Home » Hypertension Symptoms » Symptoms of Pulmonary Hypertension Pulmonary Hypertension is an increased blood pressure level especially in the pulmonary artery, pulmonary capillaries or pulmonary vein which is together called as the lung vasculature, which leads to shortening the breath, including some other symptoms such as dizziness, fainting, and others. Depending on the reason of this disorder Pulmonary Hypertension can become a severe disease. This disorder was first identified by Dr Ernst von Romberg in 1891. Symptoms of Pulmonary Hypertension are basically of five types such as arterial, venous, hypoxic, thromboembolic, and others.

Symptoms of Pulmonary Hypertension according to the traditional reference usually include gradual attack of shortness of breath, fatigue, non-productive cough, angina pectoris, fainting or syncope, peripheral edema and alsohemoptysis. The Pulmonary Hypertension often doe not remain present with the orthopnea or paroxysmal nocturnal dyspnea. On the other hand the pulmonary venous hypertension typically remains present.

For establishing the cause of this disorder often the physicians conduct a detailed medical history. This determination is considered to check if the disease is familial. The things detected include the person’s exposure to methamphetamine, alcohol, cocaine, leading to cirrhosis, and smoking leading to emphysema. To detect the status and level of the severity of this disease a physical examination is performed checking for usual signs of pulmonary hypertension.

There are different causes of Pulmonary Hypertension the most common cause is the left heart failure which leads to pulmonary venous hypertension. The reason behind this could be systolic or diastolic malfunction of the left ventricle or sometimes also because of malfunction of the left ventricle or valvular dysfunction including the mitral regurgitation, mitral stenosis, aortic stenosis, or aortic regurgitation. Because of the malfunction the heart does not pump efficiently resulting the blood failing making the pulmonary circulation on time which also leads to abnormally high pressure in the pulmonary veins. The increased pressure of the pulmonary veins is also transmitted back to the pulmonary arteries. Some of the common causes of the pulmonary arterial hypertension include the scleroderma, HIV and several other autoimmune disorders, cirrhosis and portal hypertension, sickle cell disease, congenital heart disease and several others. Sometimes the use of weight loss pills like the as Fen-Phen, Aminorex, fenfluramine (Pondimin), and phentermine also lead to the development of PAH.

Pulmonary Hypertension is also caused due to several lung diseases that lower the oxygen in the blood these causes also include different interstitial lung disease such as COPD, IPF, Pickwickian syndrome causing the obesity-hypoventilation syndrome, and sometimes also sleep apnea. In absence of these causes the disease is also termed as idiopathic pulmonary arterial hypertension. Pulmonary Hypertension is basically of five major types hence different tests should be conducted to distinguish the type from venous, hypoxic, thomboembolic, or miscellaneous varieties.

Some classification is given below:
WHO Group II - Pulmonary hypertension associated with left heart disease
WHO Group V - Miscellaneous
WHO Group I - Pulmonary arterial hypertension (PAH)
WHO Group IV - Pulmonary hypertension due to chronic thrombotic and/or embolic disease
WHO Group III - Pulmonary hypertension associated with lung diseases and/or hypoxemia

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