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What is pulmonary arterial hypertension (PAH)?
High blood pressure in the blood vessels of the lung
Pulmonary hypertension means high blood pressure in the blood vessels that carry blood from the heart to the lungs.
9 year old with history of Familial PAH in one parent has reported mild TR between 30-35 mm Hg and 35-37mm Hg respectively in 2 successive Echos over a period of 6 months.
The pediatric cardiologist wrote it down as "Mild PAH" with no changes in heart structure.
What precautions should one take to initiate lowering of pressures and/or prevent progression to PAH?
Thanks.
My doctor told me the delayed ejaculation is common with 50 mg dosage of Sildenafil and he said that Sildenafil 25 mg should be adequate and will not lead to delayed ejaculation.
I don't smoke and have no other major health problems. Is it useful to have intercourse 3-4 hours after taking the pill (25 mg), to slightly reduce the effect of the pill on ejaculation ?
Appreciate any advice related to this, thanks in advance !
You note that PAH could be the result of the Pleural Effusion. Probably not the condition that I am pursing since the PAH as measured in earlier Echos preceded the cardiac surgery and the Pleural Effusion. The cardiologist believes that the PAH was due to a hole between my heart chambers from early age causing a shunt effect. The hole was closed during the bypass surgery.
Thanks again!
My 16 year old daughter has severe PH she take over $15,000.00 in pills a month and she was on the shots but she cry every time i try to give them to her so they put her on 12.
Hepatic Impairment
In volunteers with hepatic impairment (Child-Pugh Class A and B), sildenafil clearance was reduced, resulting in higher plasma exposure of sildenafil (47% for Cmax and 85% for AUC). The pharmacokinetics of sildenafil in patients with severely impaired hepatic function (Child-Pugh Class C) have not been studied. A starting dose of 25 mg should be considered in patients with any degree of hepatic impairment [see Dosage and Administration (2.5) and Clinical Pharmacology (12.3)].
I have just been diagnosed with PAH, and chronic pulmonary heart failure. I am out of breath at rest, can hardly talk because of breathing problems, and have difficulty swallowing. I was wondering if anyone knows about how much time I have. Also, could my Ulcerative Colitis be a contributing factor? Thank you.
Studies have shown that the incidence of side effects (including side effects related to low blood pressure, such as dizziness and fainting) are no higher in users of sildenafil who are also taking antihypertensive drugs
This discussion is related to <a href='/posts/show/868100'>Can Viagra cause Heart Attack</a>.
I am now wondering if my stomach issues start over every time I take another bluechew pill (which is only once every few weeks).
Has anyone else had stomach issues with viagra or generic sildenafil?
Inasmuch as the concomitant use of sildenafil citrate and alpha blockers may leads to symptomatic hypotension in certain patients, sildenafil should be used with caution in patients receiving alpha- adrenoblockers. The patients taking alpha blockers may use Viagra only after stabilizing of hemodynamic indexes.
And lastly, certain drugs for cardiac disease may interact with Viagra, and if you are using them you should avoid it.
I have Systemic Sclerosis (10 odd years). Had echo in Sept due to palpitations/pain in left side of chest. Showed mild RAE and Moderate LAE and my RV was upper limits of normal. Have been on amlodipine and quinapril for about 6-7 years as well as other meds. My blood tests came back fine except for my RDW which is elevated. My NT-ProBNP was only at 6 pmol/L so very low. The Cardiologist immediately ruled out coronary disease - he said I was too young (40yrs old).
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DCT = 73 m/s IVRT = 53 m/s (74+-7) Estimated RV/MPAP = 30mmHg EF= 60% TR Mild with Mild PAH During the test patient has Fast HR (Other all values are in normal range) except TAPSE = 28mm S wave = 14 cm/s * Fast HR was from my anxiety. Because I'm too anxious and suffering from anxiety disorder from past 5 months. The question is this, that i really have PAH or it is just misdignosed due to fast HR which put pressure on this? also my B.P was a little high 140/90 aproximately.
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