The signs and symptoms of pulmonary hypertension develop slowly. You may not notice them for months or even years. Symptoms get worse as the disease progresses. Pulmonary hypertension signs and symptoms include: 
Blue lips and skin (cyanosis)
Chest pressure or pain
Dizziness or fainting spells (syncope)
Fast pulse or pounding heartbeat (palpitations)
Fatigue
Shortness of breath (dyspnea), initially while exercising and eventually while at rest
Swelling (edema) in the ankles, legs and eventually the belly area (abdomen)
