Your RVSP with echo can be used as a surrogate for pulmonary hypertension, but your RVSP is not elevated to the extent that would indicate pulmonary hypertension. A right side cath would provide a better evaluation. However, with low senstivity and specificity ratings for RVSP to identifying Pulmonary hypertension it is essential to evaluate in the context of right ventricle chamber size, right chamber wall dimensions, and septum (wall separating left and right ventricles) configuration and size, etc. That information would be assessed with symptoms, health history, other echo information, etc.
Hope this provides an insight for you to discuss the matter with your doctor if you have concerns. Take care,
Thanks for answering my question. I have a little relief now. Here are my results:
Left Ventricle: Normal
LVIDd 4.2 cm
Ejection fraction 65%
Left Atrium: Normal size: 2.95 cm
Right Ventricle: normal size: 2.48
Right Atrium: normal
Posterior Wall: Normal thickness: 0.75 cm
IV septum: normal thickness: 0.60cm
Aorta: normal Root size: 2.29 cm
Aortic valve area: 2.13 cm Peak gradient across: 8.5 mmHg
Mitral Valve: Reguritation: Trace
Pulmonic Valve : regurgitation: Trace
Tricuspid Valve: regurgitation: Trace
Normal left ventricle diametrical size and systolic function. Ejection fraction 65%
Normal septal and posterior wall thickness
Normal right ventricular size and systolic function
Normal right and left atrial size
Aortic valve is tricuspid. AVA 2.13cm. No aortic insufficiency.
Trace mitral regurgitation
Trace tricuspid regurgitation. Right ventricular systolic pressure 14mmHg.
Trace pulmonary insufficiency.
No pericardial effison
No intracardiac thrombl.
I just whatever this means isn't too bad. I mean something fixable.
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