Treatment of right heart failure in pulmonary hypertension

Pulmonary hypertension raises resistance in the blood vessels of the lungs. The right side of the heart must pump harder, and over time it may struggle to move blood forward. This can cause swollen ankles, fatigue, breathlessness, cough or palpitations.

The treatment plan depends on the type and severity of pulmonary hypertension, oxygen levels, heart function and other conditions. A chronic disease review can coordinate medicines, tests, vaccinations, activity advice and early action when symptoms change.

Take pulmonary hypertension medicines exactly as prescribed and attend specialist reviews. Diuretics may be used for fluid retention, while other treatments target the lung blood vessels or an underlying cause. Do not alter salt, fluid or oxygen instructions without the care team.

Weighing yourself according to your clinician's advice and noticing ankle swelling, exercise tolerance and breathing can reveal change early. Pace activity, rest between tasks and ask before travelling to high altitude. Keep a current list of medicines and emergency contacts.

Seek emergency care for severe or rapidly worsening breathlessness, chest pain, fainting, blue lips, new confusion or coughing blood. Contact your specialist promptly for rapidly increasing ankle swelling, a sudden fall in exercise tolerance, new palpitations or a quick change in weight.

Ask what type of pulmonary hypertension you have, which treatment targets its cause, how to follow fluid and salt guidance, and which symptoms need same-day advice. Discuss safe activity, oxygen use, vaccinations and the timing of your next review.