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Treatment Of Pulmonary Arterial Hypertension

The treatment of pulmonary arterial hypertension should include both supportive therapies and advanced vasodilatory treatments. It should be instituted early to prevent irreversible changes in the pulmonary vasculature. Supportive therapies include oxygen therapy, diuretics, digoxin, exercise, and anticoagulation. Supportive therapy is not specific to pulmonary arterial hypertension and is frequently used in all groups of the disease.

Pulmonary arterial hypertension can be uncomfortable at rest, but is often made worse by physical activity, resulting in chest pain, shortness of breath, and fatigue. Its progression can be slow, but it is not curable. While there is no cure for pulmonary arterial hypertension, treatments can be used to control symptoms and slow the disease’s progression. Some therapies are complex and require lifelong follow-up care.

The symptoms of PAH are due to the lack of oxygen in the blood, and the inability of the heart to pump blood effectively. The first symptom of PAH is severe shortness of breath, and later, patients may experience chest pain, excessive fatigue, or even fainting episodes. Diagnosis of PAH can be delayed because other diseases may have similar symptoms. Diagnosis of PAH is made by considering a number of alternative diagnoses, including coronary artery disease and congestive heart failure. However, more advanced stages of PAH may include right-sided heart failure, fainting episodes, dizziness, or hoarseness. Chest radiography will also show cardiomegaly and bilateral hilar enlargement.

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