Untreated pulmonary arterial hypertension leads to death

Untreated pulmonary arterial hypertension leads to death

Pulmonary hypertension means increasing the tension in the arteries that connect the heart and lungs.

Doctors caution that it is a life-threatening condition in the absence of treatment. Disease usually occurs in young people and it is absolutely essential for the disease to be accurate and timely diagnosed.

The disease occurs because of the progressive increase in blood pressure in the pulmonary artery. Thus, due to congenital problems of cardiovascular disease or pulmonary disease, the tension in the lungs increases, the heart is overstressed, while it is weakening and even heart failure may occur.

In particular, hypertension may be either a disease of its own or appear as a complication due to the existence of other conditions and is called the secondary form of the disease. This form is quite common and usually occurs in children, in young people.

Affection occurs more often in women than in men, and in 90% of cases it is detected two or three years after the onset of the disease, that is, when it is already in advanced stage.

The main signs and symptoms are:

  • fatigue that occurs after physical effort,
  • chest pain,
  • breathing difficulties,
  • the feeling of suffocation after effort,
  • dizziness,
  • faint states,
  • swelling of the ankles, legs
  • rarely appears ascites,
  • cyanosis of the lips, skin,
  • cardiac palpitations,
  • blood cough,
  • lowering of blood pressure (hypotension)

Left untreated, the symptoms may become more and more serious and may lead to serious, sometimes fatal complications. There are cases in which some patients may have Raynoud disease associated with pulmonary hypertension.

It is essential for the patient to realize that he has a medical problem and the first symptom is fatigue after the effort. Since pulmonary hypertension affects the transport of oxygen, this can make exercise more and more difficult for patients.

Diagnosis of the disease is quite simple, a simple radiography can lead to diagnosis. Patient living is essential for early diagnosis and initiation of treatment. In the absence of a correct and implicit diagnosis of a specific treatment consisting of modern vasodilators, life expectancy is 2.8 years. In severe cases, when drug treatment does not have the desired effect, the patient will need to make a lung transplant.

Specialists say that the incidence of the disease is 15 cases per 1 million inhabitants, and in Romania there are about 500 patients registered in the national program, but many who do not have a diagnosis.

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