What was the treatment for your pulmonary hypertension?
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What is the treatment for pulmonary hypertension?
The treatment for pulmonary hypertension depends on the underlying cause.
If left sided heart failure is the primary problem, then adequate treatment
of the left heart failure by a cardiologist is the main stray of treatment.
In cases where hypoxia (low oxygen levels) due to any chronic lung disease,
such as COPD, is the cause, then providing oxygen and appropriately treating the
underlying lung disease by a lung doctor (pulmonologist) is the first step in
In some patients, the elevated pressure may be related to obstructive
apnea syndrome (OSAS), and can be reduced with the use of a
device that delivers positive
airway pressure during sleep).
In conditions, such as scleroderma, which often can cause pulmonary
rheumatologist is involved in the treatment program.
Anticoagulation (thinning the blood) may be a treatment option if the main
underlying cause is thought to be recurrent
blood clot (chronic thromboembolic
pulmonary hypertension). As indicated in previous section, referral to a
specialty center may be warranted for a possible surgical removal of
For patients with primary pulmonary hypertension (those with no underlying
cause), more advanced therapy may be attempted. These drugs have complex
mechanisms, but in general they work by dilating (opening up) the pulmonary
arteries and, therefore, by reducing the pressure in these blood vessels and
some help prevent the excessive overgrowth of tissue in the blood vessels (that
decrease remodeling of the vessels, as described previously). Besides
constriction, PAH can result in an actual structural change of the pulmonary
arteries, whether it is due to chronically elevated pressures or the disease
itself, or a combination of the two is not completely clear. These drugs also
can delay and in some cases reduce the degree of remodeling of the pulmonary