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