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Avatar universal

Shortness Of Breath

Hi, I am a 26-year-old male, height 5 feet 10 inches, weight 82 kg. For the past two months I have been experiencing shortness of breath. I used to smoke, but quit about 6 months ago. One month ago I consulted a cardiologist regarding this and had an ECG, Echo, and blood work.

Medical history: Intestinal obstruction surgery in 2008

ECG result:
1. Suspected left ventricular hypertrophy.
2. ST- segment elevation (anterior)

As the ECG was abnormal the doctor did an echo and the findings were normal.

Echo Result:
LVID> 26/40   IVS> 15/13
PW> 15/10   EF>66%
LA 33   AO 28

Mitral Valve
DE 20   EF>0.13mm/sec

Doppler Flow
AO systolic> 1.30M/sec
Mitral E/A 0.78/0.88 M/sec

Blood Work:
Normal thyroid function and lipid profile.

The cardiologist told me everything is normal, but still I am experiencing shortness of breath even at rest so I would like to clear these doubts:

1. Is the thickness of my left ventricle normal?
2. The ECG showed ST-segment elevation. Based on echo results does it mean that I still have an elevated ST-segment. If yes, then should I be concerned about it?
3. These tests were done a month ago, apart from shortness of breath I do not have any symptoms of CHF so I would like to know can CHF occur suddenly?

It would be greatly appreciated if you will clear these doubts of mine. Thank you so much.
14 Responses
976897 tn?1379171202
What is your respiration rate? how many times are you breathing per minute? If you saw a cardiologist, I suspect your respiration is normal ?
Avatar universal
My respiratory rate is around 12 breaths per minute.
976897 tn?1379171202
but that's normal?
Avatar universal
I know that is a normal respiratory rate, but still I am not able to breath like I used to. I think it might be due to anxiety or my sedentary lifestyle. What is ST-segment elevation?
976897 tn?1379171202
It can mean a whole variety of things, depending on the complete ecg. It could be anything from normal/anxiety right through to a heart attack which you not suffering because they would have picked up on it.
Avatar universal
As the echo was normal, I guess I do not have to worry about ST-segment elevation. Like you said, it could be due to anxiety.
976897 tn?1379171202
Yes it could and perhaps your next task is to have a long chat with your Doctor to find out what's causing the anxiety. Just to warn you, most people with anxiety long term end up with heart disease. I would get it under control now.
Avatar universal
Hi, based on my echo results is the thickness of my left ventricle normal?
976897 tn?1379171202
dont see it listed
Avatar universal
Hi, on top I have listed the results of my echo test.
976897 tn?1379171202
I realised that, but what I meant to say is it isn't included.
Avatar universal
Today, I searched Google and came up with some normal values. My ejection fraction is 66%. My left ventricular inner dimension (LVID) is 26/40 mm which 2.6cm/4.0 cm. I think it is within normal limits. What concerns me is my interventricular septum (IVS) and posterior wall ratio which 1.5 cm/1.3 cm and 1.5 cm/1.0 cm. Now my worries have moved on from CHF to hypertrophic cardiomyopathy. It is a genetic heart disorder. I do not get it why my doc said everything is normal even after my echo shows an IVS of 1.5 cm. Can you please explain to me more about HCM?
976897 tn?1379171202
So you are now going to make your anxiety worse by looking at hcm? the figures you quote are expected by anxiety. I would seriously trust your cardiologist with so many years training and sort out your anxiety.
Avatar universal
Yes, I think the best way to deal with this is trust my cardiologist and stop worrying too much. Thank you so much ed :)
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