How to treat a patient with pulmonary hypertension but have systemic hypotension!
Question:
How to treat a patient with pulmonary hypertension but have systemic hypotension?
Answers:
Pulmonary hypertension is increased pressure in the pulmonary circulation. It has many secondary causes; when the cause is unknown it is called primary pulmonary hypertension (PPH). In PPH, pulmonary vessels become constricted, hypertrophied, and fibrosed. Pulmonary hypertension leads to right ventricular overload and failure. Symptoms are fatigue, exertional dyspnea, and, occasionally, chest discomfort and syncope. Diagnosis is by measuring pulmonary artery pressure. Treatment is with vasodilators and, in selected advanced cases, lung transplantation. Prognosis is poor overall if a treatable secondary cause is not found.(Merck)
There is no known cure. The goal of treatment is to control symptoms.
Medicines used to treat pulmonary hypertension include:
* Calcium channel blockers
* Diuretics
* Prostacyclin
* Bosentan
Your doctor will decide which medicine is best for you.
Persons with advanced cases of pulmonary hypertension may need oxygen. If treatment with medications fails, suitable candidates may be helped by lung or heart-lung transplant. (MedlinePlus).