Is my PH due to heart disease?


Heart disease is a very common cause of PH. The possibility of heart disease must be assessed by specific tests:



(1) Electrocardiogram (also known as ECG or EKG) is a test used to diagnose heart disease such as:

  • heart defects present at birth (also known as congenital heart disease)
  • damage from previous heart attacks (also known as myocardial infarcts = MI)
  • thickening or hypertrophy of the left ventricle (LV) of the heart

(2) Ultrasound of your heart (also know as an echocardiogram = ECHO) can assess the presence and severity of PH, and is also very important in looking for other heart disease that may cause PH:

  • disease of the mitral or aortic valves of the left side of the heart
  • weakness, failure or abnormal stiffness of the left ventricle (lower chamber of the left side; LV)
  • heart defects present at birth (also known as congenital heart disease)

(3) Catheterization of the heart. In patients with PH, this usually means pulmonary artery catheterization or right-heart catheterization through a vein in the neck or groin. In some patients, catheterization of the left-side of the heart through an artery in the groin is also required to assess specifically for heart disease which may cause PH:

  • Disease of the mitral or aortic valve of the left-side of the heart
  • Disease of the left ventricle (LV)

Disease of the arteries of the heart (also known as coronary arteries), which when narrowed, can lead to heart attacks (also known as myocardial infarcts)

Electrocardiogram (ECG or EKG)

Echocardiogram (ECHO)

Pulmonary Artery Catheterization