Aa
PH, CGH or insignificant?
Many symptoms treated 10 yrs. Acutely ill 01/06. 2 mo antibiotics home; a wk in hospital 03/06, pneumonia; dehydration. Echo SOB. Told Echo showed nothing significant.SOB continued spradically since; frequent since 01/08 at rest, w/minor activity 25 lbs 2 mo, largely upper abdomen. 48 WF, 5'2", 138 lbs. 113 lbs late 12/06. Swelling feet, ankles, hands, abdomen. Heart "flutterings" several yrs; tachycardia didn't warrant treatment. Ultrasound last wk rulled out PE's.
Echo report '06 states "Conclusion: Mild pulmnonary hypertension.(1)...LV normal wall thickness, end-diastolic volume. Regional and global LV systolic performance normal to hyperdynamic. LV filling pattern suggest impaired relaxation. ..probably due to rapid heart rate present during study. .confirmed by normal tissue Doppler interrogation of mitral annulus velocity. RV normal size, performance (2) atrial chamber dimensions normal (3) valves normal structure. Tricuspid regurgitation the peak velocity of which corresponds to pulmonary artery systolic pressure in low 40's".
Diagnosed MS 07/30/07. Began wkly Avonex therapy 09/07. Neuro prescribed Amitriptyline 25 migraines, Provigil 200 fatigue, Zyrtec10 site reaction, Neurocardiogenic syncope '06 (on table16 min b/f passing out) Toprol XL 25, Florinef .01 mg. Synthroid since age 16; now 75 mg. Tricor 145 ;Simvastatin 20. GastroE Amitiza 2/day, Lactulose. PCP Wellbutrin 200SR 2/day, Clonapin 1 mg/night. New PCP found B12, Vit D deficient '07. Started more; now Vit D 50,000/2wks, B12 inject/3 wks.
Please explain Echo. PH or insignificant? All symptoms related to MS or different heart problem? Appreciate your advice.
sonja825
Echo report '06 states "Conclusion: Mild pulmnonary hypertension.(1)...LV normal wall thickness, end-diastolic volume. Regional and global LV systolic performance normal to hyperdynamic. LV filling pattern suggest impaired relaxation. ..probably due to rapid heart rate present during study. .confirmed by normal tissue Doppler interrogation of mitral annulus velocity. RV normal size, performance (2) atrial chamber dimensions normal (3) valves normal structure. Tricuspid regurgitation the peak velocity of which corresponds to pulmonary artery systolic pressure in low 40's".
Diagnosed MS 07/30/07. Began wkly Avonex therapy 09/07. Neuro prescribed Amitriptyline 25 migraines, Provigil 200 fatigue, Zyrtec10 site reaction, Neurocardiogenic syncope '06 (on table16 min b/f passing out) Toprol XL 25, Florinef .01 mg. Synthroid since age 16; now 75 mg. Tricor 145 ;Simvastatin 20. GastroE Amitiza 2/day, Lactulose. PCP Wellbutrin 200SR 2/day, Clonapin 1 mg/night. New PCP found B12, Vit D deficient '07. Started more; now Vit D 50,000/2wks, B12 inject/3 wks.
Please explain Echo. PH or insignificant? All symptoms related to MS or different heart problem? Appreciate your advice.
sonja825
MEDICAL PROFESSIONAL
The echo findings imply that diastolic function (the time the heart fills with blood) is normal; pulmonary pressures in the 40's are mildly elevated and I would look into whether or not you have lung issues : 1) do you smoke? 2) are you overweight?
By reading the above, it doesn't seem to be that this is cardiac in etiology but given your complicated past medical history you should discuss this with the physician who read your study.
By reading the above, it doesn't seem to be that this is cardiac in etiology but given your complicated past medical history you should discuss this with the physician who read your study.
Sorry; forgot this.
Other findings on report:
LV Diastole 34 mm (35-56) IV Septum 10 mm (6-11)
Systole 20 mm Posterior wall 10 mm (6-11)
% Shortening 42 (28-41) Estimated LVEF 0.65 (>0.50)
LA 28 mm (20-40) Aortic root 27 mm (20-37)
LA/AO ratio __ (0.8-1.2) Pericardial effusion ___
Other findings on report:
LV Diastole 34 mm (35-56) IV Septum 10 mm (6-11)
Systole 20 mm Posterior wall 10 mm (6-11)
% Shortening 42 (28-41) Estimated LVEF 0.65 (>0.50)
LA 28 mm (20-40) Aortic root 27 mm (20-37)
LA/AO ratio __ (0.8-1.2) Pericardial effusion ___
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