My daughter aged 18 years is showing symptoms where she occasionally has to make efforts to breath. She is otherwise OK, she climbs 3 floors two or three times a day without any difficulty. Our family doctor suggested chest X Ray, ECG and Echo. The X Ray and ECG reports show NORMAL reading but echo report showed PAH as 36. Our doctor's conclusion was that she is absolutely normal and we do not need to worry at all. I saw one health website suggesting that Pulmonary hypertension is present when mean pulmonary artery pressure exceeds 25 mm Hg at rest or 30 mm Hg with exercise. Please suggest what should we do?

Dr. Paramjeet SinghCardiologist9yrs exp

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Pulmonary hypertension (PH) is high blood pressure in the arteries to your lungs. It is a serious condition. If you have it, the blood vessels that carry blood from your heart to your lungs become hard and narrow. Your heart has to work harder to pump the blood through. Over time, your heart weakens and cannot do its job and you can develop heart failure. Symptoms of PH include Shortness of breath during routine activity, such as climbing two flights of stairs Tiredness Chest pain A racing heartbeat Pain on the upper right side of the abdomen Decreased appetite As PH worsens, you may find it hard to do any physical activities. There are two main kinds of PH. One runs in families or appears for no known reason. The other kind is related to another condition, usually heart or lung disease. There is no cure for PH. Treatments can control symptoms. They involve treating the heart or lung disease, medicines, oxygen, I'll suggest get her PFT done to check function of her lungs.  

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