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Pulmonary hypertension

Primary pulmonary hypertension
Primary pulmonary hypertension
Respiratory system
Respiratory system
Alternative Names

Pulmonary arterial hypertension; Sporadic primary pulmonary hypertension; Familial primary pulmonary hypertension; Idiopathic pulmonary arterial hypertension; Primary pulmonary hypertension; PPH; Secondary pulmonary hypertension


Symptoms
  • Chest pain , usually in the front of the chest
  • Dizziness
  • Fainting
  • Fatigue
  • Leg swelling
  • Light-headedness during exercise
  • Shortness of breath during activity
  • Weakness

Signs and tests

A physical examination may show:

  • Abnormal heart sounds (especially a splitting of the second heart sound)
  • Enlargement of the veins in the neck
  • Feeling of a pulse over the breastbone
  • Heart murmur
  • Leg swelling
  • Liver and spleen swelling
  • Normal breathing sounds

In early stages of the disease, the exam may be normal or almost normal. The condition may take several months to diagnose. Asthma causes similar symptoms and must be ruled out.

Tests may include:

  • Cardiac catheterization
  • Chest x-ray
  • CT scan of the chest
  • Echocardiogram
  • ECG
  • Nuclear lung scan
  • Pulmonary arteriogram
  • Pulmonary function tests


Review Date: 04/24/2009
Reviewed By: Allen J. Blaivas, DO, Clinical Assistant Professor of Medicine UMDNJ-NJMS, Attending Physician in the Division of Pulmonary, Critical Care, and Sleep Medicine, Department of Veterans Affairs, VA New Jersey Health Care System, East Orange, NJ. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

A.D.A.M., Inc. is accredited by URAC, also known as the American Accreditation HealthCare Commission (www.urac.org).
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