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Lung Center

Pulmonary hypertension

03/25/2001

Question:

I have been suffering with shortness of breath and chest pain on exertion for 2 years. An echo showed my pulmonary pressure values to be 49 mm Hg but do not advise treatment nor does the doctor think this is causing my symptoms. Please comment. Thank you.

Answer:

The pulmonary circulation is a low pressure system unlike the systemic circulation. High pulmonary pressures are abnormal and may lead to vague symptoms which are not specific but certainly similar to the ones you describe. The causes of pulmonary hypertension are many, but can be broken down into two large groups. Secondary pulmonary hypertension may be caused by many different cardiopulmonary diseases. When this happens the goal is to treat the underlying disease. Primary pulmonary hypertension occurs for unknown reasons without any underlying cardiopulmonary disorder. While harder to treat new therapies are becoming more commonly available. You should go back to your physician as your questions are valid and ask for either a second opinion or referral to a pulmonary specialist. NetWellness offers a referrals/directories page, which might help you to find the type of specialist that you seek. To access it, follow the `Click here for a referral` link at the bottom of this screen.

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Response by:

University of Cincinnati Mitchell C Rashkin, MD
Professor of Medicine
Pulmonary, Critical Care & Sleep Medicine
Department of Internal Medicine
College of Medicine
University of Cincinnati
Mitchell C Rashkin, MD