Regarding Pulmonary Hypertension Disease?
Hello, I want to ask about the high pressure disease of the lungs / pulmonary hypertension; r n1. What is the true color of the disease? R n2. What causes it? R n3. How is the diagnostic sequence for analysis after ecg and echo to confirm the cause of the disease? R n4. What actions did the doctor take to cure him? R nFor attention to explain, I say thank you
Hello Taufiqsyah, thank you for the question for HealthReplies.com
Pulmonary hypertension is a condition in which the blood pressure in the lungs increases more than normal. This condition can occur because the arterioles (small arteries) in the lungs are blocked, narrowed, hardened, or damaged, making it difficult for blood to flow into these vessels in the lungs. This causes the right ventricle of the heart (the part of the heart that pumps blood to the lungs) to work harder to pump blood into the lungs, so that the right heart can eventually become weak and can't pump properly anymore.
The following are some of the conditions that can cause pulmonary hypertension:
Damage to the lungs, for example due to pulmonary fibrosis, tuberculosis infection, chronic obstructive pulmonary disease (COPD), etc. Certain genetic diseases that run in families (heritable pulmonary arterial hypertension) Use of illegal drugs such as methamphetamine or cocaine There are blockages in blood vessels pulmonary (pulmonary embolism) Disorders of the heart such as heart valve disorders, heart failure, congenital heart disease (congenital heart disease) Idiopathic or unknown causes etc. The gold standard examination for the diagnosis of pulmonary hypertension is catheterization of the right heart. However, to find out the cause, various other types of examinations can be carried out in addition to the EKG and echo, for example blood tests, liver and kidney function, chest X-rays, CT scans, or MRI, lung function tests, V / Q scans, or lung biopsy if necessary.
Pulmonary hypertension is an incurable condition. Treatment given in this condition is aimed at controlling the symptoms that appear and slowing the progression or worsening of the disease. Due to the incurable and progressive nature of this disease (it can get worse), control and drug consumption must be carried out regularly.
Some common treatments for pulmonary hypertension include:
Administration of drugs such as vasodilators, endothelin receptor antagonists, sildenafil and tadalafil, calcium channel blocking drugs, anticoagulation drugs, drugs that trigger urination (diuretics), digoxin, and others. Pulmonary vascular surgery or performing a lung or heart transplant if symptoms cannot be controlled with medication. In addition to treatment for pulmonary hypertension, the conditions that cause pulmonary hypertension must themselves be addressed. For example, if it is caused by a lung infection, then the lung infection must be treated, if it is caused by a valve disorder, the heart valve must be repaired, and so on.
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dr. irna cecilia