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Heart Disease  (Expert Forum)
 | 
Echo/out of breath
Answered by
Cleveland - OH
This forum is for questions and support regarding heart issues such as: Angina, Angioplasty, Arrhythmia, Bypass Surgery, Cardiomyopathy, Coronary Artery Disease, Defibrillator, Heart Attack, Heart Disease, High Blood Pressure, Mitral Valve Prolapse, Pacemaker, PAD, Stenosis, Stress Tests.

Echo/out of breath

by a.k.a, Aug 23, 2004 12:00AM
I’m a active 56 year old year with a heart murmur/mvp. I just had a echocardiogram which was normal, but I have few question about what the echo showed.
(Aortic Valve) Trace regurgitation, thickening/or calcification in the region of the valve. 10mmHg valvular gradient at most mild aortic stenosis. Will this narrowing get worse with age, progressing from at most mild to moderate or more. Or is this a normal condition seen on a lot of echoes.
(Mitral Valve) Trace regurgitation thickening/or calcification in the region of the annulus and leaflets. Systolic flatting of anterior leaflet. How typical is it to have both the aortic and mitral valve thicken/or calcify. Would an abnormal calcium-phosphate metabolism, such as low phosphate levels contribute to the calcification of the heart valves. Should I have yearly echoes to monitor this condition.
(Tricuspid valve) Mild regurgitation. Rv systolic pressure 26mmHg. Left and right ventricles grossly normal size. EF=>55%.
The problem  I can run five to six miles with no problems. But get out of  breath when running up a flight of stairs or moving a heavy piece of furniture. A thallium stress test about eight years ago was normal. They said it was the mvp causing the shortness of breath, could it be the aortic valve instead. Would a cardiopulmonary exercise test be of any value.  
  

by Cleveland Clinic, Aug 23, 2004 12:00AM
a.k.a...

All of your findings on echocardiogram are not rare.  They are to some extent abnormal and should be monitored over time.

Sometimes when valve lesions are on the borderline side, or sympotoms seem out of proportion to the findings we do exercise echocardiography to examine the findings under stress conditions.  

The fact you can run the extent that you do and the lack of symptoms compared with the symptoms you experience with lifting, may be more related to strength conditioning of those muscle groups.

Yearly exercise testing with particular attention to your capacity to exercise may be of help in detecting changes in your cardiopulmonary fitness over time.

good luck

hope this is a start.
Member Comments (1)

by pattisd1, Jun 12, 2009 05:20PM
A related discussion, Symptoms of Heart failure was started.
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