Pulmonary hypertension

• Facts:
  Mean pulmonary pressure of > 25mmHG (normal = 15mmHg)
  
  Primary
  Most often in young or middle-aged women
  
  Secondary
  Left sided heart failure
  Mitral valve disease
  Congenital heart dx with L to R shunt
  Hypoxic vasoconstriction 2/2 chronic lung dx (eg. COPD )
• History / PE:
  Exertional brethlessness
  Dyspnea, weakness, fatigue
• Diagnosis:
  Enlargement of central pulmonary arteries (CXR)
  Right ventricular hypertrophy
• Complications:
  If untreated, leads to cor pulmonale