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Pulmonary Hypertension

Pulmonary hypertension is high blood pressure in the arteries that carry blood from the heart to the lungs, making the right side of the heart work harder over time.

When to get help quickly: Sudden severe breathlessness, chest pain, fainting, or coughing up blood needs urgent review.

Common symptoms

Breathlessness on exertion, fatigue, fainting or near-fainting, chest discomfort, and swelling in the legs as the condition progresses.

When imaging helps

Imaging shows the size of the heart chambers and pulmonary arteries, looks for an underlying lung or heart cause, and checks for blood clots in the pulmonary arteries.

What radiology does

Echocardiography estimates pulmonary artery pressures and right heart function; CT pulmonary angiography looks for clots; ventilation-perfusion scans help diagnose chronic thromboembolic disease.

What usually happens next

Treatment depends on the cause — specific medications for the underlying type of pulmonary hypertension, treating the lung or heart disease driving it, and sometimes specialist procedures.

About this explanation. This entry explains common radiology language and when imaging may help. It cannot tell you what is happening in your specific case. Your official report, history, examination, and treating care team determine what the finding means for you.

Seen this on your report?

Your doctor or the radiologist who wrote it can tell you what it means for you.

Report words explained

Related scan guides

  • V/Q Scan (Lung Ventilation-Perfusion Scan)A V/Q scan is a nuclear-medicine test that compares airflow into the lungs (ventilation) with blood flow to the lungs (perfusion). It is most often used to diagnose pulmonary embolism when CT cannot be used.