Key Symptoms

Pulmonary hypertension is a chimera. Symptoms and signs are often vague and nonspecific, particularly in the early stage of disease. Symptoms at rest are reported only in very advanced cases. The mean time from onset of the first symptom to diagnosis is about 2 years with a maximum of up to 20 years.

 

The classical triad consists of

   
 
  • increasing dyspnea on exertion
  • without gross abnormalities on chest X-ray
  • without gross abnormalities in lung function testing

 

Initially patients may present with

   
 
  • fatigue
  • depression
  • or weight gain only


One third complain about

   
 
  • chest pain
  • palpitations
  • syncope
  • peripheral edema

 

Less common symptoms include

   
 
  • cough
  • hemoptysis
  • hoarseness (due to compression of the left recurrent laryngeal nerve by a dilated pulmonary artery = Ortner’s syndrome)

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5th International Congress of the Swiss Society of Pulmonary Hypertension (SSPH)
28.-29. September 2012, Thun, Congress Hotel Seepark Thun

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