PPH or Primary pulmonary hypertension signed by elevated blood pressure in the pulmonary artery, and also known as idiopathic pulmonary arterial hypertension (IPAH) or precapillary pulmonary hypertension.
The diagnosis performed with several series of tests and usually made after finding other causes from venous, thromboembolic, hypoxic, or miscellaneous varieties.
Even early symptoms has no specific, however, the most common symptoms of primary pulmonary hypertension may including;
- dyspnea or short of breathing
- weakness
- recurrent fainting such as from insufficient oxygen in the brain
- in physical examination, increased the sound of second heart pulmonic component,
- apparent of pulmonic regurgitation
- presence murmur of tricuspid regurgitation
- increase jugular venous pulsations
- hepatomegaly with palpable pulsations of the liver
- abnormal hepatojugular reflex or replux
- pitting edema of varying degrees or even presacral edema
- ascites