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Elevated RSVP should I be worried?
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Elevated RSVP should I be worried?
Doctor,

I posted earlier on 8/25/07.

Anyway I have a few other questions:

1. Does PH set off TR or does TR set off PH?

I had an echo done recently and it was discovered that I had mild to moderate TR and a myxomatous MV with trace regurgitation.  My RSVP was 34mm hg.

Shouldn’t my doctor investigate this elevated RSVP before it gets out of hand?  

I am really concerned about this… just because it can be such a nasty disease if not caught and treated early enough (assuming that it is secondary that is).

2. Does myxomatous degeneration get worse or does it sometimes stabilize?
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1 Answers
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242509 tn?1196926198
1. Pulmonary hypertension usually causes Right ventricular hypertrophy and over the course of time dilatation and induces functional tricuspid regurgitation. You don;t have severe tricuspid regurgitation only mild to moderate, and the treatment as you suggest is to decrease the pulmonary pressures to decrease the progression of the disease.
Usually this prompts a right heart catheterization and a bubble study to exclude shunts as a causes of the increased pulmonary pressures. Other thisngs include blood clots and left heart disease ( mitral regurgitation or stenosis,) or pulmonary disorders.
2. Yes myxomatous degeneration is a pathologic term and simply refers to the appearance of a valve on echocardiogram. It usually progresses with time and eventually may progress to require valve replacement or repair.
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