Educational Checklist for Patients

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COULD YOU HAVE PULMONARY ARTERIAL HYPERTENSION? An educational checklist for patients 1) Have you ever been told you have pulmonary hypertension? Yes____

No____

The following are symptoms associated with, but not specific to pulmonary arterial hypertension: shortness of breath with exertion, unexplained tiredness (fatigue), chest discomfort, lightheadedness, palpitations, fainting (syncope), leg/ankle swelling (edema). 2) Do you have the following condition that may be a risk for pulmonary arterial hypertension? ___ Scleroderma ___ Systemic lupus erythematosus ___ Other connective tissue or autoimmune disease ___ Congenital heart condition ___ Liver disease or chronic hepatitis ___ HIV infection ___ Family history of pulmonary arterial hypertension (previously termed PPH) If you have ever used Fen-Phen, Redux, Pondimin, or Methamphetamines, you are also at risk for developing pulmonary arterial hypertension. 3) Other health conditions or chronic illnesses can be associated with other forms of pulmonary hypertension, and may mimic signs and symptoms of pulmonary arterial hypertension. Have you ever had any of the following? ___ Coronary Artery Disease (CAD) ___ Heart valve repair or replacement ___ Congestive heart failure (CHF) ___ COPD or asthma ___ Pulmonary fibrosis ___ Obstructive sleep apnea ___ Pulmonary embolism (PE) ___ Deep venous thrombosis (DVT) ___ Sarcoidosis

Please see the back of this flyer for more information.

www.PHAssociation.org


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Educational Checklist for Patients by Pulmonary Hypertension Association - Issuu