Pulmonary Hypertension Expert Forum
Echo results possible mild PH?
About This Forum:

Pulmonary hypertension is a condition associated with high blood pressure in the arteries that connect your heart with your lungs. It is a serious condition for which there are many emerging treatments but no definite cure. In this disease, the blood vessels that carry oxygen-poor blood from your heart to your lungs become hard and narrow, which causes your heart to work harder to pump the blood. This forum is a place to ask questions about Pulmonary Hypertension. Some examples are: What caused me to get pulmonary hypertension? How is pulmonary hypertension diagnosed? What treatment options are available?

IMPORTANT!! If you have a question that requires immediate medical attention, or if you think you may have an emergency situation, please call your doctor or 911 IMMEDIATELY!

Font Size:
A
A
A
Background:
Blank
Blank
Blank
This expert forum is not accepting new questions. Please post your question in one of our medical support communities.
Blank Blank

Echo results possible mild PH?

I'm a 47 yr old male 5'8" `165 lbs. My blood work is spot on. I had an echo 5 weeks ago for heart palpitations. The findings were all normal except for "borderline PA pressure" of 36 (mean). ejection faction was 55%, right ventricle diameter was 2.7 cm. The results were otherwise unremarkable. I am concerned about having the start of PH. There is no family history.  I am in good shape with absolutely no symptoms. I work out and race dirt bikes all without a problem. My cardiologist was not concerned. Should I get additional tests and if so what tests should I look to have done. What is the likely hood of developing PH? Several years ago I had a sleep study done which revealed minor sleep apnea which did not require treatment.   Thank you for your help.
1884349_tn?1353818598
Hello and welcome to the forum.

The scenario you describe is an extremely common one.  

1. Are you sure that the PA pressure that they reported out was the "mean" PA pressure and not the PA systolic pressure?
2. Echo is notoriously unreliable for the diagnosis of pulmonary hypertension.  Thus, in a person like yourself who has no symptoms despite being very active (outside of the palpitations) and who otherwise has what sounds like a structurally normal heart and right ventricle, etc etc I would entirely ignore the echo findings.
3. The fact that your cardiologist was not concerned is probably a sign that you have a good cardiologist!!  (do you trust him/her?). If so, I would follow your cardiologist's advice and move on...

Wishing you all the best,

Dr. Rich
Blank
This Forum's Experts
1884349_tn?1353818598
Jonathan D. Rich, MDBlank
Northwestern Memorial Hospital
Chicago, IL
MedHelp Health Answers
Blank
Weight Tracker
Weight Tracker
Start Tracking Now
RSS Expert Activity
242532_tn?1269553979
Blank
Emotional Eating Control: How to St...
5 hrs ago by Roger Gould, M.D.Blank
233488_tn?1310696703
Blank
New Cannabis Article from NORTH Mag...
Jul 20 by John C Hagan III, MD, FACS, FAAOBlank
242532_tn?1269553979
Blank
3 Reasons Why You are Still Binge E...
Jul 14 by Roger Gould, M.D.Blank