It is expected with emphysema you would have an elevation in the right sided heart pressures and the PA pressure rvsp , important is the treatment of the underlying emphysema in this case. The tricuspid regurgitation on the echo is used to estimate the pressure in the lung arteries and sometimes it is difficult to do. In this case discuss with your dr whether there is indication to investigate further or as i suspect just continue to treat the emphysema.
I am an active 53 year old female. Due to shortness of breath issues, I had an echo that showed pulmonary pressure of 48 with mild mitral and tricuspid regurgitation.
Also, mild right atrial enlargement. Does this seem too long? Thanks for this wonderful site. The echo showed right chambers mildly dilated with moderate to severe pulmonary hypertension; tricuspid valve showed pulmonary artery systolic pressure estimated at 59 mmHg with Doppler findings suggesting moderate to severe pulmonary hypertension. I received a diagnosis of pulmonary hypertension and I am very concerned. My mother was diagnosed with primary pulmonary hypertension and passed away within 5 years.
A few days after the stroke I was diagnosed with A-Fib and started medication, then had a successful cardioverson and my heart rhythm is back to normal.
I have recovered from the stroke and am now hiking over a mile a day including hills and swimming half a mile several times a week and have do symptoms at all — no shortness of breath, dizziness, etc. It appears the most likely cause of the stroke is the atrial fibrillation and you are being treated appropriately. The right sided chamber dilation, pulmonary hypertension and the history are concerning, although your functional status is reassuring. You should be under the care of a heart failure specialist with an interest in pulmonary hypertension to evaluate for reversible causes and treat this and follow it appropriately.
I recently had an echo done because i had one done almost 2 years ago that showed that my right ventricle is enlarged. Is that normal since the echo only shows an estimate? I also had a ct scan that showed my pulmonary artery is very prominent. The ER doctor who did my CT scan said i might possibly have pulmonary hypertension. Im just very scared! RVSP of 30 is not considered very high or a cause for immediate concern, so i would not worry too much from that aspect. You are correct in that it is an estimate, however it can be followed over time to assess for changes.
If your right ventricle has been shown to be enlarged it may be wise to see a cardiologist that specializes in pulmonary hypertension to discuss things further although it does not sound as it you have an immediate cause for concern if you are otherwise stable. Do you think that I need to have a heart cath done? I just want to make sure for certain that my pressure is normal.
I am a 44 year old female with Systemic Sclerosis. I have some mild breathlessness, and occasional dizziness, as well as some chest pressure especially while lying flat but that may be due to anxiety. Is my request reasonable given the severity of PAH in those with connective tissue disease? My understanding is there are treatments that if administered early can slow or halt the progression into PAH.
You seem very well informed, read the following link, its not a cause for alarm or to overwhelm you but you may gain further insight from reading and it may help you formulate questions. In terms of echo, its important to realize its study to study variation, i personally think there is no way echo can detect reliably2. My recommendation is that if concerned then you be followed by a pHTN specialist heart failure trained specialist. I am a 64 year old female, normal in weight with a history of scoliosis and asthma.
I have developed lower extremity pitting edema that increases as the day goes on. I have mild intermittent shortness of breath when bending over and on exertion. Should I see a cardiologist?
There was NO reason according to doctors how this occurred or why. They just did not have an answer. Have no family history of heart disease. For the next 5 years everything went a long as normal as possible. About 6 months ago my Cardiologist called to ask me a question,,,,,,, Would I be willing to consider a heart transplant?
How did I go from all is stable to a heart Transplant. I was not only shocked but I got very depressed wondering how we went from ok to really bad with no information in between. Kaiser cardiology in this area is supposed to be really good. They started to mess with my meds first and foremost. Go up on this go down on this, change to this and add this and this. This happened over about a 4 month period. Im on Lisinopril, Simvastatin, Aspirin, spironolactone, sp?
Toursemide, Klor con for potassium, coreg. My blood pressure is extremely low. Sometimes its lower. Im on a huge amount of lisinopril which is a BP med so I would like to know more about that.
I would love to have some feedback on how I can work to make thing better, at least work towards a goal. How can I get that number down. I feel ok I have good days and bad days, I sleep just fine, I can sleep flat, No shortness of breath, and the only issue that bugs me is when I bend over I get dizzy.
My weight is great, my appetite is great but my depression has gotten way worse. I know you cannot dispense medical advice I understand completely but I need something from someone other than my doctor.
I feel like I go in and Im so rushed and crazy she talks so fast and when I tell her what I want most is to be alive for a very long time.
I want to see my kids and their kids grow up. NO response. Im just a mess right now. It sounds like they are trying to maximize medical therapy for heart failure which is very appropriate and even better that this is being managed by a heart failure specialist. The specialty is highly advanced and there are essentially many options for patients with even the most severe heart failure. Outcomes are much better this way and although still a high risk population in general, people with even the most severe heart failure can live much longer than dreamed of before.
Hello doctor I am female 54 years old I am 5 feet 4 inches tall and morbidly obese. I weigh lb and have moderate sleep apnea. I do not have a CPAP machine. My latest Echo should everything normal except for an rvsp of 40 and mild tricuspid regurgitation.
I have pitted edema in both lower legs. Doctor says I did not have pulmonary hypertension. Do you think this could be true? Its difficult to say, you may or may not have mild pulmonary hypertension however your specialist seems reassured which is good.
If a candidate for CPAP it may help prevent progression. Thank you for answering so quickly and donating your time. My cardiologists said not to worry that the higher pressure was due to my morbid obesity. He seems to think that if I lost weight it would go back to normal. Do you think this is true?
Hello doctor. I am in the process of evaluation for pulmonary hypertension.. I have only had a echo done so far. At first the doctor said everything looked normal. Then he said I have mild pulmonary hypertension.
Some places on the internet say a pressure of 40 on the echocardiogram is upper limit normal , and others say its is hypertension. Could he be wrong? I read up on it and it says its fatal. I am so scared. I am a single mom and have no other family to leave my children to. I read 5 year survival is hard to reach. He believes it is something called secondary. What was the pressure on the echo report? What was the right ventricle function? If mild, you likely have no immediate cause for concern and should concentrate on lifestyle and cardiac risk factors.
I had a sleep study. Said moderate osa. Wants me on a cpap. What are my chances of my pressure going back to normal using a CPAP?
Good afternoon , I do not know wether to see a ph specialist or not. My pulmonologist says I have mild pulmonary hypertension. My echo pressure is I joined a forum for pulmonary hypertension and everyone is saying to get to a pulmonary hypertension specialist as soon as possible because that high of pressure is definetely pulmonary hypertension and I need to know what it is caused from.
All other measurements on my echo was normal. My symptoms are pitting edema. However I need to know wether to tell my family I have a fatal disease or not. I have young children I need to think about. What do you think? If you feel you will be reassured, there is no downside to seeing a PH specialist. I have been diagnosed with mild pah with no treatment. Echo and nuclear scan showed it. Right heart catheterization showed actual pressure of I have COPD, and sleep apnea, as well as lung damage.
Should I be getting treatment or a second opinion? Is this considered exercise induced pulmonary hypertension in setting of repaired complex CHD, but with many AP collaterals and hypoplastic branch pulmonary arteries in adolescent? He has severe dyspnea. Pulmonologist believes PHtn is involved. Cardiology is dragging feet. Zakki is a survivor and has had 15 heart surgeries and interventional catheterizations. He has also survived massive pulmonary hemorrhages secondary to AP collaterals.
I followed you on Twitter. Good evening Dr. There are no abnormality motion of the segment wall at this time. My LV thickness and diastolic functions are normal. My RV it is also mildly Enlarged. My calculated PA pressure is 35mmhg. What are your thoughts on recommendation should I get a second opinion? Everything I read on P a pressure above 25 is not good.
Thank you for your time. I wouldnt worry, its not overly concerning, i would follow the advice of the cardiologist treating here and not be concerned. Is RV pressure greater than 70mmHg during exercise echo considered pulmonary hypertension if a tricuspid jet could not be obtained in an adolescent with severe dyspnea?
In the setting of complex congenital heart, AP collaterals, hypoplastic branch pulmonary arteries? Good day doctor. I have 4 questions. I am considered super morbidly obese. I am a short middle aged woman 5 foot 3 and a little over pounds. My heart doctor is insisting I do not have pulmonary hypertension even thought my echocardiogram pressure was His reasoning is that there is nothing else wrong on the echo. However, I read online that if nothing else is wrong then this warrants a right heart cath.
Legs and ankles are swollen. I am not short of breath unless I try to run. I can climb a flight of stairs but not two. PFT normal. He is insisting having an elevated pressure on an echo is actually quite common. Is that true? He wants to wait 8 months and give me another echo. I hear pulmonary hypertension advances quickly. I worry also because in my echo pressure was I was about 50 pounds lighter at that time.
Should I see a doctor who specializes in pulmonary hypertension? Do you think another 10 years of living is possible with pulmonary hypertension? Thank You Doctor. In terms of the right heart cath, that would not always be warranted unless there is felt to be a clinical need.
Particularly if it will not alter the treatment recommendations. Try continue to do a great job and lose more weight prior to the next echo and see the effect on the pressures. Also see if there is a role for a sleep study and treatment of sleep apnea. There is no reason to thing your pressures would rapidly advance, if anything with the measures described they should decrease. I get palpitation after meal on daily basis mostly after lunch.
Dont know the cause of plapitation. I have recently done an echo. Doctor says its normal. My question is can palpitation after meal deteriorate the regurgitation over the time progress. A monitor worn for 24 hours that can characterize the palpitations would be the logical next step. Hello dr. There is nothing else wrong on the echo. Need help with understanding notes: Aortic Valve Normal appearing, trileaflet aortic valve without significant stenosis or regurgitation.
Mitral Valve Trivial mitral regurgitation. Pulmonary Valve Unremarkable pulmonic valve. Tricuspid Valve Mild tricuspid regurgitation, peak velocity 2.
No concentric left ventricular hypertrophy. Mildly dilated right ventricle with normal systolic function. No significant valvular abnormality. Normal pulmonary pressure. In general it looks ok without significant issue. Hi Dr. Can you tell me what a dilated right ventricle echo reading may mean if everything else appears normal?
Report: — Normal left ventricular size and function. Analysis of mitral valve inflow, pulmonary vein Doppler, and mitral annular tissue Doppler suggests diastolic function without elevated left atrial pressure. There are many possible causes of this, the first thing is to contact the referring dr and discuss the findings and whether they are accurate or not.
If accurate the next step is to see a cardiologist. Its a complex issue and you need to discuss this with the ordering physician. The lung test findings suggest you may have some lung disease and a degree of phtn may be expected. If the treating physician felt that the lung issue needed adressing as treatment of the phtn that may be all that is required.
Im not sure why a 24 year old would have lung issues. I would seek an opinion to clarify these issues. The echo suggests even if there is a degree of phtn it is mild.
I had a repeat pulmonary fuction test done just recieved the results via email it was normal my excersise test shows normal 0xygen saturation and heart rate but i still felt short of breath during the test so i ended the test within 3 minutes the results stated i needed excersise. Do you consider a pulmonary pressure of 36mmhg high for a 24 year old even though the echo could very.
Hello i had an echo today mild tricuspid and mitral regurgitation everything else normal except a pulmonary pressure between mmgh doctor says mild pulmomary hypertension should i be concerned i have Read online that the cut off is 40mmgh.
The numbers are certainly not in a concerning range. I have read that pulmomary hypertension is a progressive disease with no cure. Should i be concerned and seek treatment?
Amber did you get any answers? Mine is 30 and ct shows a mildy dialated pulmonary artery. Im so worried. Pulmonologist said if it is PH then it is very well treatable. Googling it on the internet is a no-no he says. It was too late, I had already googled.
Im scared to death. I have to have another echo and if still 30 he said we will do a right heart cath. I had another echo yesterday and it said My pasp is 30 and the fb group member say definitely ph. Both cardiologist and pulmomary docs I saw in say no. Just recently ive been having shortness of breath. I have an appt. Hoping they order another echo so I can see what the pressure is now since its been 4 years.
I had an stress echo done last year but I dont know if the measure pressure or not…. My pulmonary pressure was between It stated mild pulmomary hypertension would this be considered normal since i recently delivered or do i have pulmonary hypertension.
I would recommend asking the Dr who read the echo, it needs to be ensured the pattern of the wave form is accurate and interpreted correctly as opposed to a machine read out. I had an echo done at my cardiologist and my rvsp was 40 rest of the echo normal. I went to a pulmonary hypertension specialist and now my rvsp is I am morbidly obese. I have lost 17 pounds since my first Echo. Could the weight loss have lowered my pulmonary pressures? I am a 38 year old female trying to figure out if my shortness of breath while doing nothing and also shortness of breath and racing heart once I reach the top of the stairs is due to PH or is it due to health anxiety.
Doctor didnt seemed worried. It states mild pulmonary hypertension. Pasp of 30 …rvsp of But he is not concerned. I also have lots of bloating and have had an ent tell me i show signs of reflux when he looked down throat with camera.
He says it may be silent relfux causing breathing problems. Please give me your opinion…. I havent had an echo in 4 years…had a stress echo last year though and they said was fine…didnt say anything about pressures or nothing. There were no regional wall motion abnormalities. Patient was assess by the nurse practitioner before leaving the office. She has appointment schedule.
Shortness of breath. Mitral valve disorders. The study included complete 2D imaging, M-mode, complete spectral Doppler, and color Doppler. The heart rate was 45 bpm, at the start of the study. Systolic blood pressure was mmHg, at the start of the study. Diastolic blood pressure was 70 mmHg, at the start of the study.
Images were obtained from the parasternal, apical, subcostal, and suprasternal notch acoustic windows. Image quality was adequate. Systolic function was normal. Wall thickness was normal. The deceleration time of the early transmitral flow velocity was normal. The pulmonary vein flow pattern was normal. Left ventricular diastolic function parameters were normal. There was a mild prolapse. There was mild regurgitation.
Leaflets exhibited normal thickness and normal cuspal separation. There was no stenosis. There was no regurgitation. There was normal leaflet separation. There was no evidence for tricuspid stenosis. Pulmonary artery systolic pressure: 30 mmHg. There was mild pulmonary hypertension. With regard to your cardiac testing including you echocardiogram it appears to be relatively normal and I do not see any cause for alarm here unless you have been told differently by a treating physician.
Also the right ventricular systolic pressure you have reported is essentially in a normal range. And at the time of echo my B. The question is this, that i really have PAH or it is just misdignosed due to fast HR which put pressure on this? Thank you so much. Its likely normal. The finding needs to be discussed with the ordering provider and the scan reviewed to determine the true accuracy of the reading. Yes it is serious, needs close follow up and treatment and input from lung specialists and pulmonary hypertension specialists.
Hello Dr Ahmed i had mild pulmonary hypertension and it seems it went away. Is this possible or can it come back? My ekg and chest x-ray were normal. My echo showed mild tricuspid regurgitation as well as right ventricle peak pressure of at least 31 mmHG. My cardiologist suspected pericarditis however this was not confirmed by the echo or sed rate. He has now ordered a stress echo. Is pulmonary hypertension a possibility?
I seem to experience the shortness of breath and fatigue after even small amounts of exertion. Last month I had the flu which then led into pneumonia.
I thought I recovered and symptoms started 2 weeks after ending my steroid and antibiotic. Without looking at the echo its difficult to know the accuracy of the value.
However if the pressure is only 31, this is unlikely to represent clinically significant pulmonary hypertension. See Dr back in one year. No swelling in ankles. My weight is lbs. Should ask be a n diuretic? Not necessarily concerned, however its important to be followed and ensure the issues remain stable.
Doctor suggested for Heart Transplant, but we Family is looking for 2nd opinion, as we are not comfortable to go with such a big surgery. Please Suggest. Hi doctor Ahmed. My husband is 42 years old and was experiencing dizziness and rapid heart rate lately but blood pressure was normal. So he decided to have an Enchocardiography and Color Flow Doppler. Normal left ventricular dimension LV mass index of There is adequate wall motion and contractility.
Normal left atrial dimension with LA volume index of Normal main pulmonary artery and aortic root dimensions. Structurally normal aortic,mitral,tricuspid and pulmonic valves.
No pericardial effusion nor intracardiac thrombus noted. Dilated inferior vena caba dimension 2. Conclusion: Concentric left ventricular remodeling with adequate contractility and resting global systolic function. Normal left atrium with Normal LA volume index. Mild pulmonary hypertension Dilated inferior vena cava with plethora.
Relatively normal, in that no alarm signs. Would make sure the lv mass is reviewed and risk factors such as blood pressure are addressed. I am going for a 2nd opinion for pulmonology workup as my cardiologist believes pulmonologist missed something.
Reason for delay was to complete repeat PFT and sleep study. I am seeing a 2nd opinion in pulmonology on Wednesday.
Can I wait a few weeks before treating this? Echo was completed in early June so I'm fearful this has delayed too long. If you are stable then there is likely no emergency, but there is a relative urgency and it sounds like things are set in motion already at an acceptable pace.
I had it repeated 6 months later and it was I have been scared to death for the last seven years worrying about having pulmonary hypertension. Recently I had an echo done And my results are below.
On the report it does not show my RVSP. I was wondering why? I was wondering if I should get another opionin. I have started to have bad health anxiety after reading google and worrying about all of this. ConclusionsSummary Left ventricular systolic function difficult to assess, wouldconsider definity. Appears mildly diminished. Mild left atrial enlargement. Mild concentric left ventricular hypertrophy. There was trivial tricuspid valvular regurgitating.
It sounds reassuring that the repeat number was lower and that the cardiologist isnt worried. The time to get a second opinion would be if there are symptoms that are felt to be related. Echo indicates rvsp I have no energy no appetite — all Dr said was to return in month for stress test.
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