Pulmonary Hypertension Clinic in Navi Mumbai

Pulmonary Hypertension Clinic

Centre for Cardiac Sciences

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Pulmonary hypertension is known as the high blood pressure that affects the blood vessels of the lungs and the right side of your heart. It either develops on its own or can stem from several diseases and chronic conditions.

Pulmonary hypertension is a serious condition that tends to get worse with time, even fatal if timely intervention is not done. It is important for people with pulmonary hypertension to get appropriate care to treat their symptoms and prolong their life.

Comprehensive care is provided by a multidisciplinary team of pulmonary hypertension specialists at the Pulmonary Hypertension Clinic at Kokilaben Dhirubhai Ambani Hospital, Navi Mumbai. Doctors look for second opinions from other colleagues when planning the most appropriate treatment for your condition, ensuring that you are safe and will benefit from the treatment as much as possible. If care for associated conditions is needed, the doctors collaborate with specialists from other departments to ensure integrated care.

Your treatment plan may involve complex medical therapies such as a combination of oral medications, inhaled medications and those delivered through continuous intravenous (IV) route. Throughout your care at Kokilaben Dhirubhai Ambani Hospital, Navi Mumbai, you will be regularly assessed for response to treatment to determine whether your treatment has been effective or requires alterations. A member of the healthcare team will provide you with comprehensive counselling about your medication schedule and overall condition and explain what to do if complications arise. The Pulmonary Hypertension Clinic team will work and collaborate to treat and even help prevent complications of your condition.

Post-treatment, the Pulmonary Hypertension Clinic staff will provide you with thorough follow-up care. Ongoing consultation will be provided to you about your medications and psychosocial issues and information about research opportunities.

There is no definitive treatment for pulmonary hypertension. However, symptomatic treatment is provided to improve the signs and symptoms and slow down the progression of the disease. Finding the most appropriate treatment for pulmonary hypertension often takes some time, and extensive follow-up care is required post-treatment. If pulmonary hypertension is secondary to other conditions, treatment is given for the underlying cause.

Medications to help improve symptoms of pulmonary hypertension and slow the disease's progression are available. Those include:

  • Vasodilators
    These are a group of medicines that relax and open up the narrowed blood vessels, enhancing blood flow. Vasodilators may be taken orally, inhaled, injected or given by IV route.
  • Guanylate cyclase (GSC) stimulators
    These are a group of medicines that increase the levels of nitric oxide in the body, which dilates the pulmonary arteries and lower pressure in the lungs.
  • Endothelin receptor antagonists
    These medications reverse the effect of a substance in the blood vessel walls that causes them to narrow.
  • Phosphodiesterase 5 inhibitors
    These medications increase blood flow through the lungs.
  • High-dose calcium channel blockers
    These medications help relax the muscles in the blood vessel walls.
  • Anticoagulants or blood thinners
    These medications may be prescribed to prevent the formation of blood clots. However, they increase the risk of bleeding, especially in those who are about to undergo surgery or an invasive procedure, so they shall be used with caution. Occasional blood tests are recommended for people on anticoagulants to see if the medicine works as it should.
  • Digoxin
    This medicine is prescribed for arrhythmias or irregular heartbeats as it helps the heart beat stronger and pump more blood.
  • Diuretics or water pills
    These medications are prescribed to help the kidneys remove excess fluid from the body, thus reducing the amount of work the heart has to perform. They may also be used to decrease the buildup of fluid in the lungs, legs and abdomen.
  • Oxygen therapy
    Sometimes, pure oxygen inhalation is recommended as a treatment for pulmonary hypertension, especially for those who face difficulty in breathing while sleeping (sleep apnea).

If the signs and symptoms of pulmonary hypertension are not improved by taking medications, one of the following surgeries may be recommended.

  • Atrial septostomy
    It is an open-heart surgery that may be recommended if medications don't relieve pulmonary hypertension signs and symptoms. In this procedure, the surgeon makes an opening between the upper left and right chambers of the heart called atria to decrease the pressure on the right side of the heart.
  • Lung or heart-lung transplant
    These are recommended as a final option for those in whom all other treatment modalities fail to provide a cure. A heart or lung transplant may also be recommended for younger people with idiopathic pulmonary arterial hypertension.

The staff in the Pulmonary Hypertension Clinic at Kokilaben Dhirubhai Ambani Hospital, Navi Mumbai provides skilled diagnosis and tailored individual treatment plans to patients with pulmonary hypertension. Kokilaben Dhirubhai Ambani Hospital houses the best doctors for Pulmonary Hypertension Treatment in Navi Mumbai, with extensive experience in diagnosing and treating pulmonary hypertension and other lung diseases.