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Suggest Treatment For Pulmonary Hypertension

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Posted on Mon, 2 Jun 2014
Question: I have pulminory hypertension what treatments are available?
doctor
Answered by Dr. Luchuo Engelbert Bain (2 hours later)
Brief Answer:
Clinical review, stage, combination of methods/opt

Detailed Answer:
Hi and thanks for the query,

Treatment of pulmonary hypertension depends strongly on the intensity of the disease, past medical history (hypertension/diabetes) and personalized response of patient to various drugs. many treatment options are generally available.

- Oral anti coagulants are generally used to reduce risk of thrombi,emboli and risk of pulmonary embolism that could be life threatening.

- Diuretics are drugs that generally cause excess elimination of fluid by the kidneys. Diuretics are used in pulmonary hypertension to reduce blood volume and reduce pressure, thus relieving the patients at the level of the lungs.

- Depending on the intensity, supplementation in oxygen supply could be required at some time, if your doctor thinks that the condition is sufficiently serious, or is failing to respond to other known standard therapies.

- Some drugs called Calcium Channel blockers, widely available can also be used in pulmonary hypertension. These drugs shall reduce stiffness during muscle contraction, permitting a freer flow of blood and reducing pulmonary hypertension.

- Newer treatments include prostacyclin analogues, endothelin receptor antagonists, and phosphodiesterase type 5 inhibitors.

Based on clinical findings and intensity of the condition, many treatment options could be used simultaneously to obtain maximum effects.

A proper clinical review is needed from your internist/cardiologist, proper measures of arterial pressures, for diagnostic treatment and follow up purposes. This helps in monitoring therapeutic success.

Thanks and kind regards as I wish you the best of health.

Dr Bain
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
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Follow up: Dr. Luchuo Engelbert Bain (6 hours later)
What is the prognosis for this condition?
doctor
Answered by Dr. Luchuo Engelbert Bain (6 hours later)
Brief Answer:
Depends on treatment and other underlying diseases

Detailed Answer:
Hi and thanks for the query,

The prognosis actually depends on the gravity at time of diagnosis and appropriate reception of treatment. People diagnosed who do not receive any treatment in this respect generally die within the next five years.

Appropriate treatment, especially early within the course of the illness has very positive results and improve remarkably quality of life.

Other underlying conditions like history or present heart disease, chronic obstructive pulmonary disease could further worsen the prognosis. Kind regards as I wish you the best of health


Dr Bain
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
Answered by
Dr.
Dr. Luchuo Engelbert Bain

General & Family Physician

Practicing since :2009

Answered : 3092 Questions

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Suggest Treatment For Pulmonary Hypertension

Brief Answer: Clinical review, stage, combination of methods/opt Detailed Answer: Hi and thanks for the query, Treatment of pulmonary hypertension depends strongly on the intensity of the disease, past medical history (hypertension/diabetes) and personalized response of patient to various drugs. many treatment options are generally available. - Oral anti coagulants are generally used to reduce risk of thrombi,emboli and risk of pulmonary embolism that could be life threatening. - Diuretics are drugs that generally cause excess elimination of fluid by the kidneys. Diuretics are used in pulmonary hypertension to reduce blood volume and reduce pressure, thus relieving the patients at the level of the lungs. - Depending on the intensity, supplementation in oxygen supply could be required at some time, if your doctor thinks that the condition is sufficiently serious, or is failing to respond to other known standard therapies. - Some drugs called Calcium Channel blockers, widely available can also be used in pulmonary hypertension. These drugs shall reduce stiffness during muscle contraction, permitting a freer flow of blood and reducing pulmonary hypertension. - Newer treatments include prostacyclin analogues, endothelin receptor antagonists, and phosphodiesterase type 5 inhibitors. Based on clinical findings and intensity of the condition, many treatment options could be used simultaneously to obtain maximum effects. A proper clinical review is needed from your internist/cardiologist, proper measures of arterial pressures, for diagnostic treatment and follow up purposes. This helps in monitoring therapeutic success. Thanks and kind regards as I wish you the best of health. Dr Bain