dont think ::not hypertension is a good hint bc HTN can still be an appropriate answer it seems
from linked article “Pulmonary hypertension (PH) is a frequent condition, which may occur as a consequence of pulmonary vascular disease, chronic left heart or lung disease, pulmonary embolism, or other aetiologies.1–3 Among the various PH groups, PH associated with left heart failure (HF) represents by far the most common form of PH. In fact, left heart diseases (LHD) account for 65–80% of PH cases.”
will just change text to include both, may need reworking in future suggestions or changed again if people dont like