Pulmonary hypertension in dogs is a serious condition that affects many dogs as they get older. Although the cause is sometimes genetic, it can also be caused by a wide variety of illnesses and underlying health conditions. Because of this and the potential for this condition to be fatal if not treated quickly, it's important to recognize the signs of this disease. Learn what to watch for and what to do if your dog shows symptoms.
High Blood Pressure in the Lungs

Pulmonary hypertension is a term that refers to high blood pressure in the lungs. In dogs, this means that the blood pressure in the arteries and capillaries located in the lungs is much higher than normal, says VCA Hospitals. This could be due to narrowing of the arteries and capillaries, a blockage of the pulmonary artery, (the main artery leading from the heart into the lungs), or blood flowing from the heart to the lungs in an amount that exceeds what the arteries can handle. This can result in enlargement of the heart and possibly congestive heart failure, all of which leads to less oxygenated blood flowing to the lungs and the rest of the body.
What Causes Pulmonary Hypertension in Dogs
Any type of heart or lung disease can cause pulmonary hypertension to develop in your dog — so can kidney disease, an inflamed pancreas, and adrenal disorders such as Cushing's disease. It can also be caused by illnesses such as bronchitis, pneumonia, and certain cancers. One leading cause of this condition in dogs is heartworms, which underscore the importance of regular heartworm prevention. But it's also possible that it's the result of developmental disorders that occur from birth, such as a congenital heart defect. In truth, a wide variety of illnesses can cause high blood pressure to develop in a dog's lungs. If your dog is showing signs of this condition, it's important for your veterinarian to examine your dog thoroughly to determine the underlying cause in order to provide proper treatment.
Signs and Symptoms
Pulmonary hypertension can be present for a while before symptoms appear. Once they do, it's likely that your dog's body has already been operating for a while without an adequate supply of oxygen. If this goes untreated for too long, it could be fatal. It's important to get your dog to a vet as soon as you notice any signs that he's struggling. Here are common symptoms to watch for, according to Dogtime:
- Struggling to draw breath
- Rapid breathing
- Coughing
- Fainting
- Lack of awareness or consciousness
- Spitting up blood
- Blue or purple-tinged gums or skin
- Extreme tiredness
- Lowered activity levels
- Refusal or reluctance to exercise and play
- Sudden weight loss
- Heart murmur
- An enlarged abdomen
- Distended neck veins
- Collapsing
