Pulmonary Hypertension Care in Manchester, CT — Relief Starts Here

- Shortness of breath during everyday activities like walking or climbing stairs
- Unusual fatigue or exhaustion that does not improve with rest
- Chest pressure or tightness, especially with physical effort
- A racing or pounding heartbeat
- Dizziness or lightheadedness, particularly when standing
- Swelling in your ankles, legs, or abdomen
- A bluish tint to your lips or skin
Are You Experiencing...
These symptoms can feel alarming — but they are your body’s way of telling you something needs attention, and effective treatment is available.
What Is Pulmonary Hypertension?
Pulmonary hypertension (PH) is a condition in which the blood pressure in the arteries of the lungs becomes abnormally elevated. When these blood vessels narrow, stiffen, or become blocked, the right side of the heart must work harder to push blood through the lungs. Over time, this extra strain can weaken the heart and lead to serious complications if left untreated.
Pulmonary hypertension can develop on its own — known as pulmonary arterial hypertension (PAH) — or it can arise as a result of other conditions such as COPD, interstitial lung disease, sleep apnea, blood clots in the lungs, or left-sided heart disease. Because PH often accompanies other lung and heart conditions, many patients go months or even years before receiving an accurate diagnosis.
The encouraging news is that pulmonary hypertension care has advanced significantly in recent years. With proper evaluation and an individualized treatment plan, many patients experience meaningful improvement in their symptoms, exercise tolerance, and overall quality of life.
- Echocardiogram — a non-invasive ultrasound of the heart that estimates pulmonary artery pressure and assesses how well the right side of the heart is functioning
- Right heart catheterization (RHC) — the gold standard for confirming pulmonary hypertension, this procedure directly measures pressures inside the pulmonary arteries and heart chambers
- Pulmonary function testing (PFT) — to evaluate lung capacity and airflow and identify any underlying lung disease contributing to elevated pressures
- 6-minute walk test (6MWT) — to assess your functional exercise capacity and how your oxygen levels respond to physical activity
- Blood work and labs — including tests for autoimmune markers, liver function, thyroid function, and other factors that can contribute to or worsen pulmonary hypertension
- Chest CT or CT angiography — to look for blood clots, structural lung changes, or signs of interstitial lung disease
- Overnight pulse oximetry or sleep study — to rule out sleep-disordered breathing as a contributing factor
How We Diagnose Pulmonary Hypertension
Diagnosing pulmonary hypertension requires a careful, step-by-step approach. At Advanced Pulmonary Care, your evaluation may include:
Together, these tools allow us to determine the type and severity of your pulmonary hypertension so we can build the most effective treatment plan for you.
- Vasodilators (endothelin receptor antagonists) — oral medications that relax and widen the pulmonary arteries to reduce pressure and improve blood flow
- PDE-5 inhibitors — medications originally developed for other conditions that have proven highly effective at lowering pulmonary artery pressure
- Prostacyclin analogs and prostacyclin pathway agents — medications that dilate blood vessels, prevent clotting, and slow the progression of vascular remodeling in the lungs
- Supplemental oxygen therapy — to maintain adequate oxygen levels, reduce strain on the heart, and improve comfort during daily activities
- Diuretics — to reduce fluid retention and relieve swelling in the legs, ankles, and abdomen
- Anticoagulation therapy — blood-thinning medications when appropriate to reduce the risk of blood clots in the pulmonary arteries
- Acupuncture — as a complementary therapy, may help manage breathlessness, fatigue, and anxiety that often accompany pulmonary hypertension
- Chinese herbal medicine — selected formulas to support cardiovascular resilience, reduce stress on the body, and promote overall well-being alongside conventional medications
Our Treatment Approach
Treatment for pulmonary hypertension at Advanced Pulmonary Care is tailored to your specific type of PH, its severity, and your overall health. Your plan may include:
Our goal is not only to lower pulmonary pressures but to help you feel better, stay active, and maintain the quality of life you deserve.
Why Choose Advanced Pulmonary Care for Pulmonary Hypertension?
Pulmonary hypertension is a complex condition that benefits from a provider who understands both the lungs and the heart. Milos Tomic, APRN, FNP-BC brings specialized training in pulmonary medicine combined with certification in acupuncture and Chinese herbal medicine — offering a uniquely integrative approach that addresses symptoms from multiple angles. Patients receive thorough evaluations, unhurried visits, and treatment plans built around their individual needs.
We accept all major insurance plans, see patients ages 12 and up, and provide care in English, Serbian, Bosnian, Croatian, and Montenegrin. Our office is conveniently located at 175 Main Street, Suite B, Manchester, CT.
Ready to Breathe Better?
Join hundreds of patients who have found clarity and comfort through our integrative pulmonary care.