I ‘m 52 w/heart valve problems below.Get left chest pain,short of breath,difficulty walking/talking same time.Get winded with normal activity.Take Imdur 60mg, Norvasc 2.5mg, Mevacor 20mg & fast acting nitro as needed.I have Microvascular Angina & recently Pulmonary Hypertension.I’ve had 5 echos,listed last 2 below. Per Heart Assoc. normal pressure is 14 mmhg at rest.Echo on 11/2007,pressure at rest is 57mmhg & 62-67 mmhg at peak.Echo on 12/2007,pulmonary artery pressure is 32 mmhg within normal range. Pulmonary doctor states my pressure is within normal limits, but will not verify if I have PPH .My question “Is this normal range for diagnosis of PPH?” Please tell me when or what I need to know or if I would need a valve replacement & do I have PPH?
Stress Echo on supine bicycle 11/2007 Summary:
Exercised 9 min 26 sec. heart rate increased 78-148. Systolic pressure increased from 100-166. Double product at max exercise was 24,568. Electrocardiographic tracings became abnormal & near exercise there was flat down sloping ST segment depression in II, III, AVF & V3-V6. Abnormalities persisted beyond 8 min of recovery. Resting echo images demonstrated normal left ventricular size & systolic function. Ejection fraction 65%. Mild mitral insufficiency & moderate tricuspid insufficiency. Tricuspid insufficiency jet allowed estimation of right ventricular systolic pressure at rest at 57 mmhg & near peak exercise at 62-67 mmhg.
1. Normal stress echocardiographic study demonstrating no evidence for exercise induced regional wall motion abnormality.
2. Resting pulmonary hypertension is present with normal physiologic increase right ventricular systolic pressure with exercise.
Bubble Echo 12/11/07 Brief Summary:
Est. left ventricular ejection fraction is 70%. The aortic, tricuspid & mitral valves are normal morphologically. Color flow Doppler demonstrates 1-2+/4 mitral regurgitation. Est. pulmonary artery pressure is 32 mmhg which is within the range of normal