
What Does High Pulmonary Artery Pressure When Suffering From CHP Indicate?

kindly go through the discussion below
Detailed Answer:
Hello
Thanks for your query.
Chronic HP is a fibrosing disease of lung. That's why your DLCO is low. Your pulmonary artery pressure is slightly high. It indicates that you already have developed pulmonary arterial hypertension. Your disease has already progressed. You probably have some fibro-cavitary lesion in your lung that is causing few exacerbations. You should have a HRCT (high resolution computed tomography) scan of thorax which will reveal some fibro-cavitary changes. If it really happens then chance of reversibility is less. You may suffer from few exacerbations every year. I advise you to have a HRCT scan thorax immediately to have a detailed look on your lung parenchyma.
If you have further queries you can write back to me.
Regards,
Dr Arnab Maji
MBBS (Hons), MD
Consultant Pulmonologist


Fibrosis is irreversible but not ground-glass
Detailed Answer:
Hello,
Thanks for writing back and also for detailed history of your disease.
Ground glass shadow is found in HP. 31 mmHg is really a very mild elevation of pulmonary arterial pressure. But one thing you mentioned here is that there is presence of atypical basilar fibrosis. Once fibrosis is developed it persists even after knowing the culprit antigen. Fibrosis is an irreversible process and it will cause chronic problems. Ground glass opacity is a reversible disease process finding and fibrosis is an irreversible process. I hope I have been able to convey my massage to you. So even after identification of antigen fibrosis will persist and that will give rise to intermittent chronic problems. But identification of antigen and appropriate avoidance of that will prevent surely further progression of disease.
If you have further queries you may ask me.
Get well soon. Go through pulmonary rehabilitation programme to improve your quality of life.
Thank you.
Regards,
Dr Arnab Maji
MBBS (Hons), MD
Consultant Pulmonologist


Difficult to say
Detailed Answer:
Hi
Thanks for your query.
It's really very much tough to predict the course of the disease beforehand. But I personally do believe that if antigen exposure is ceased and proper treatment is taken the chance of progression of fibrosis will be less but the complications of the already existing fibrosis will always be there. Another issue I must stress upon here. You may have vaccination against pneumococci and yearly influenza vaccination. Because these will reduce the rate and fatality of subsequent lung infections. Pulmonary rehabilitation will increase your quality of life and working capacity for sure.
If you are satisfied with my answer, kindly write a review for my answer.
Thank you.
Regards,
Dr Arnab Maji
Consultant Pulmonologist

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