Jonathan D. Rich, MD's MedHelp Posts https://www.medhelp.org/user_posts/list/1884349 Medical communities and forums staffed by doctors from leading medical centers. Over 325 forums and communities providing medical information and medical help. en Echo PAP 40 Hello Barbie and my apologies for this very delayed response. Im not even sure why you had an echo Jonathan D. Rich, MD Mon, 23 Jun 2014 12:14:53 -0400 https://www.medhelp.org/posts/Pulmonary-Hypertension/Echo-PAP-40/show/2188985#post_10615516 https://www.medhelp.org/posts/Pulmonary-Hypertension/Echo-PAP-40/show/2188985#post_10615516 right ventricular systolic pressure 37 mmHg Hello and welcome to the forum. I completely understand why you would be concerned but I hope that Jonathan D. Rich, MD Mon, 23 Jun 2014 12:10:38 -0400 https://www.medhelp.org/posts/Pulmonary-Hypertension/right-ventricular-systolic-pressure-37-mmHg/show/2211748#post_10615487 https://www.medhelp.org/posts/Pulmonary-Hypertension/right-ventricular-systolic-pressure-37-mmHg/show/2211748#post_10615487 RV 1. Your ECG does not suggest any evidence of RVH 2. Your "heavy smoking" is likely to contribute to Jonathan D. Rich, MD Tue, 13 May 2014 06:15:19 -0400 https://www.medhelp.org/posts/Pulmonary-Hypertension/RV/show/2173166#post_10392012 https://www.medhelp.org/posts/Pulmonary-Hypertension/RV/show/2173166#post_10392012 RV Hi and welcome to the forum. Hard for me to tell by the m-mode if it meets criteria for RVH. But Jonathan D. Rich, MD Sun, 11 May 2014 11:45:17 -0400 https://www.medhelp.org/posts/Pulmonary-Hypertension/RV/show/2173166#post_10382614 https://www.medhelp.org/posts/Pulmonary-Hypertension/RV/show/2173166#post_10382614 conjestive heart failure after vtac and bypass Hello and welcome to the forum. Heart failure and VTACH are serious conditions but with excellent Jonathan D. Rich, MD Mon, 05 May 2014 10:26:49 -0400 https://www.medhelp.org/posts/Congestive-Heart-Failure/conjestive-heart-failure-after-vtac-and-bypass/show/2167313#post_10350086 https://www.medhelp.org/posts/Congestive-Heart-Failure/conjestive-heart-failure-after-vtac-and-bypass/show/2167313#post_10350086 Second opinion to rule out PH Hello and welcome to the forum. You are asking exactly the right questions. 1. Yes, seek a 2nd Jonathan D. Rich, MD Thu, 01 May 2014 18:20:02 -0400 https://www.medhelp.org/posts/Pulmonary-Hypertension/Second-opinion-to-rule-out-PH/show/2155876#post_10331580 https://www.medhelp.org/posts/Pulmonary-Hypertension/Second-opinion-to-rule-out-PH/show/2155876#post_10331580 confused about echo and my dr Hello and welcome to the forum. My apologies for this late reply. It somehow got lost in my inbox Jonathan D. Rich, MD Thu, 01 May 2014 18:05:06 -0400 https://www.medhelp.org/posts/Congestive-Heart-Failure/confused-about-echo-and-my-dr/show/2145084#post_10331526 https://www.medhelp.org/posts/Congestive-Heart-Failure/confused-about-echo-and-my-dr/show/2145084#post_10331526 Defibrillator or surgery? Hello and welcome to the forum. I dont have enough info to definitely comment on the need for an I Jonathan D. Rich, MD Sat, 05 Apr 2014 14:13:13 -0400 https://www.medhelp.org/posts/Congestive-Heart-Failure/Defibrillator-or-surgery/show/2137252#post_10195941 https://www.medhelp.org/posts/Congestive-Heart-Failure/Defibrillator-or-surgery/show/2137252#post_10195941 Pulmonary Hypertension with Pulmonary Emboilism Interesting...well sounds like you are getting pretty good care. But a 2nd opinion is never a bad id Jonathan D. Rich, MD Mon, 24 Mar 2014 09:27:34 -0400 https://www.medhelp.org/posts/Pulmonary-Hypertension/Pulmonary-Hypertension-with-Pulmonary-Emboilism/show/2126751#post_10133016 https://www.medhelp.org/posts/Pulmonary-Hypertension/Pulmonary-Hypertension-with-Pulmonary-Emboilism/show/2126751#post_10133016 myocarditis? Hello and welcome to the forum. Colds, sore throats, and respiratory infections are super common a Jonathan D. Rich, MD Thu, 20 Mar 2014 11:30:49 -0400 https://www.medhelp.org/posts/Congestive-Heart-Failure/myocarditis/show/2124794#post_10115171 https://www.medhelp.org/posts/Congestive-Heart-Failure/myocarditis/show/2124794#post_10115171 Pulmonary Hypertension with Pulmonary Emboilism Hello and welcome to the forum. 1. Get a new doctor if this is what they are really telling you. Jonathan D. Rich, MD Thu, 20 Mar 2014 11:26:27 -0400 https://www.medhelp.org/posts/Pulmonary-Hypertension/Pulmonary-Hypertension-with-Pulmonary-Emboilism/show/2126751#post_10115154 https://www.medhelp.org/posts/Pulmonary-Hypertension/Pulmonary-Hypertension-with-Pulmonary-Emboilism/show/2126751#post_10115154 Symptoms of an impending heart attack? Looks really good to me... Jonathan D. Rich, MD Sun, 16 Mar 2014 11:13:16 -0400 https://www.medhelp.org/posts/Congestive-Heart-Failure/Symptoms-of-an-impending-heart-attack/show/2108126#post_10094255 https://www.medhelp.org/posts/Congestive-Heart-Failure/Symptoms-of-an-impending-heart-attack/show/2108126#post_10094255 Effect of systemic hypertension S/E on PH Hello and welcome to the forum. I'm not sure if the symbicort will directly raise your PA pressure Jonathan D. Rich, MD Sat, 08 Mar 2014 23:10:20 -0500 https://www.medhelp.org/posts/Pulmonary-Hypertension/Effect-of-systemic-hypertension-S-E-on-PH/show/2115706#post_10059989 https://www.medhelp.org/posts/Pulmonary-Hypertension/Effect-of-systemic-hypertension-S-E-on-PH/show/2115706#post_10059989 Symptoms of an impending heart attack? Hello and welcome to the forum. I am sorry to hear of the symptoms you are struggling with. Th Jonathan D. Rich, MD Wed, 26 Feb 2014 11:48:35 -0500 https://www.medhelp.org/posts/Congestive-Heart-Failure/Symptoms-of-an-impending-heart-attack/show/2108126#post_10011275 https://www.medhelp.org/posts/Congestive-Heart-Failure/Symptoms-of-an-impending-heart-attack/show/2108126#post_10011275 Could I have CHF Hello and welcome to the forum. Glad that you are seeking medical attention. I think a Holter is Jonathan D. Rich, MD Sat, 22 Feb 2014 14:18:07 -0500 https://www.medhelp.org/posts/Congestive-Heart-Failure/Could-I-have-CHF/show/2103408#post_9992987 https://www.medhelp.org/posts/Congestive-Heart-Failure/Could-I-have-CHF/show/2103408#post_9992987 Possible PH Hello and welcome to the forum. I'm going to be SUPER brief with this one. Based on the informati Jonathan D. Rich, MD Wed, 05 Feb 2014 12:05:30 -0500 https://www.medhelp.org/posts/Pulmonary-Hypertension/Possible-PH/show/2090227#post_9919004 https://www.medhelp.org/posts/Pulmonary-Hypertension/Possible-PH/show/2090227#post_9919004 Heart failure? Hello and welcome to the forum: The symptoms you describe are somewhat "nonspecific". And while t Jonathan D. Rich, MD Wed, 05 Feb 2014 12:01:56 -0500 https://www.medhelp.org/posts/Congestive-Heart-Failure/Heart-failure/show/2089075#post_9918991 https://www.medhelp.org/posts/Congestive-Heart-Failure/Heart-failure/show/2089075#post_9918991 Waiting for the Fat Lady I am really sorry for all that you have and are going through. If I can be of any help (which would Jonathan D. Rich, MD Sun, 19 Jan 2014 19:25:04 -0500 https://www.medhelp.org/posts/Congestive-Heart-Failure/Waiting-for-the-Fat-Lady/show/2078258#post_9859124 https://www.medhelp.org/posts/Congestive-Heart-Failure/Waiting-for-the-Fat-Lady/show/2078258#post_9859124 Waiting for the Fat Lady Hello and welcome to the forum. I'm not sure what the cause of your external/superficial pain and Jonathan D. Rich, MD Thu, 16 Jan 2014 08:18:32 -0500 https://www.medhelp.org/posts/Congestive-Heart-Failure/Waiting-for-the-Fat-Lady/show/2078258#post_9848593 https://www.medhelp.org/posts/Congestive-Heart-Failure/Waiting-for-the-Fat-Lady/show/2078258#post_9848593 elevated pressures from echo - PH? I agree with you that the most likely explanation of the "PH" is related to your mild LV dysfunction Jonathan D. Rich, MD Mon, 13 Jan 2014 20:20:05 -0500 https://www.medhelp.org/posts/Pulmonary-Hypertension/elevated-pressures-from-echo-PH/show/2075473#post_9840668 https://www.medhelp.org/posts/Pulmonary-Hypertension/elevated-pressures-from-echo-PH/show/2075473#post_9840668