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Kaw R – PH has often been reported in overweight and obese individuals and postmenopausal women. Earlier studies have also suggested that combination of obesity and higher altitude favors the development of pulmonary arterial hypertension. Hypercapnic acidemia and increased total blood volume have been implicated in this group of patients. Pulmonary artery systolic pressures (PASP) greater than 40 mmHg is found in 6% of otherwise normal individuals age 50 years or older and in 5% of individuals with a BMI greater than 30kg/m2 .

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