Member Comments are provided by individuals and reflect their personal opinions only. Under NO circumstances should you act on any advice or opinion posted in this forum. ALWAYS check with your personal physician before taking any action regarding your health! MedHelp International and our partners, sponsors and affiliates have no obligation to monitor any comments posted on this site, or the content and/or accuracy of such exchanges. MedHelp International does not endorse the views of any user.
Heart Disease (Expert Forum)
hypotension, recurring cx pain
This forum is for questions and support regarding heart issues such as: Angina, Angioplasty, Arrhythmia, Bypass Surgery, Cardiomyopathy, Coronary Artery Disease, Defibrillator, Heart Attack, Heart Disease, High Blood Pressure, Mitral Valve Prolapse, Pacemaker, PAD, Stenosis, Stress Tests.
hypotension, recurring cx pain
by CS__0, Oct 30, 1998 12:00AM
I am a 37y/o white female with strong athletic backgound. I'm an RN.
I have been dealing with very labile B/P's can be 70's/40's or 130's/90's.
In the last week I've only had one day without cx pain that has required ntg x1.
The cardiologist my primary sent me to, after being admitted to the ICU that I work in,
was attributingthe low B/P's to IBS/chronic diarrhea, but . . . this has now been resolved
My employer is concerned as am I!!! Since my GI doc cleared me in that regards
I had an echo today that the tech said showed EF of 56 and the only thing she
saw was a small Aortic leak. What is normal EF for me?? What should I expect
with these results. How agreesive should I be with seeking answers. The cx pain is
getting really old.
Doctor's Answer
by CCF Cardio MD - MTR, Oct 30, 1998 12:00AM
_
Dear CCS, thank you for your question. At age 37, it would be extremely unlikely for you to have coronary artery disease as the cause of your chest pain. But, I wonder if you have had a stress test done to exclude ischemia as a cause. The labile BP is unusual, but without knowing more about you, I can't determine what is causing this problem. Your EF (ejection fraction) is normal at 56% and the aortic leak to me sounds like aortic valve insufficiency (AI). The management and subsequent prognosis of AI depends on the severity of the AI. If you indeed have mild AI, then all you would need is serial echocardiograms and possibly a medication or two. As for the chest pain, it's hard to recommend something since I don't know what prior tests you've had done. Perhaps you could write back with additional information and I could give you a more complete response.
I hope you find this information useful. Information provided in the heart forum is for general purposes only. Only your physician can provide specific diagnoses and therapies. Please feel free to write back with additional questions.
If you would like to make an appointment at the Cleveland Clinic Heart Center, please call 1-800-CCF-CARE or inquire online by using the Heart Center website at www.ccf.org/heartcenter. The Heart Center website contains a directory of the cardiology staff that can be used to select the physician best suited to address your cardiac problem.
