Does pulmonary hypertension mild to moderate cause a frequent cough no sputum How is it treated?

Hello, pulmonary hypertension** a lot, I hope the following reply will be helpful to you.

Frequent cough (without sputum) and pulmonary hypertension (mild to moderate) may be related or both. A detailed examination is required.

According to whether the cause is clear, it is divided into idiopathic and secondary pulmonary hypertension.

They are divided into three categories according to pulmonary resistance, cardiac output, and increased pulmonary artery wedge pressure (PAWP).

Caused by increased pulmonary artery resistance is called precapillary pulmonary hypertension, such as primary pulmonary hypertension, pulmonary embolism, etc.;

Hyperdynamic pulmonary hypertension caused by increased cardiac output, such as congenital heart disease, hyperthyroidism, etc.;

Caused by increased PAWP is called postcapillary pulmonary hypertension, such as mitral stenosis, left heart failure, etc., also known as passive pulmonary hypertension.

Some pulmonary hypertension does not occur due to a single cause, called multi-causal pulmonary hypertension, also known as reactive pulmonary hypertension.

Pulmonary hypertension can be graded according to resting PAPM, with mild 26 to 35 mmHg; moderate 36 45 mmHg; Severe》45mmHg.

Aortic stenosis, aorpulmonary window, atrial septal defect, complete atrioventricular septal defect, coarctation of the arteries, dilated cardiomyopathy, right ventricular double outlet, hypertrophic cardiomyopathy, mitral stenosis, patent ductus arteriosus, single ventricle, truncus arteriosus, ventricular septal defect.

Symptoms of pulmonary hypertension include shortness of breath, fatigue easily, syncope, chest pain, and edema in the legs and ankles. In addition, cardiac auscultation will reveal hyperp2.

If not, the patient's pulmonary hypertension will gradually worsen and even shorten the life expectancy. Most symptoms associated with pulmonary hypertension arise from failure of the right heart system. Because the right heart shoots blood into the lungs, if the pressure in the pulmonary arteries gradually increases, the right ventricular load will continue to increase, and the above symptoms will occur.

Idiopathic pulmonary hypertension (IPAH) refers to the increase of pulmonary vascular resistance, causing persistent increase in pulmonary artery pressure, resulting in a cardiovascular disease with pulmonary artery pressure of 25mmHg at rest, often accompanied by right ventricular hypertrophy and right heart insufficiency.

European data show that the prevalence of idiopathic pulmonary hypertension in adults is about 10,000 people, and there are no exact statistics on the incidence in China.

Estimating the pulmonary arteries.

Systolic blood pressure. It is mild at 45 mmHg.

Pulmonary hypertension.

Because I have had surgery in the early stage, I should consider it first.

Pulmonary embolism.

Causes pulmonary hypertension. Recommendation 1

Test. D-dimer.

Pulmonary angiography.

Henan Provincial People's Hospital.

Hu stupid and cautious inhalation of internal medicine with Qiaojing-Wu Jizhen, chief physician Kuanhe.

1. Hospital echocardio ** sometimes overestimates the pressure of the pulmonary arteries, and should be combined with other conditions to determine whether there is pulmonary hypertension, there is a disease called idiopathic pulmonary artery dilation, which will cause the pulmonary arteries to dilate significantly, but the pulmonary artery pressure is normal, which is the congenital development of the pulmonary arteries and abnormalities, and there is generally no major problem.

Second, the conclusion of the cardiac ultrasound you provided is: mild pulmonary hypertension. Cardiac ultrasound does not mention atrial and ventricular septal defects, which cannot be defined.

Based on your physical symptoms, it is recommended that you have regular follow-up.