Signs and Symptoms
Because symptoms may develop very gradually, patients may delay seeing a physician for years. Common symptoms are shortness of breath, fatigue, non-productive cough, angina pectoris, fainting or syncope, peripheral edema (swelling around the ankles and feet), and rarely hemoptysis (coughing up blood).
Pulmonary venous hypertension typically presents with shortness of breath while lying flat or sleeping (orthopnea or paroxysmal nocturnal dyspnea), while pulmonary arterial hypertension (PAH) typically does not.
A detailed family history is established to determine whether the disease might be familial. A history of exposure to drugs such as cocaine, methamphetamine, alcohol leading to cirrhosis, and tobacco leading to emphysema are considered significant. A physical examination is performed to look for typical signs of pulmonary hypertension, including a loud S2 (pulmonic valve closure sound), (para)sternal heave, jugular venous distension, pedal edema, ascites, hepatojugular reflux, clubbing etc. Evidence of tricuspid insufficiency is also sought and, if present, is consistent with the presence of pulmonary hypertension.
Read more about this topic: Pulmonary Hypertension
Famous quotes containing the words signs and, signs and/or symptoms:
“But I will harden Pharaoh’s heart, and I will multiply my signs and wonders in the land of Egypt.”
—Bible: Hebrew, Exodus 7:3.
“So saying, her rash hand in evil hour
Forth-reaching to the Fruit, she plucked, she eat.
Earth felt the wound, and Nature from her seat,
Sighing through all her works, gave signs of woe
That all was lost.”
—John Milton (1608–1674)
“For anyone addicted to reading commonplace books ... finding a good new one is much like enduring a familiar recurrence of malaria, with fever, fits of shaking, strange dreams. Unlike a truly paludismic ordeal, however, the symptoms felt while savoring a collection of one man’s pet quotations are voluptuously enjoyable ...”
—M.F.K. Fisher (1908–1992)