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Heart Disease (Expert Forum)
pulmonary hypertension
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pulmonary hypertension
by jt702702, Jul 14, 2004 12:00AM
ok i just got my echo results backs the reason why i had the echo done is because of a rapid heartrate and getting tired out from walking for 7 months now! everthing came back good except for 2 things so I have 4 questions 1. is mild tricuspid regurgitation normal and if so why would they even put it down on the report? 2.it says no pulmonary hypertension but my reading is 31mmhg which means mild ph so why would he put down no ph and is 31 considered ph? 3. could severe anxiety about my heart which i have cause a slight raise in pulmanory pressure?4. this all started one day i woke up my heartrate was 150 out of no where i took a spectroceft its a antibiotic (which i blame for this) the night before could this of caused my heartrate to do this and stay high and maybe of caused my pulmanory hypertension?5. could the mild tricuspid be my whole problem and cause the mild ph if so would u need open heart surgery to fix that or are there any other ways? thanks so much! also iam a 26 year old male ! Jonathan
Doctor's Answer
by CCF-M.D.-MJM, Jul 14, 2004 12:00AM
Hi Jonathan,
1. is mild tricuspid regurgitation normal and if so why would they even put it down on the report?
It is not uncommon to find trace to mild leaking through valves on echo. The test is so sensitive it picks up everything. Mild TR is unlikely to be of any clinical significance. We add it to reports so we have a point of reference should it change (i.e. not changes from one study to the next).
2. it says no pulmonary hypertension but my reading is 31mmhg which means mild ph so why would he put down no ph and is 31 considered ph?
It is true that the upper limit of normal for pulmonary pressure is 25 mmHg. This isn't very though and is very unlikely to cause any clinical symptoms.
3. could severe anxiety about my heart which i have cause a slight raise in pulmanory pressure?
Anxiety about your heart will not raise your pulmonary pressures.
4. this all started one day i woke up my heartrate was 150 out of no where i took a spectroceft its a antibiotic (which i blame for this) the night before could this of caused my heartrate to do this and stay high and maybe of caused my pulmanory hypertension?
No, antibiotics do not cause pulmonary hypertension. It would be odd for an antibiotic to cause your heart to race unless you were allergic to the antibiotic. However, an allergy usually manifests as a rash. If it were to cause a racing heart, it would be a severe reaction likely associated with a very low blood pressure.
5. could the mild tricuspid be my whole problem and cause the mild ph if so would u need open heart surgery to fix that or are there any other ways? thanks so much! also iam a 26 year old male ! Jonathan
Tricuspid regurg would not cause PH. PH can cause tricuspid regurg. I would not operate on mild TR. Moderate to severe leakage and symptoms may be an indication for surgery. You are no where near surgery for mild TR.
I would investigate other causes of fatigue or exertional fatigue. An exercise stress with an echo would show if the leakage worsens with exercise, but from what you have written, this is unlikely the issue.
I hope this helps. Thanks for Posting.
1. is mild tricuspid regurgitation normal and if so why would they even put it down on the report?
It is not uncommon to find trace to mild leaking through valves on echo. The test is so sensitive it picks up everything. Mild TR is unlikely to be of any clinical significance. We add it to reports so we have a point of reference should it change (i.e. not changes from one study to the next).
2. it says no pulmonary hypertension but my reading is 31mmhg which means mild ph so why would he put down no ph and is 31 considered ph?
It is true that the upper limit of normal for pulmonary pressure is 25 mmHg. This isn't very though and is very unlikely to cause any clinical symptoms.
3. could severe anxiety about my heart which i have cause a slight raise in pulmanory pressure?
Anxiety about your heart will not raise your pulmonary pressures.
4. this all started one day i woke up my heartrate was 150 out of no where i took a spectroceft its a antibiotic (which i blame for this) the night before could this of caused my heartrate to do this and stay high and maybe of caused my pulmanory hypertension?
No, antibiotics do not cause pulmonary hypertension. It would be odd for an antibiotic to cause your heart to race unless you were allergic to the antibiotic. However, an allergy usually manifests as a rash. If it were to cause a racing heart, it would be a severe reaction likely associated with a very low blood pressure.
5. could the mild tricuspid be my whole problem and cause the mild ph if so would u need open heart surgery to fix that or are there any other ways? thanks so much! also iam a 26 year old male ! Jonathan
Tricuspid regurg would not cause PH. PH can cause tricuspid regurg. I would not operate on mild TR. Moderate to severe leakage and symptoms may be an indication for surgery. You are no where near surgery for mild TR.
I would investigate other causes of fatigue or exertional fatigue. An exercise stress with an echo would show if the leakage worsens with exercise, but from what you have written, this is unlikely the issue.
I hope this helps. Thanks for Posting.
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I can't say I know much of anything about TR and PH, but since I just asked my EP yesterday about, it I thought I would share what he said. The mildly elev. pulmonary pressure was a new thing on my echo, I had the mild TR on the others. I was concerned too, especially after what I read (add to that I have Factor V Leiden)!
I have mild MVP and mild MR, too and I am treated for IST and NCS. The symptoms I read about PH are symptoms I have with these other things, so they made me nervous enough to ask about the PH.
Anyway, my cardio said it wasn't an uncommon finding and nothing to worry about. His partner, who did the echo while I was in the hospital, said that I should have a repeat echo in 5 yrs. Questions that his partner asked me at the time of the echo review were, did I have asthma, did I have bronchitis or chronic bronchitis, did I ever have pneumonia. He may have asked if I smoked, but I am not certain. My answer was "No" to all of these.
I have to tell you I was concerned too, because both of my parents had emphysema and neither ever smoked. I could reason both out, though.
I hope this and the dr.'s answer here will put you at ease. :o)
I have systemic hypertension, btw. (hence my handle being what it is :)
After a few days of taking the anti biotic "ciproxin" it gave me bad indigestion and this led on to upset my heart - for 2 days I had a hard ectopic beat every 2 minutes. I also had a few palpitations whilst taking another anti biotic, can't remember the name of it but the dentist gave me it for an oral infection,..I think perhaps it might have been called flagyl. I suppose the story here is that if your heart is sensitive and an anti-biotic upsets your system then that might trigger off palpitations - it certainly did with me. I did not drink any alcohol incidentally whilst taking these anti-biotics.
Just came across this on the net quite by chance, I was looking up what might cause prolonged QT intervals. Avelox is an anti biotic, so perhaps the anti biotic you took did play a part in the palpitations you had.
"Q: Is Avelox® the only drug that prolongs the QTc interval?
A: No. In the US alone, more than 50 drugs carry a statement about QTc prolongation in US labeling. These drugs include omeprazole (Prilosec®), fluoxetine (Prozac®), and ketoconazole among other well-known and established agents. Among the antibiotics, this phenomenon is well described for all macrolides, including trimethoprim, as well as for certain quinolones such as Sparfloxacin and Grepafloxacin."
Hope this is of interest.
I have been diagnosed with moderate aortic regurgitation, which has progressed
from mild aortic regurgitation.
I am concerned that over the last 3 years my pulmonary arterial pressure has
risen from 22 mm Hg. to 30.2 mmHg. as inferred by the TR jet velocity of 2.27 m/s.
I took Fen Phen for about 7 months, 4 years ago.
I understand that increasing PAP can become fatal and that over 30 is considered high.
My question are:
-how serious is this?
-what if anything can be done to stop its progression?
-is aerobic exercising going to make this condition worse?
Thanks in advance for any advice.