I recently had an echo for shortness of breath and pressure in chest. Chest x-ray, pulmonary function and stress test were normal. Echo showed
Left ventricular hypertrophy, both atria are dilated. Tricuspid regurgitation is graded trivial. Pulmonary artery systolic pressure is estimated to be 27 mmGh from the TR jet. The LV apex appears akinetic or dyskinetic.
Should I be worried? Wait time to see a cardiologist is >six months. Do not know if I should go to Emergency or not.
If you needed to be seen sooner, you would have an appointment already. If you start to feel symptoms go to the ER. Dangerous symptoms from an enlarged heart include chest pain, shortness of breath and arrhythmia.
The issue that needs to be resolved is the underlying cause of the hypertrophy, usually high BP. Did you doctor put you on any meds for BP?
In any case, you don't have anything that will make you drop dead, just be aware of any new symptoms and if you have some go get checked out. Better safe than sorry!
I'd be pleased to see the word 'trivial' in any echo test, it basically means normal, in my experiences. All heart valves leak a bit unless one is Superman. Atrial enlargement is more troublesome, especially when your pulmonary pressures are above about 25mm. It means something is going on, as I've been told. It sounds to me like you have been given a big warning of lung issues, Like Jon suggests, it's time to address blood pressure issues. However, in my experiences, high pulmonary pressures indicate some problems with the lungs.
The fact that your pressures were just 27mm suggest to me that you
have caught a problem very early on, and if I were walking in your shoes, I'd quit smoking if you smoke, throw away your salt shaker, lose weight, and exercise.
Keep us informed.
FYI, my blood pressure has always been low/normal. It has never been high. I exercise daily, eat relatively well, don't drink and have recently stopped smoking (again). I am finding lately that it is harder to bike in to work due to the discomfort and SOB. I could show up in ER but want that as a last resort (don't like hospitals even though I work in one)
Congratulations for quitting smoking. I've been there, done that years ago, and it hard to do, but certainly not impossible and worth it. Cigarette smoking is probably a strong contributor to your elevated pressures. I'm betting the pressures will diminish if you continue to be a non-smoker.
I saw the cardiologist yesterday and he said he could tell me what I have (diastolic dysfunction and "stiff" heart) but that he couldn't tell me why. Next step is MRI, re-reading the echo and more tests. So it is still a watch and wait situation. Meanwhile, exercise gently and don't overwork my heart right now
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.