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About Pulmonary Arterial Hypertension

Pulmonary Arterial Hypertension (PAH) is a serious, progressive lung condition where blood vessels in the lungs narrow, making it hard for the heart to pump blood. This can lead to severe symptoms and impact quality of life. TheDrugClub understands the burden of managing PAH, especially the high cost of life-saving medications, and offers a straightforward way to save on your prescriptions.

The information above is for educational purposes only and does not constitute medical advice. Consult your healthcare provider before making medication decisions.

MedlinePlus overview of Pulmonary Arterial Hypertension

What is pulmonary hypertension?

Pulmonary hypertension, sometimes called PH, is a serious condition that affects the blood vessels in the lungs. It develops when the blood pressure in your lungs is higher than normal.

Your heart pumps blood to your lungs so they can add oxygen to the blood. The blood goes back to your heart. From there, it travels to the rest of your body so that your tissues can get the oxygen that they need.

The blood moves from your heart to your lungs through blood vessels called pulmonary arteries. If the pulmonary arteries become damaged, narrowed, or blocked, the blood does not flow through them as well. This can increase the blood pressure in the arteries and cause pulmonary hypertension.

There are different types of pulmonary hypertension, including pulmonary arterial hypertension (PAH). The different types are based on what caused the disease.

What causes pulmonary hypertension?

Pulmonary hypertension can develop on its own or be caused by another condition. Sometimes the cause is unknown or is not clear.

Some of the possible causes include:

Heart diseases, including left-sided heart failure and congenital heart disease

Lung diseases such as COPD (chronic obstructive pulmonary disease), interstitial lung disease, emphysema, and sleep apnea

Other medical conditions such as: Liver diseases

Sickle cell disease

Pulmonary embolism (blood clots in the lungs)

Connective tissue disorders like scleroderma

Who is more likely to develop pulmonary hypertension?

Certain factors can make you more likely to develop pulmonary hypertension, such as:

Your age. The risk increases as you get older. The condition is usually diagnosed between ages 30 and 60.

Your environment. Being exposed to asbestos or having certain infections caused by parasites can raise your risk.

Your family history and genetics. Certain genetic disorders, such as Down syndrome, congenital heart disease, and Gaucher disease, can raise your risk of pulmonary hypertension. So can a family history of blood clots.

Your lifestyle habits. Smoking and illegal drug use can raise your risk of developing pulmonary hypertension.

Certain medicines. For example, some medicines used to treat cancer and depression can make you more likely to develop pulmonary hypertension.

Your sex. Pulmonary hypertension is more common in women than in men.

What are the symptoms of pulmonary hypertension?

The symptoms of pulmonary hypertension are sometimes hard to recognize and are similar to the symptoms of other medical conditions. So sometimes it can take years for someone to get diagnosed with pulmonary hypertension.

The symptoms of pulmonary hypertension may include:

Shortness of breath

Chest pain or pressure

Dizziness that may lead to fainting

Fatigue

Swelling of the abdomen, legs, or feet

Heart palpitations (the feeling that your heart is pounding or beating too fast)

What other problems can pulmonary hypertension cause?

Pulmonary hypertension can get worse over time and lead to serious problems, including:

Anemia, which can cause your body to not get enough oxygen-rich blood

Arrhythmias, problems with the rate or rhythm of your heartbeat

Blood clots in the pulmonary arteries

Bleeding in the lungs

Heart failure

Liver damage

Pericardial effusion, a collection of fluid around the heart

Serious pregnancy complications

How is pulmonary hypertension diagnosed?

To find out if you have pulmonary hypertension, your health care provider:

Will ask about your medical history and symptoms

Will do a physical exam, which may include checking your blood oxygen, listening to your heart and lungs, and checking your blood pressure

Will likely order some tests, such as: Blood tests to look for blood clots, stress on the heart, or anemia

Heart imaging tests, such as a cardiac MRI

Lung imaging tests, such as chest x-ray

An electrocardiogram (ECG or EKG)

What are the treatments for pulmonary hypertension?

Often there is no cure for pulmonary hypertension, but treatments can help manage your symptoms. Your provider will work with you to come up with a treatment plan. It will be based on your needs and the cause of the pulmonary hypertension. The plan may include:

Healthy lifestyle changes, such as: Healthy eating, which includes eating less salt

Regular physical activity, which may be done through pulmonary rehabilitation

Medicines, such as: Blood thinners

Medicines to control the rate blood is pumped throughout the body

Medicines to relax blood vessels and allow the blood to flow better

Medicine to reduce swelling (diuretics)

Oxygen therapy

Procedures to reduce pressure in the heart or pulmonary artery

In some severe cases, a lung transplant

NIH: National Heart, Lung, and Blood Institute

Source: MedlinePlus, U.S. National Library of Medicine. MedlinePlus topic page. Topic date: 11/18/2003. MedlinePlus file date: 10/15/2026 02:30:37.

This information is educational and is not medical advice.

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