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.
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.
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.
This site complies with the HONcode standard for trustworthy health information.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.