1884349?1353818598
Jonathan D. Rich, MD  
Male
Chicago, IL

Specialties: Heart Failure, Pulmonary Hypertension, LVADs

Interests: Cardiology, family, sports
Northwestern Memorial Hospital
Cardiology
312-695-6498
Chicago, IL
My Posts
Jun 23, 2014 in the Pulmonary Hypertension Expert Forum - 2
Hello Barbie and my apologies for this very delayed response. Im not even sure why you had an echo in the first place but based on the echo results, I suspect that you may indeed have mild pulmonary hypertension (though you may not have it all given how unreliable echo can be). However, even if you did have mild PH, it is not something in and of itself th...
Jun 23, 2014 in the Pulmonary Hypertension Expert Forum - 4
Hello and welcome to the forum. I completely understand why you would be concerned but I hope that I too will alleviate your worries. While I can never say anything definitely about your son's condition (or lack thereof), based on the information you have provided me, I am not concerned in the least about the possibility of clinically relevant pulm...
May 22, 2014 in the Congestive Heart Failure Expert Forum - 1
Hello and welcome to the forum. It sounds like you likely have diastolic heart failure and the "metabolic syndrome". You didnt tell me but I suspect you may even be a bit overweight. I would start with a general cardiologist (and a good internist as well). This cardiologist should be able to begin to control your cholesterol, optimize your ...
May 13, 2014 in the Pulmonary Hypertension Expert Forum - 6
1. Your ECG does not suggest any evidence of RVH 2. Your "heavy smoking" is likely to contribute to an incredible number of potentially serious medical conditions (including possible COPD). I know it is difficult to do, but if you are worried about your health, the first thing you do today is throw your cigarettes away and stop smoking forever. ...
May 11, 2014 in the Pulmonary Hypertension Expert Forum - 6
Hi and welcome to the forum. Hard for me to tell by the m-mode if it meets criteria for RVH. But you have a normal TAPSE and (by echo estimated pressure measurements) do not have any indirect evidence of pulmonary hypertension. A thorough history and exam, ECG and echo would help me if I were seeing you as a patient. But from what you have provided m...
May 11, 2014 in the Pulmonary Hypertension Expert Forum - 1
Hello and welcome to the forum. First, I am very sorry with all of your struggles. I can tell that it is really taking a toll on you. Second, and I hope this helps and makes you feel a bit better, while you probably do have "PH", two comments: a. You likely do not have "PAH" which is the serious condition that requires medications, ...
May 07, 2014 in the Pulmonary Hypertension Expert Forum - 1
Hello and welcome to the forum. There is nothing that you told me that makes me think that you have (or ever had) pulmonary hypertension. For a physician to tell you no more children on that basis to me is irresposible (I am not commenting on the obstetric issues---ie pre-ecclampsia, etc). For your own piece of mind, however, (and perhaps for your OB&#...
May 05, 2014 in the Congestive Heart Failure Expert Forum - 2
Hello and welcome to the forum. Heart failure and VTACH are serious conditions but with excellent medications, very close physician care and follow up, many patients can do quite well. Rehab to regain functional capacity is very important. If this can be safely done as an outpatient, this can work but sometimes an inpatient stay in needed. I would add...
May 01, 2014 in the Pulmonary Hypertension Expert Forum - 2
Hello and welcome to the forum. You are asking exactly the right questions. 1. Yes, seek a 2nd opinion with a TRUE PH specialist. This is not to concern you--in fact, its to give you peace of mind. 2. Cant diagnose PH without a RHC. 3. Agree with quitting smoking, exercise, healthy diet, etc etc. But frankly this goes for all of us!! 4. Stom...
May 01, 2014 in the Pulmonary Hypertension Expert Forum - 1
Hello and welcome to the forum. First, my sincere apologies for this very late reply...your message got lost in my inbox. Second, did they actually tell you that you have pulmonary hypertension? I didnt see that in your post. And, you can not be diagnosed with PH without a right heart catheterization. Did you end up getting this done? If so, can you ...