confused on results

[cmick101]

I recently had a right heart cath due to continuing symptoms of shortness of breath, chest pain on exertion, cold/tingly hands, swelling in ankles, fatigue (especially on stairs), "foggy" thinking episodes, pounding heartbeat at times.  The results were a bit confusing to me and the doc didn't discuss much of it over the phone.  All I have are a limited set of the test results as follows:  PA Pressure - 88.9; Cardiac Output - 16.2; SBP - 150.  When talking to him over the phone he mentioned that I had really high cardiac output and highly oxygenated blood in the lungs (meaning it shouldn't be that oxygenated yet).  It's a couple weeks till I see him.  Any thoughts on what could be going on?  I've had these symptoms for several months now, am on Diltiazem and a Nitro patch but they seem to not be as effective as they initially were.  My main complaint is the shortness of breath.  It is a struggle at times to get a breath.

[cmick101]

I forgot some #'s (sorry about that)

RA sat% 84.4
PA sat% 82.7/88.9
Arterial O2 sat% 98.0/99
LPA sat% 83.3

The doc gives the following impressions and indications

Secondary Pulmonary Hypertension
Non Systolic Heart Failure
High Output Heart Failure
Possible Shunt
Elevated RH filling pressure with elevated LH filling pressure
Results consistent with Hyperdynamic State

[cmick101]

I received the entire report and have listed the data below.  Any thoughts/interpretations would be very helpful as it is a long time till I can see the doc again for review.
The values are at rest/with exercise

Cardiac output  12.7/16.2
mean RA 12/19
systolic RV 37/44
diastolic RV 13/19
systolic PA 32/45
diastolic PA 16/28
mean PA 20/34
PCW 14/28
PVRI 87
LVSWI 95.1
CI 5.52
PVR (wood units) 0.47
SVRI 1405
RVSWI 8.0
SI 73.6

Any help decoding this would be really appreciated.

[Cleveland Clinic]

I don't think he told you the values correctly, but may have meant that you O2 saturation in the PA was 88.9% in which case a left to right shunt should be suspected, as a cause for your shortness of breath and high cardiac output. If he did not tell you this over the phone then you should request the full report and send it to one of our cardiologists who can interpret the actual raw data for you. If it is un interpretable then they can repeat both the RHC and a TTE looking for a shunt. The important thing about the shunt is generally the shunt fraction as not all s hunts are hemodynamically significant.