My husband has pulmonary hypertension in addition to all of his other problems.
It will be VERY important to find out how severe yours is. PH can be secondary to another cardiac or pulmonary problem, and most of the time, when that problem is corrected, the PH will resolve, although not always.
Then there is primary PH which is not caused from other problems.
In my husband's case, his was showing up in his echoes for many years, and we were never told about it. It wasn't until he was in the ER for something else, that the oncall card. told us about it and that it was severe. We didn't have a clue about it or what it meant. But my husband became very, very ill, and luckily we have a hospital fairly close by which has a specialist in PH. I made an emergency appt. with this specialist, and my husband was admitted directly from that appy., and he stayed for a month in the Heart Transplant Unit, where they keep all their critically ill cardiac patients. Not that he needed a transplant, but because he was so sick.
He was put on an oral medication, Tracleer, and that medication saved his life. There were also several other med changes which helped tremendously.
The gold standard for diagnosis of PH is the right-heart cath. Echoes are not very valuable in defining the exact nature of the illness. They can be inaccurate both ways.
Once you have a diagnosis of PH, you should seek out a specialist in the disease. This is a rare disease, and although many cardiologists and pulmologists have a little knowledge of PH, they do not specialize in it. And they may not know what treatments are available, and there are some medications for PH that can ONLY be prescribed by a specialist.
If it turns out that your PH is mild, at least seek out a specialist and ask him/her if you should be seen by them.
This is a disease that is nasty and progressive and should not be ignored. Even in the mild cases, it should be treated. It may not need the heavy-duty meds, but that pressure has to come down.
There are several very excellent medications now that can slow the progression of the disease, and in my husband's case, Tracleer reduced his pressures from 75 to 44, over the course of 2 and a half years. He needs no oxygen, and is able to function reasonably well. He is 74 years old, and has multiple co-morbidities, of which PH is just one.
Here are some websites for PH:
http://www.phassociation.org/
http://www.phassociation.org/Message_Boards/main.asp?board=1
http://www.chfpatients.com/ph.htm