23 y/o with mild tricuspid regurgitation, means??

[dottie87]

I just had an echo done and  my BP always runs low (92/70 on the echo), I have mild tricuspid regurgitation but all of the values are normal except the end-diastolic diameter is 2.2 when normal is 0.5-2.0 cm. The other values measuring my heart are on the lower end of the ranges so the measurements are normal but at the minimum and small. my ejection fraction is 60%. the only reason I am worried is because I have passed out at least 6 times in the past 2.5 years and was out for at least 3 minutes all of those times because the person I had with me told me, and then last october I went into cardiac arrest and acute respiratory failure but they have no idea why. for the past 2.5 years my heart-rate has not gone below 100 and the other day it was 152!!! but normally runs around 110. before those 2.5 years my heart-rate was consistently in the 60's. I am athletic but now I am nervous because my heart rate is already high! So low BP high HR and mild tricuspid regurgitation...what does this mean?? what will be the most likely thing I will need to do? is it possible that this caused my cardiac arrest? or is the tricuspid regurgitation is from the arrest itself? and if my HR is so high and BP low could that cause the arrest? could it happen again?

[dottie87]

yeah I have consulted with my dr. and I am now waiting to go to a cardiologist and have checked for an arrhythmia but i do not have one. My myelin sheath over my trigeminal nerve has been deteriorating and they dont know why so they have checked for even more serious neurological problems but now they are concentrating on the heart because they cannot find neurological problems that can really be diagnosed. I have had 13 neurosurgeries between ages 16-19, I am now 23 and complications from those were a blood clot in my brain, brain swelling, i lost both vision and hearing but I was lucky and both came back but the doctors couldnt guarantee that would happen at the time, I had CSF leakages with almost all of them and eventually had a shunt put in. I have had bacterial spinal meningitis at least 3 times, over 12 PICC lines and a brain infection that was cleared out with surgery as well and luckily I recovered. I have previously spent a lot of time in the hospital but have been doing pretty good for about 3-4 years. I do get infections way too easy, I will catch something from a 6 month old baby, it is quite ridiculous and frustrating. So my history is really extensive and my heart has been through a lot. Could all of the surgeries, and complications be catching up with me? because they've done a lot of blood work and have ruled out dehydration and problems with my glucose levels at the times of passing out (if we happen to go to the hospital after). I am resorting to the internet because it has been almost a year and we still dont have answers as to why I went into cardiac arrest and all of my doctors are just as stumped as the next one... its scary because I hope cardiac arrest wont happen again? but we dont know. Thanks for your help and if you have any more suggestions please let me know but I figure with a little more history it might help? but it could just make things more complicated.

[kenkeith]

Q:... "all of the values are normal except the end-diastolic diameter is 2.2 when normal is 0.5-2.0 cm

...End-diastolic dimension is 3.6 to 5.6 cm.  That is the measurement of the chamber's inside dimension of the left ventricle after the filling phase.  A mild tricuspid valve leakage is considered medically insignificant and almost never progresses nor cause any symptoms.

Your abnormally high heart rate should be diagnosed.  A fast HR can cause syncope.
Fainting – Syncope
Fainting related to a heart rhythm disorder is more likely to happen suddenly and without warning than fainting related to other causes, such as dehydration or low blood sugar. Any sudden lose of consciousness should be evaluated by a physician. In some cases, fainting is the only warning sign of an arrhythmia that could cause sudden cardiac arrest.

Hope this provides a perspective and helps you in consultation with your doctor.  Thanks for sharing, and if you have any further questions or comments you are welcome to respond.  Take care.

Ken