Other
less frequent causes are the inflammatory or collagen
vascular diseases such as
scleroderma, CREST syndrome or systemic lupus erythematosus
(SLE). Congenital heart diseases that cause shunting
of extra blood through the lungs like ventricular and
atrial septal defects, chronic pulmonary thromboembolism
(old blood clots in the pulmonary artery), HIV infection,
liver disease and diet drugs like fenfluramine and
dexfenfluramine are also causes of pulmonary hypertension.
Pulmonary hypertension is frequently misdiagnosed and has often progressed to
late stage by the time it is accurately diagnosed. Pulmonary hypertension has
been historically chronic and incurable with a poor survival rate. However, new
treatments are available which have significantly improved prognosis.
Recent data indicate that the length of survival is continuing to improve, with
some patients able to manage the disorder for 15 to 20 years or longer.
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