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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Treatment For Pulmonary Sarcoidosis?

I have pulmonary sarcoidosis ( crhonic) upper right lobe removed 4 months ago with scarring in left lung , after surgery I have afib and put on amiodarone 200mg 50mg of pred. my pulse rate at rest is from 90-96 if I walk to back room itt goes up to 128-144, I have never had a high pulse rate I am 43 /male could this be pulmonary hypertension? short of breath, always tired pressure in chest on right side of brestbone. Please help
Wed, 26 Jul 2017
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Pulmonologist,  's  Response
Thanks for your question on Healthcare Magic.
I can understand your concern.
Yes, possibility of pulmonary hypertension is high.
Chronic sarcoidosis can cause pulmonary hypertension. And your symptoms are also suggestive of the same.
So get done 2d echo for the diagnosis of pulmonary hypertension.
You will need methylprednisolone (for sarcoidosis) and tadalafil or bosentan (for pulmonary hypertension).
So consult pulmonologist and discuss all these.
Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
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What Is The Treatment For Pulmonary Sarcoidosis?

Thanks for your question on Healthcare Magic. I can understand your concern. Yes, possibility of pulmonary hypertension is high. Chronic sarcoidosis can cause pulmonary hypertension. And your symptoms are also suggestive of the same. So get done 2d echo for the diagnosis of pulmonary hypertension. You will need methylprednisolone (for sarcoidosis) and tadalafil or bosentan (for pulmonary hypertension). So consult pulmonologist and discuss all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.