Pulmonary Hypertension: A challenging cause of shortness of breath
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- čas přidán 7. 07. 2024
- Pulmonary hypertension is one of the most common causes of dyspenea or shortness of breath. K. Akaya Smith, MD, a pulmonologist at the Hospital of the University of Pennsylvania (HUP) discusses why.
Pulmonary hypertension (PH) comprises a spectrum of diseases that can lead to the dangerous onset of shortness of breath. PH is a condition of abnormally high blood pressure in the lungs, typically caused by common heart and lung diseases like congestive heart failure (CHF) or emphysema. Penn Medicine offers the most effective treatments available to slow the progression of PH, and even reverse some of the damage to the lungs and heart.
Learn more about heart and vascular services at Penn Medicine: www.pennmedicine.org/heart/
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This presentation was recorded as part of the Mainly Your Health speaker series at Penn Medicine Radnor on September 14, 2011. - Věda a technologie
Dr. Smith, you are young but did an outstanding job explaining things. You may not know it, but you are a teacher at heart. You
could teach medical students, and they would learn a lot better, faster. Thank you for such a thorough presentation that I could
understand. Good luck with your career!
Beverly Franklin
Wow! Wow! Wish I had Her for A Pulmonary / Lung Doctor, This Young Lady Studied Well and is Very intelligent! Thank you so much for This.♥👍
This is by far the best video about Pulmonary Hypertension.
Thank you for making this easy to understand. Sometimes you get a video by MDs that is way too technical for everyday people.
Amazing video. My wife has a resting heart rate of 101 but here blood pressure is in normal range. She had some tests done and the doctor sayed cell phone being around the couch and near her all day long caused her heart rate to increase 20 beats a minute. He tested her with cell phone in her hand and then with it off away from her. In 5 mnutes her heart rate dropped 20 beats per minute. Still not convinced so I took the cordless phone base and cell phone charger away from where she sits in the house. She is going to see heart specialist in 3 days for the results of ekg, ultra sound on her heart. Her symptoms are fast heart rate at rest, coughing (which makes me thing this is lung related) and sudden dizziness and the room spinning. Se feels tired all the time as well. I love her dearly and shes 42. I've been married to her for 22 years and am crushed this is happening at so young an age. Now I'm prepared on Monday to understand what the specialist is checking for. A scope in here veins should be done as she could have Pulmonary hypertension and being so young this is odd. The wifi thing the doctor mentioned was an eye opener. I'm trying to rehash the new home, and where we live and lifestyle changes to find a point in where things went bad. trying to put a finger on it. Se has suffered from allergy symptoms and maybe an anomia in the lungs lead to this over time. She is stubborn to goto the doctor. I am glad I picked up the phone 2 weeks ago and make her go. Sometimes people need others to help someone who will not help themselves.
Thank you for your comment. We are glad that our video was helpful. We wish you and your wife the best of luck as she goes to her appointment on Monday.
I wish my husband took an intrest in my ph like u do. Its very scary and hard to face alone. She is blessed to have u and you are a great support system. Shes gonna do very well with u helping her with this disease. God bless both of u
Dr. Smith-
YOU are a fabulous educator! And that compliment comes from a Professor and doctor. I'm certain that your patients receive the best care from you. Respiratory pathophysiology and dyspnea causes anxiety, and your soothing voice paired with excellent teaching skills are sure to calm an anxious patient/family. Well done!
Dr. L. L.
More people should watch these kind of video!
Absolutely brilliantly explained.So clear to understand.Thank you Dr Smith.Well done!!!
this was really helpful and helped me understand heart failure and pulmonary hypertension in a simple way.
I have had hypertension for about 20 yrs. I’m 65 and the last 2 yrs have had shortness of breath especially in the summer and winter. I’ve had tests done 2 yrs ago and was fine. I’ve been drinking lots water to flush everything out. I recently had bronchitis which flared it up again. I’m better now due to taking aspirin and lisinipril hydrochlorathizide 10 and 12.5. I’m trying avoid bad habits. I’m drinking lots water instead of a lot caffeine or alcohol. I feel much better so far.
As a newly diagnosed PAH patient (secondary to systemic sclerosis), I found this tremendously helpful and informative. Love your clear communication style.
Excellent ! Thanks ! Dr. Smith, you should do more videos like these ...
Dr.Smith is awesome-Great lecture explained in terms that can be understood-
The best teacher .
Great presentation. You are an excellent teacher!
Thank you, it's so nice to have a full explanation of the pathways which I have personally experienced for the last nine years... and still under-investigation! NYHA functional class 3 PAH.
This young doctor’s presentation is EXCELLENT!
Thank you so much!
great lecturer
Very clear and educated doctor
Great one. thank you Dr. Akaya
This doc is very knowledgeable! I like how she simplify’s the info for us…
best video in youtube world...thanks so much for share
Absolutely wonderful informative video. Thank you for this video.
Excellent video. Thank you.
Brilliant lecture, A+. This is exactly what we need in the medical field, more pedagogues , more "teachers" who can explain things in a simple manner and help others understand the meanings and mechanisms etc for various diseases in this complex world of medicine. It makes medicine more interesting and attractive not only to us drs but to potential future drs as well. Thank you for such a brilliant lecture.
What is the primary hypertension and cure
Great lecture to help me understand a complicated topic
Excellent and brilliant instructor and instructions. Well done
1
Very well explained about PULMONARY ARTERIAL HYPERTENSION (PAH) Thank you
Very Helpful ! and easy to understand the problem and diagnoses steps ! Thanks
Great video! Thank you.
Wow wow I wish you are my doctor..you are a great teacher.everything you said exactly happened to me.and am 48 yrs old with all this problems for almost two years now..thanks for great explanation. You are the best .
Nice Job Dr. Smith, SO easy to understand your explanations - Thank You for a Great job!
Awesome instructor😎
Excellent presentation! Very easy to follow and understand. Thank you!
Your balloon analogy makes it so understandable, thanks!
Thank you. Very well done.
Very helpful
Excellent!!
Amazing presentation very informative
Thanks...very informative.
great video; great presentation. Congrats!
Thank you so much for this.
She was excellent 👍👍👍👍
Thank you for a Great presentation!! I've learned a lot.
Thank u for ur good job
Thank you for a clear and concise explanation
It’s a very informative video, thank you dr Smith you’re amazing the way you explained the topic ❤🙏
Wow, nice explanation. Preparing for NAPLEX
This Dr is cool, i learn good info on rhis video, thank you. DR Smith.
Just made an appointment to see Dr Akaya Smith. Hope my doctor didn't wait too long to get me treated for PAH.
Superb.
thank you so much ,,,u makes me easy to understand :) god bless you
Thank You For This Most Informative Conversation.
You Possibly Have Saved Lives With This Video.
I Now Know And Understand That This Is Truly A Serious Matter That I Must Attend ASAP.
Humbly Thank You ~°~
The first symptom of Aortic Occlusion with my husband was shortness of breath. After an Aortic Valve Replacement his breathing returned to normal. Many children with Rheumatic Fever have this disorder as adults.
wow that was awesome
Amongst all of my persistent complications (burning/stinging/swelling/foreign object in eyeballs, difficulty swallowing, sputum buildup, and tightness/difficulty inhaling and exhaling) the ONLY thing that adequately works is Valtrex (anti-viral) or a Hospital environment where the air is super clean and COLD. I have not smoked before, used to drink occassionally, and didn't eat unhealth, e.g. no fast foods like Jack in the Box or MacDonald's. Going on 4 months now with daily anti-virals
Brought on by sarcoidosis for me, thought i was on my death bed before the biopsy confirmed what it was.
From what I gather, water can build around the lungs when there are surfectant problems as the surface tension is too high and alveoli surface area drastically reduced. Calcium ions are essential in the formation of surfectant per my search results.
When mother is outside and doing things she's fine when she's stuck in the house all day she has trouble breathing i'm thinking there's aspestic in the house or it's the dogs i don't know maybe she has fungus in the lungs
Wow .i need you to be my Dr,
Hi Gbjklo,
Thank you for commenting! If you'd like to make an appointment please visit spr.ly/60588jrYy
Thank you Dr. Dr I have a question for you I have major mucus constantly.but I can't figure out whats causing it. I've done ever remedy I've taken steroids I've been on ever nasal spray and my Dr says its allergies what is going on it never leaves me ..please help any suggestions you have I would really appreciate it.
Thank you for your Presentation. And thanks for the website I will diffidently call and try to make an appointment.
Amazing I made an appointment ..waiting to here back hope I can find some hope through this Thanks a lot Dr.
@@gbjklojameskel8095 how was your appointment ? Please share
You are excellent ! 💗 I have had problems catching my breath and breathing. Tingling etc I'm scared all the time. I was told anxiety?
Julie Kee same. Hope you doing okay now
@@pandalilith3211 Thank you for the reply. I'm not better but I'm hoping soon. How are you doing ? 😊
@@juliekee3443ow are you doing now? How old are you?? Im just 21...
@@juliekee3443me too. Trouble taking a deep breath and high heart rate
Can it cause swollen eyes too?
Dr. Smith this is the advice i have heard .I have Parkinsons and have very shaky hands. Also i have very shortness of breath heavy cough . would like to what tests i need to find what med problem s i have .i live west tenn I will appreciate any advice you can provide Sorry about poor typing BOB
ps i am 74 years old
I have half of the lung? What can I do/copd/hard to breathe 🤔 but I am loss weight/why??
well i just went to my GP today and they told me i have slight hypertension where my bp is 150 over 90 or greater, im also out of shape as well and just learning that being fat is contributing to my high bp, hell, im even on medication to help treat it. not good, and im not proude either cause i use to be skinny as a rail and could squeeze my way through small openings, i try that now, i'd get stuck. and no, im not laughing here either. what ur discussing here, is serious shit, and i take it seriously too. great presentation though.
I wish you were my doctor but i probably wouldn't afford . I have had all those symptoms for a yeat now. I used to be active but now climbing stairs is a task. I feel am going to dye soon. Health care system in Kenya is too corrupted and most hospitals are money hungry and will charge exorbitant amounts i cant afford. I hope its resolves soom
How are you now?
Can it be lungs and the heart?
DR. Smith can my medication be the cause of my shortness of breath I been on eilqus and methimzole and metoprolol eilqus for 5 months and still on it I feel like giving up on life also in November the hospital gave me MRSA I breath fine I just get this feeling of fullness and its like I have to make my self breath please help me what to do
I start getting shortness of breath just as i start closing my eyes to relax. It's like i loose oxygen when my body is in the relaxing state.
Me too
So I wonder how this very rare disease was even diagnosed in the 90s when it looks like anything else. I mean nobody would have gotten tested and I never even heard about it. Reading a quote from survey paper:
'Interestingly, although PAH was an orphan disease, interest in the scientific community rapidly ensued'. Hm so we have a rare, nonspecific disease for which there was no treatment basically 15 years ago and then 'interest' rapidly ensued'.
What a load: the video here mentions PH its one of the most common causes of shortness of breath. If anything, COPD is which is about 100 times more common according to stats.
anything that improves NO production, or surfactants in the alveoli has been shown to improve pulmonary hypertension.
When I started taking calcium (with phosphorus mainly) the first effect I noticed I could breathe more deeply and more satisfyingly. I'm reading something about how calcium increases the amount of surfectant in the lungs.
(I stopped the calc supp bec it gave me insane constipation but since I am taking sulfur as DMSO swabs on skin, zero problems with the calcium. Also taking MSM and Taurine now to maximize effect but DMSO was enough)
Oh yes regularly, morning and evenings. It helps indirectly
@@ph6227 it might also reduce the craving for smoking because I'm speculating the sulfur in smoke is partially the craving apart from nicotine. As a kid I always wanted to be next to a fire, then started smoking for a little while.
@@Rene-uz3eb Thank you very much
@@ph6227 glad if it helps
PLEASE - stop saying "Okay" and "alright". It's so damn annoying!
Your jealously is showing.
@@shellym4241 Huh? What kind of stupid remark is that??
No it’s not ! She explains very well and it’s not annoying at all
@@tinacristallo7226 So according to you, training for public speaking is irrelevant?
@@Jojoma449 I'm afraid you can't speak for me, even though you just tried.
Thank you ! This Dr Smith explains so well. What tests would you recommend I ask my doctors? I keep being dismissed. I am having shortness of breath and pain in my chest and my upper left back. Maybe it’s just anxiety but would like to rule out serious diseases. What should I do ? The two doctors I saw keep dismissing which causes me more anxiety. Is CT scan of chest better to rule out both lungs and heart at the same time. I feel like X-ray won’t see much ? What would you recommend and how can I make these doctors order these tests ? So frustrating 🥲🥲🥲
Hello have you figure out what's wrong with you I've been going with this for two weeks already😢
@@adrianarivas5648 have you had Covid? For me this was one of the beginning symptoms of my Illness that got worse . I have done an MRI and they didn’t see anything. I had other symptoms pile up overtime and last year I was very sick I also had Covid which played a huge part of my health. But long story short I found out I have Mold Mycotoxins in my system and Bartonella and Rickettsia infection.
I would recommend first rule out the big things like lung issues or heart issues and if you can’t find anything I suggest finding a good functional doctor and address toxicities and infections in the body. Babesia is another infection that can be chronic and cause shortness of breath.
I have the exact same symptoms. X-ray and bloodwork done they said everything is fine but I don’t feel fine.
How is you upper left back pain?
@@tony2300 that is gone for a long time now. Don’t have it anymore. I still have some other symptoms though. Also gut issue. It has been a long journey. My advice. - if anything structural or big ruled out, lung, heart or muscle issues, get really tight on diet and lifestyle, anti inflammatory diet, no processed food and etc. if it continues to persist rule out infections.