Brief Answer: please see details Detailed Answer: Dear Sir No, definitely it is not a vague question. The fundamental thing to be understood is that if cardiac failure has occurred as a result of pulmonary hypertension or pulmonary hypertension is a result of cardiac failure. Both scenarios are different and have different treatment approach. However, for patients where pulmonary hypertension is not the cause of cardiac failure, treatment options are similar for those with or without pulmonary hypertension. Only difference will be that prognostically those with pulmonary hypertension will fare worse than those without it. Let me explain, in certain situations heart failure occur secondary to pulmonary hypertension like chronic bronchitis, or idiopathic pulmonary hypertension. All these patients will have pulmonary hypertension and heart failure but basic treatment will be target different things in different conditions. However in those with cardiac failure with secondary pulmonary hypertension , we will aim to treat heart failure and pulmonary hypertension will get corrected on its own. Hope this provides some insight into the issue. Feel free to discuss further. Sincerely Sukhvinder

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