.

What is the recommended therapy for pulmonary hypertension?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

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Published At December 15, 2023
Reviewed AtDecember 15, 2023

Patient's Query

Hello doctor,

I am a 20-year-old female who is not married. I experienced tachycardia and high blood pressure last year, received treatment, and it stopped. However, I am now experiencing bradycardia or a slow heart rate without any ongoing treatment. This is a new development for me, as I did not previously have a resting heart rate below 60 beats per minute. I am seeking answers for these changes in my health. Additionally, I had an echocardiogram last year, which indicated moderate pulmonary hypertension with an RVSP of 42.57 mmHg. Could this be related to my current symptoms, and is it possible that my condition has worsened? My current symptoms include fatigue when standing for extended periods, a bounding heart, chest heaviness, and increased tiredness in hot weather. I also have concerns about the echocardiogram results. The report mentioned trivial leaking valves in the tricuspid, mitral, and pulmonary valves, and when I inquired about this with my doctor, he suggested that it might be due to the angle at which the probe was placed during the echo. Is this explanation sufficient? Furthermore, the echo report noted that my ventricle size was normal but on the verge of becoming abnormal. I had the test last year, and I am scheduled to repeat it in two months. I am worried about developing ventricular hypertrophy during this time or experiencing an increase in lung pressure. Do these conditions have noticeable symptoms? I am deeply concerned about the seriousness of my current situation. What factors could potentially worsen my condition? What steps should I take to address this issue? Do I need additional diagnostic procedures, and should I continue to follow up with a cardiologist? I used to have high blood pressure months ago and took medication for two months, which has since been discontinued. Although it is mostly fine now, there are occasional spikes, especially during activity and menstruation. I am not currently on any treatment for any medical condition. Kindly provide your insight.

Hello,

Welcome to icliniq.com.

I read your query and understood your concern. Firstly, if you are experiencing pulmonary hypertension, you need to evaluate whether it is primary or secondary. Given your BMI (body mass index) of 29, I suggest you work on reducing your weight. You need to rule out major causes of secondary hypertension. You will also need regular echocardiography check-ups. I am a cardiologist, and I suggest following up if you have persistent pulmonary hypertension. Please do not neglect the findings on the echocardiogram. The severity of pulmonary hypertension should be monitored through serial follow-ups. It is difficult to treat primary pulmonary hypertension without an underlying cause, and it usually progresses further, potentially leading to complications. I suggest you consult a specialist, talk with them, and take the medications with their consent.I hope this has helped you. Kindly follow up if you have more doubts.

Thank you.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Pramod Bhanudas Narkhede
Dr. Pramod Bhanudas Narkhede

Cardiology

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