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A myPHteam Member asked a question 💭
Birmingham, AL
February 8
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What are the signs and symptoms in the last month before death with pulmonary arterial hypertension?

In end-stage pulmonary arterial hypertension, symptoms typically become more severe and debilitating. The most common causes of death include right heart failure, noncardiac causes, and sudden death.

During this advanced Show Full Answer

What are the signs and symptoms in the last month before death with pulmonary arterial hypertension?

In end-stage pulmonary arterial hypertension, symptoms typically become more severe and debilitating. The most common causes of death include right heart failure, noncardiac causes, and sudden death.

During this advanced stage, you may experience worsening of familiar symptoms:

* Severe shortness of breath, even at rest
* Extreme fatigue that doesn't improve with rest
* Increased dizziness and fainting episodes due to low blood oxygen levels
* Worsening chest pain or pressure
* More frequent or severe coughing

As the condition progresses, it can affect other organs. People with advanced pulmonary hypertension often develop kidney or liver problems, which require regular monitoring by healthcare teams.

Additional signs that the disease is progressing include:

* Resting heart rate typically higher than 100 beats per minute
* Unexplained weight gain
* Increased swelling in the legs, ankles, or abdomen
* Nausea or decreased appetite

Without treatment, people with class 4 pulmonary arterial hypertension may live less than six months on average. However, this depends on individual treatment and health characteristics. The goal of treating end-stage disease is to manage symptoms and provide relief and support.

If you're experiencing worsening symptoms, it's crucial to stay in close contact with your healthcare team for the best possible care.

February 8

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