PH is a serious condition, but now it is treatable. The secret to treating it is to go to a PH specialist. You have to make sure that the doctor specializes in it. Many cardiologists and pulmonologists THINK they know all about it, but many are not up to speed with the way to test for it, and the most up to date treatments.
It used to be a progressive and fatal disease. But new meds have made this almost a thing of the past.
I urge you to go to the Pulmonary Hypertension Assoc. website. Here is a link to the main page. There are also forums and the main discussion forum is wonderful. Very supportive people and they will help you. They are all in accord, as is the PHA (Assoc.) that you NEED to seek out a specialist in the disease, not just your regular card or other doc.
http://www.phassociation.org/
http://www.phassociation.org/Message_Boards/main.asp?board=1
The right test for diagnosing PH is NOT an echo. That is too inaccurate. The actual numbers could be either lower or higher than the echo shows. The right heart cath. is the gold standard for diagnosing PH.
Whether it is primary or secondary to your other medical problems is something a specialist should determine.
Joe had PH for many years. His former card. ignored it because (I think) he thought it wasn't treatable, and because he thought it was secondary to his heart problems. It became severe and almost cost him his life. I found a specialist and Joe spent a whole month in the hospital. He was put on Tracleer which has reduced his PH to mild to moderate levels. And by the way, his was determined to be primary after exhaustive testing.
So use the PHA website to look for a specialist and call as soon as you can to get an appt. Most specialists are booked for about 3-4 months.
Good luck. Get going on your plan of action.