Aa
A
A
Close
Avatar universal
Pulmonary Hypertension - Scared
I saw my Cardiologist today for a follow up and he said that my Echo that I had done a few weeks ago showed that the pressure in my pulmonary artery went up 5 points (from 35 to 40). He seemed concerned since 35 is on the high side of normal, but for it to go from 35 to 40 in such a short amount of time was cause for concern.

So, now I have to go for Pulmonary tests and possibly a right heart catherization. He thinks I may have Pulmonary Hypertension.

Does anyone have any experience with this? Is there anything that could make the pressure go up like that within 6 months?

Thanks so much for the help! I am totally clueless about this and very scared.

Cancel
2 Answers
Page 1 of 1
Avatar universal
Echos are not always ideal for measuring the pulmonary pressure.   It is, in fact, an estimate based off of tricuspid insufficiency.   Upwards of 60% of normal people have some degree of tricuspid insufficiency which would equate to a higher pressure estimate of the pulmonary artery.  

The diagnosis of pulmonary hypertension is more of a disease of elimination.   They need to find underlying causes, if any, before that diagnosis can be made.   Furthermore, are they seeing any rt heart enlargement?   Any pulmonary stenosis?

The gold standard is right heart cath since it is a direct measurement.
Comment
Cancel
Comment
Avatar universal
Comment
Comment
Submit Comment
Avatar universal
Thanks so much for your reply! My Cardiologist didn't say anything about right heart enlargement, but a couple years ago I had an EKG that supposedly showed Biatrial Enlargement. Nothing was ever said about that.

I didn't hear anything about pulmonary stenosis either. He referred me to a Pulmonogist for testing but didn't say much beyond that.

Comment
Cancel
Comment
Avatar universal
Comment
Comment
Submit Comment
Your Answer
Avatar universal
Answer
Know how to answer? Tap here to leave your answer...
Answer
Submit Answer
A
A
Top Heart Disease Answerers
159619 tn?1318997813
Blank
erijon
Salt Lake City, UT
11548417 tn?1440481484
Blank
Ger57
Netherlands
144586 tn?1284669764
Blank
caregiver222
Avatar f tn
Blank
achillea
CA
Avatar m tn
Blank
tacolino
Ireland
Blank
BloodPressure Tracker
Monitor Your Blood Pressure
Start Tracking Now
Blank
HeartRhythm Tracker
Track your Heart Condition
Start Tracking Now
Recent Activity
Avatar universal
Blank
einaej added the Exercise Tracker
2 hrs ago
Avatar universal
Blank
4522800 tn?1470329434
Blank
VICourageous commented on meegWpaw's status
Aug 23
Heart Disease Community Resources
Top Heart Disease Answerers
159619 tn?1318997813
Blank
erijon
Salt Lake City, UT
11548417 tn?1440481484
Blank
Ger57
Netherlands
144586 tn?1284669764
Blank
caregiver222
Avatar f tn
Blank
achillea
CA
Avatar m tn
Blank
tacolino
Ireland