“Alas, since the lung high pressure, the amount of exercise, the chest is short.””Alas, since the lung high pressure, the amount of exercise, the chest is short.”
“You are only 23 years old, this is very young, how do you have hypertension?”
“This is not the same as high blood pressure.”
A lot of people don’t know about pulmonary hypertension, and when it comes to the disease, people naturally associate it with high blood pressure. Experts said that the disease is not only regarded as high blood pressure, since almost all the patients with pulmonary hypertension for, weak wait for a symptom, is often mistaken for heart disease or asthma, so delayed the treatment time. Experts remind that if there is an unknown cause of qi, fatigue and other symptoms, don’t forget to go to the heart department to see, to carry out a comprehensive diagnosis and cardiac function rating, so as not to miss the pulmonary hypertension.
Lack of specific clinical symptoms is easy to misdiagnose.
Pulmonary arterial hypertension (PAH), mean pulmonary artery pressure exceeds a certain boundary value of a state of hemodynamic and pathological physiology, the diagnostic criteria for blood flow dynamics: when resting right cardiac catheterization mean pulmonary artery pressure measurement more than 25 MMHG. PAH patients usually have a significant increase in pulmonary vascular resistance, resulting in elevated pulmonary arterial pressure, often leading to right heart failure or even death.
Professor huang yigao, chief physician of the department of cardiology at guangdong provincial people’s hospital, said pulmonary hypertension is a rare disease that affects about 30,000 people nationwide. It is divided into idiopathic pulmonary hypertension, connective tissue disease associated pulmonary hypertension, congenital heart disease associated pulmonary hypertension and so on. All ages of patients with pulmonary arterial hypertension are morbidity, regardless of male and female, the main onset age is between 20 and 40 years old, accounting for about 3/4, and female majority. Chronically anoxic environment, daily life is affected, a lot of patients clinical manifestation for labor difficulty breathing, lack of power, sometimes sudden syncope, part of the patients with severe, walking will breath.
In addition, due to the lack of specificity of clinical symptoms of pulmonary hypertension and many clinicians have not the concept of the disease, so it is often misdiagnosed as heart failure, asthma, copd, etc., so delayed the treatment time.
Heart ultrasound is recommended during physical examination.
The pulmonary hypertension, though small, is surprisingly lethal. It has long been known as the “cancer of the heart and cerebrovascular field”, with a very high rate of disability and mortality. “Once the diagnosis is only five years old,” it has also been circulating in the family circle of patients with pulmonary hypertension. However, with the development of medical science and technology, the survival period of patients is significantly prolonged as long as early detection and early standard treatment are found.
“The key is early detection.” Huang yigao said, people should have screening consciousness, for example, to the gas, the first thought in the heart department is not the heart function, that is, heart failure. Heart failure includes left heart failure and right heart failure, and pulmonary hypertension is a problem of right heart. In addition to the irritation of the lips, there is a high degree of suspicion of pulmonary hypertension.
In fact, regular physical examination is the most effective way to do heart ultrasound, experienced doctors can preliminary judgment by echocardiogram, if there is doubt, can be confirmed by perfecting the relevant inspection, such as the right cardiac catheterization.
Taking diet pills can also cause.
Pulmonary hypertension can be an independent disease, it can be a complication, it can be a syndrome. Huang Yigao introduction, pulmonary hypertension can be secondary to many diseases, congenital heart disease, connective tissue disease, portal hypertension, lung disease, chronic pulmonary embolism, basic diseases such as HIV infection, taking diet pills, central appetite suppressant, family in idiopathic pulmonary arterial hypertension or genetic history of pulmonary hypertension, pulmonary hypertension is likely to high-risk groups.
In particular, huang warns that the proportion of pulmonary hypertension caused by weight-loss drugs is increasing. Women should be cautious in weight loss, never take a diet pill, because it is a pyrrhic cancer.
Pulmonary hypertension is hereditary. If more than one member of the family has pulmonary hypertension, it can be diagnosed as familial pulmonary hypertension. This is caused by a mutated gene that is thought to be genetic and can be passed on from generation to generation in family members.
But having familial pulmonary hypertension doesn’t mean that your child is going to get sick. If one parent has a disease-causing gene, the child has a 50 percent chance of inheriting the gene. Even with the disease-causing mutant gene, they were only 10 to 20 percent more likely to develop familial pulmonary hypertension. It is important to note that women with pulmonary hypertension should avoid pregnancy as much as possible.
Can be controlled by drug for a long time.
Currently, the treatment of pulmonary arterial hypertension is a worldwide problem, and huang yigao admits that it is difficult to cure, and the general patient can only control the disease by drugs.
“If not treated, the average life span of patients with pulmonary hypertension is 2.8 years. But if you go through the early standard treatment, the 3-year survival rate for pulmonary arterial hypertension is 68 percent, and the number of patients who live 10 years is not a minority. Huang Yigao said the drug action principle is help the pulmonary artery is flabby, so that the increased blood flow, reduced pulmonary arterial blood pressure, “although can’t cure the disease, but can let patients live longer and live better, some patients can even normal work and life.” As more and more new drugs on the market in China, for patients with chronic thromboembolic pulmonary hypertension, at home and no relevant indications drugs before, now also have a medicine can cure.