What is the recommended therapy for pulmonary hypertension?

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.