Friday, December 25, 2009

My question is about pulmonary arterial hypertension. Is it possible to have severe PAH with exercise,? -

but have a normal reading at rest or with minimal exercise? My condition is baffling my MD. Information on this would be quite helpful. Thank you for your help!

Pulmonary hypertension is a serious condition if not paid attention and left UN treated !It may be by birth which is generally goes without any notice and secondary because of the disease of lungs and or heart ! The narrowing of the pulmonary artery will lead to this and in result there will be more congestion in the lungs and more berdon on the right side of the heart to pump out the blood towards the lungs for purification oxygenation!It will lead to pulmonary congestion and may be embolism and atelectesis and may lead to heart failure ! Diuretics and other drugs is a must for to control it and to be taken life long ! Normal exercise like walking and fast walking but any thing more than this is not advisable as it will increase this PAT and will give rise to breathless ness so no exercises OK!Normal routine life is fine ! Take care !Always YouRsmE

Pulmonary arterial hypertension (PAH) is continuous high blood pressure in the pulmonary artery. The average blood pressure in a normal pulmonary artery is about 14 mmHg when the person is resting. In PAH, the average is usually greater than 25 mmHg. PAH is a serious condition for which there are treatments but no cure. Treatment benefits many patients. The pulmonary arteries are the blood vessels that carry oxygen-poor blood from the right ventricle (VEN-trih-kul) in the heart to the small arteries in the lungs. In PAH, three types of changes may occur in the pulmonary arteries: The muscles within the walls of the arteries may tighten up. This makes the inside of the arteries narrower. The walls of the pulmonary arteries may thicken as the amount of muscle increases in some arteries. Scar tissue may form in the walls of arteries. As the walls thicken and scar, the arteries become increasingly narrow. Tiny blood clots may form within the smaller arteries, causing blockages. There is less room for the blood to flow through these narrower arteries. The arteries may also stiffen. Over time, some of the arteries may become completely blocked. The narrowing of the pulmonary arteries causes the right side of heart to work harder to pump blood through the lungs. Over time, the heart muscle weakens and loses its ability to pump enough blood for the body s needs. This is called right heart failure. Heart failure is the most common cause of death in people with PAH. There are two types of PAH: Primary pulmonary arterial hypertension (PPAH) is inherited or occurs for no known reason. Secondary pulmonary arterial hypertension (SPAH) either is caused by or occurs because of another condition. The conditions include chronic heart or lung disease, blood clots in the lungs, or a disease like scleroderma (skler-o-DER-ma).

hypertension is normal with exersicise as you heart is working harder to supply oxygen to your body. if your doctor is unsure about this ask to be referred to a specialist

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