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King's College Hospital London - Jeddah
AR
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Pulmonology · Sub-specialty

Pulmonary Hypertension

Overview

Pulmonary Hypertension (PH) is a type of high blood pressure that affects the arteries in the lungs and the right side of the heart. This condition can lead to shortness of breath, fatigue, and heart failure if left untreated. Our approach focuses on managing symptoms, slowing progression, and improving quality of life through medication, lifestyle adjustments, and in some cases, surgical interventions.

Pulmonary Hypertension
Our approach to care

We will schedule an echocardiogram to estimate the pressure in your pulmonary arteries and check heart function. We’ll conduct a right heart catheterization for the most accurate measurement of your pulmonary arterial pressure. Expect lung function tests to evaluate the impact of lung diseases on your pulmonary hypertension. We may recommend a V/Q scan to detect chronic thromboembolic pulmonary hypertension. Prepare for a 6-minute walk test to assess how your condition affects your ability to exercise. A series of blood tests will help us rule out underlying causes of pulmonary hypertension and assess your overall health.

We’ll consider targeted pulmonary hypertension therapies such as endothelin receptor antagonists, PDE5 inhibitors, or prostacyclin analogs, depending on your specific type of PH. Anticoagulant medications might be prescribed to prevent blood clot formation in certain types of PH. Diuretics can be used to reduce fluid buildup in your body, easing symptoms like swelling and shortness of breath. Oxygen therapy may be necessary if you have low blood oxygen levels, to improve your quality of life. For some, surgical options like lung transplantation or balloon pulmonary angioplasty offer a chance for symptom relief and improved prognosis.

Monitor your symptoms and keep a diary to note any changes or triggers, which will help us tailor your treatment. Adhere to your medication regimen strictly to manage your pulmonary hypertension effectively. Stay active within your limits; we can recommend exercises that are safe and beneficial for your condition. Eat a heart-healthy diet low in sodium to help manage fluid retention and reduce the burden on your heart. Avoid high altitudes and situations that can lower oxygen levels in your blood unless you have supplemental oxygen. Regular follow-ups with us are crucial to adjust your treatment plan as needed and monitor your condition’s progression.

We’ll ask about your medical history and symptoms, focusing on how they affect your daily life and any changes you’ve noticed. A thorough physical examination will assess your heart and lung health, looking for signs of pulmonary hypertension. Be prepared for diagnostic tests we’ve discussed, which will be scheduled to confirm your diagnosis and understand your condition’s severity. Together, we’ll review your treatment options and decide on the best approach to manage your pulmonary hypertension, considering the latest therapies and your personal health goals. We’ll plan your follow-up care to monitor your response to treatment and make any necessary adjustments.

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