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I'm afraid he'll take me off my meds and I'll go back to falling down all the time and not being able to walk more then five feet and be out of wind.

January 21, 2024
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A myPHteam Member

Do you know what your pulmonary pressure was when you had your RHC? Anything above 20 is considered PH. COPD itself can cause strain on the heart and over time can cause PH. If this is the case, treatment is generally focused on treating the COPD itself and symptoms of left-sided heart failure. PAH is a whole different beast and treatment is much different.

July 19, 2024
myPHteam

To differentiate between PAH and COPD, a range of tests and exams are typically used:

- Physical Examination: A thorough physical exam and medical history are conducted by your doctor, often with a cardiologist and pulmonologist. They will ask about symptoms, screen for risk factors, and listen to the heart and lungs
- Show Full Answer

To differentiate between PAH and COPD, a range of tests and exams are typically used:

- Physical Examination: A thorough physical exam and medical history are conducted by your doctor, often with a cardiologist and pulmonologist. They will ask about symptoms, screen for risk factors, and listen to the heart and lungs.
- Right Heart Catheterization (RHC): This is a key test for diagnosing PAH. It measures the pressure in the pulmonary arteries and the right side of the heart.
- Other Tests: Blood tests, chest X-rays, echocardiograms, electrocardiograms, and pulmonary function tests may also be used to rule out other conditions like COPD.

If there's any confusion, it's crucial to follow up with your healthcare provider to clarify your diagnosis and ensure you receive the appropriate treatment.

July 19, 2024
A myPHteam Member

Thank you so much. I'm not sure what my pressure was I'm not sure what it's listed as on the rhc

January 21, 2024
A myPHteam Member

Do you know the RHC results, specifically your pulmonary pressure? A pressure greater than 20 (recently revised by the AHA) is considered pulmonary hypertension. However, this does not mean that you necessarily have PAH. The kind of PH you have is determined by the underlying cause and determines the treatment plan/medications. If your pulmonologist is not a PH specialist, you should consider seeing a cardiologist or pulmonologist that has specialized training in PH.

https://www.heart.org/en/health-topics/high-blo...

January 21, 2024

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