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Pulmonary Venous Hypertension disease

Posted by dev on Monday, March 14, 2011

Because symptoms may develop very gradually, patients may delay witnessing a physician for years. Common indicators are shortness of breathing, fatigue, non-productive cough, angina pectoris, fainting or syncope, peripheral edema (swelling around the ankles and feet), and seldom hemoptysis (coughing up blood).Pulmonary Venous Hypertension disease
Pulmonary venous hypertension usually presents with shortness of breath while lying flat or slumbering (orthopnea or paroxysmal nocturnal dyspnea), whilst pulmonary arterial hypertension (PAH) typically does not.
An in depth genealogy is established to determine whether the disease might be familial. A record of exposure for you to drugs such as cocaine, methamphetamine, alcohol leading to cirrhosis, and smoking cigarettes leading to emphysema are usually considered considerable. A NEW natural examination is definitely performed to look for typical signs of pulmonary hypertension, as well as a loud S2 (pulmonic valve closure sound), (para)sternal heave, jugular venous distension, pedal edema, ascites, hepatojugular reflux, clubbing etc. Evidence of tricuspid insufficiency is additionally sought and, if present, is consistent with the presence of pulmonary hypertension.
[ ]Diagnosis Pulmonary Venous Hypertension disease

Because pulmonary hypertension can be of five major forms, a series of tests must be done to distinguish pulmonary arterial hypertension by venous, hypoxic, thromboembolic, or various varieties.
A physical examination is done to look for typical signs of pulmonary hypertension. These include altered heart sounds, say for example widely divided S2 or second heart sound, a loud P2 or pulmonic valve closure sound (part on the 2nd heart sound), (para)sternal heave, possible S3 or third heart sound, and pulmonary regurgitation. Other signs include an elevated jugular venous pressure, peripheral edema (swelling of the ankles and feet), ascites (abdominal swelling due to the accumulation of fluid), hepatojugular reflux, and clubbing.
Further procedures are required to confirm the presence of pulmonary hypertension and exclude other possible diagnoses. These generally include pulmonary function tests; blood tests to exclude HIV, autoimmune diseases, and liver disease; electrocardiography (ECG); arterial blood gas measurements; X-rays of the chest (followed by high-resolution CT scanning if interstitial lung disease is suspected); and ventilation-perfusion or V/Q scanning to exclude.

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