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What is exercise induced pulmonary hypertension?

Answered by
Dr.
Dr. Kaushal Bhavsar

Pulmonologist

Practicing since :2008

Answered : 14574 Questions

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Posted on Tue, 7 Jun 2016 in Lung and Chest disorders
Question: Is there such a thing as Exercise induced Pulmonary Hypertension?
doctor
Answered by Dr. Kaushal Bhavsar 1 hour later
Brief Answer:
No, there is no such terminology.

Detailed Answer:
Thanks for your question on Healthcare Magic.
I can understand your concern.
Sorry, to say but there is no such terminology called exercise induced pulmonary hypertension.
There is terminology called exercise induced asthma.
So please let me know where have you heard about this term 'exercise induced pulmonary hypertension'?
What are your symptoms?
I will be happy to help you further. Wish you good health. Thanks
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Kaushal Bhavsar 9 hours later
I have had shortness of breath for about a year. It has gradually gotten worse. PFTs were normal except a low DLCO. CT Chest normal. Echo was normal except for a small left to right shunt. Stress test showed no ischemia but a flat blood pressure response. My oxygen levels stay normal. I have shortness of breath and increased heart rate with mild activity, especially going up stairs or inclines. I am supposed to get an exercise heart XXXXXXX because they want to measure my pulmonary pressures at rest and during activity (because that is the only time I am symptomatic). Pulmonary hypertension was mentioned by two different doctors and I was curious if someone could have a normal echo but still have pulmonary hypertension( If its really early or increased by exercise)?
doctor
Answered by Dr. Kaushal Bhavsar 2 hours later
Brief Answer:
Pulmonary hypertension is not reversible if at all present.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
I don't think it is pulmonary hypertension.
See, pulmonary hypertension is not reversible condition.
It is not possible for pulmonary hypertension that you have high pressure in pulmonary artery while climbing stairs or exertion and it returns to normal during rest.
Pulmonary hypertension is almost always irreversible. It will definitely reflect in echo even during rest.
Only primary pulmonary hypertension is some what reversible with drugs.
But with out treatment, even primary pulmonary hypertension will not revert back to normal.
So I don't think it is pulmonary hypertension.
But you should definitely get done heart catheter to rule out heart related diseases.
Hope I have solved your query.
If you are not having further queries, then please close the conversation and rate my answer.
You can ask me directly on bit.ly/askdrkaushalbhavsar.
Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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