NYHA class III Pulmonary arterial hypertension
What Is NYHA Class III Pulmonary Arterial Hypertension?
NYHA Class III pulmonary arterial hypertension (PAH) is a severe form of PAH characterized by difficulty breathing due to the narrowing of the blood vessels that lead from the heart to the lungs. It can lead to severe right-sided heart failure, which can be life-threatening.
People with NYHA class III PAH may experience a range of symptoms, including:
- Shortness of breath
- Fatigue
- Ankle and abdominal swelling
- Cough with white sputum
- Confusion
The symptoms of NYHA Class III PAH usually start to become noticeable in the late stages of the condition. People with NYHA class III PAH need to be closely monitored and treated with a combination of drugs and lifestyle modifications.
Diagnosis of NYHA Class III Pulmonary Arterial Hypertension
NYHA class III PAH is diagnosed through a series of tests, including:
- Chest X-ray
- Exercise stress test
- Echocardiogram
- CT scan of the chest
- Cardiac catheterization
- Pulmonary arteriography
These tests help to assess the severity of the condition and to determine the best course of treatment.
Treatment of NYHA Class III Pulmonary Arterial Hypertension
Treatment for NYHA class III PAH typically consists of a combination of medications and lifestyle changes. Medications can include vasodilators, prostacyclin analogues, diuretics, and calcium channel blockers. Lifestyle changes such as quitting smoking, eating a balanced diet, and regular exercise can also help.
In severe cases, a heart transplant may be necessary. Other treatments, such as pulmonary thromboendarterectomy (PTE) and atrial septostomy may be recommended.
