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Avatar universal


  I recently had a stresss echo and the cardiologist said that everything was
  fine.  However, I still have shortness of breath and dyspnea.  I begin to
  panic when it is really bad.  There really isn't anything that seems to cause
  these spells of dyspnea.  I have noticed that I have good days and bad days but
  I really can't say what this could be attributed too.  At this point I am tired
  of having expensive tests done that reveal nothing new.  I am really not sure
  what to do, if anything.  Do you have any other suggestion with regard to what
  might be wrong with me.  My MVP turned out to be nothing significant so now I
  am lost as to what might be causing this problem.
  Any suggestions you may have would be greatly appreciated.
  Thank you,
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Avatar universal

Dear Amanda, thank you for your question.  Since your stress echo was normal,
I will assume that you don't have coronary artery disease, leaking cardiac
valves, nor dysfunction of the left ventricular pumping function.  All of these
conditions can cause dyspnea.  Another potential cause of dyspnea would be
the lungs.  You could have asthma that causes your shortness of breath and may
be precipitated or exacerbated with anxiety.  A simple test that can be done to
exclude asthma is called a pulmonary function test which involves blowing into
a chamber that measures the strength and compliance of the lungs.  This test
is inexpensive and can be done in 20 minutes.  Other pulmonary causes of dyspnea
could be investigated by your physicians if you do not have asthma.  Additionally,
anxiety alone can cause symptoms of shortness of breath when the lungs and heart
work normally.  I suggest that you see a good general internist for a thorough
reevaluation to investigate your symptoms further.  I hope you find this information
Information provided in the heart forum is for general purposes only.  Specific
diagnoses and therapies can only be provided by your physician.

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