Hi. I'm hoping someone can help. My echo showed I have trivial tricuspic regurgitation with an estimate listed as possibly wrong of 30-35 mm Hg for my Systolic pulmonary artery pressure. My heart's shortening is at 65% (normal range 30-45%) so my heart muscle really squeezes down. A CT of my lungs with contrast a few years ago showed I had a history of granulomatous disease with calcifications of my left hilar and subcarinal lymph nodes. Four months ago my blood tests showed my carbon dioxide levels to be 30 mmol/L and now they show as risen to 31 mmol/L (normal range 22-31 mmol/L). I have problems with ankle and lower leg swelling which they call pitting edema, also raynauds, rosacea, feeling terribly cold both sensation-wise and my skin gets cold to the touch with color changes at times, and sometimes chest pressure, discomfort, some days incredible fatigue, and sudden sleepiness during the day especially on days after I did a little more in the morning. My family has a history of heart attacks, bypass surgeries, pulmonary embolisms, lung cancer among those who smoked, strokes, hardening of the arteries, thyroid issues, diabetes, histoplasmosis, possible tuberculosis, glaucoma, meniere's, endometriosis, kidney stones, tumors above kidneys, gall stones, hiatal hernias, GERD, bone spurs, paralyzed diaphragm, narrow arteries leaving heart on right side, rheumatoid arthritis, SLE Lupus, sarcoidosis, tendonitis, trigger thumb & fingers, skin cancers, and there is parkinsons on both sides both male and female. I am a stone former, have GERD, DDD, sacroiliitis, and esophageal diverticuli. I read a cardiologist online say that when wrong the estimates for systolic PA pressure is always higher than the wrong estimate. My Dr. doesn't say - does my echo and blood test point to pulmonary hypertension? I am not sure what type of Dr. I should go to for help or if a catheterization is appropriate - pulmonary specialist, cardiologist, rheumatologist, endocrinologist - any ideas? Please help if you think you know. Thanks much!