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#1 summer

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Posted 18 September 2007 - 12:55 AM

Many of you might remember that I had a Stress/Echo a few weeks ago. I only lasted on the treadmill for 5 minutes as I was so SOB.

I am not due to see my cardiologist for another 3 weeks and my Rhem in 6 weeks time.

I managed to get someone from the hospital to fax me a copy of my results from the stress/echo and am not too sure about the results.

If someone can help me understand the results I would be very greatful or at least give me a direct link so that I can try to interpret the results in the time being.

Stress (exercise) Echocardiogram

Bruce Protocol stage : 2 Exercise duration: 5.02 minutes METS: 7.0
85% maximum predicted heart rate for age: 154/min
Heart rate: Rest 118/min Peak: 173/min
Blood pressure: Rest 120/60mmHg Peak: 135/75 mmHg
Heart rate recovery at 1 minute post exercise: 148/min (Normal)
Exercise: Cessation due to dyspnoea.

ECG
Normal resting ECG. No ST changes during exercise or the recovery period.

ECHOCARDIOGRAPHY:
Baseline:
Normal right ventricular size and contraction. PA pressure could not be obtained from TR jet. PA acceleration time= 110ms (low-normal range)

Post Exercise:
Normal right ventricular contraction. Incomplete TR envelope but peak velocity obtained of only 2.5 m/s.

CONCLUSIONS:

1. Poor exercise tolerance due to dyspnoea
2. Tachycardic response to exercise
3. Normal right ventricular response to exercise.
4. Pulmonary Hypertension was not detected but could not be completely excluded.

Your thoughts or opinions would be greatly appreciated.

Thanking you all in advance.

Celia :unsure:

#2 LisaBulman

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Posted 18 September 2007 - 01:34 AM

Hi Celia,
Well I am no dr but it seems by reading your report that there is no evidence of PH at this time. They might have to try to get your PH pressure at another time but other than that it seeems to be normal.

CONCLUSIONS:

1. Poor exercise tolerance due to dyspnoea (short of breath)
2. Tachycardic response to exercise (increased heart rate)

Have you had your lungs checked? Your dr.s might want you to have an xray or CAT scan of your lungs.

Have you tried to call you dr.'s to see if you can discuss this with them over the phone?

Please let us know what they say.

Hugs,
Lisa
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#3 Sweet

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Posted 18 September 2007 - 06:15 AM

Hi Celia,

In my opinion those are normal results. It is not unusual to "tach out" (increased heard rate and shortness of breath) when a person isn't physically fit. This would occur with a perfectly non-diseased person, if they weren't on top of their game with physical fitness. If I received the results you just did I would be happy! :)
Warm and gentle hugs,

Pamela
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#4 janey

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Posted 18 September 2007 - 11:55 AM

Celia,
I'm no doctor, but I do know that I would not worry about your stress test outcome. Ditto on everything that Lisa and Sweet said. The fact that your ECG stayed normal during the event was a good thing and that your blood pressure didn't go too high was also good. PA pressure is hard to measure so it's not surprising that you didn't get a reading. The only accurate way to get a PA pressure reading is with a heart catheterization. An ECHO only provides an estimate but is used a lot because it is a non-invasive estimate.

Of course your shortness of breath is a worry and should be further explored as to the reason why especially if you have been exercising and this SOB has come on suddenly. Were they monitoring your oxygen saturation? Please discuss your concerns with your doctor. As Lisa mentioned, you might need to start checking out your lungs now that the heart looks good. If you don't have a high resolution cat scan, it would probably be good to get. At least then you would have a baseline on the lungs.

Big Hugs,
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#5 Shelley Ensz

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Posted 19 September 2007 - 07:22 AM

Hi Celia,

You know, this raises a point that is interesting for all of us. Many of us get test results before meeting with our doctors to review the results (if ever!). I had one doctor who would send me test results with all sorts of things that looked wrong, and he would just write "OK" on the page and mail it to me.

So I would get things like MRI results with pulmonary nodules, granulomas, mediastinal cyst, fibrosis on both bases, etc. and just the note "OK". They certainly didn't sound very "okay" to me, the first time I read them and web searches were not in the least bit reassuring on the topics. However in the end, they all did turn out to be okay, since after a few years of monitoring they had not changed significantly.

Gradually, I learned to take the attitude that all new tests are simply to establish a baseline; that nearly every test result will probably show some abnormalities without being anything that needs treatment or is (even more) perilous to my health.

And I discovered that the wording they use in medical reports is often very alarming to us, especially since we often don't understand what the test measures or how significant the findings are.

I wish they would consider re-writing some of the reports, which in years past were only for doctors to see but now are being widely given to us without further explanation. Such as, wouldn't it be a lot easier to take if the line, "Pulmonary Hypertension was not detected but could not be completely excluded." was instead, "Pulmonary Hypertension was not detected but could not be completely excluded because this test often is not able to detect or measure PH."
Warm Hugs,

Shelley Ensz
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#6 Guest_zaduzbina_*

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Posted 23 September 2007 - 03:07 PM

Wow, it's like looking at my twin. I have been SOB for about 2 months (DX 2006)

Failed stress test- but no heart issues detected.

They did find some lung scarring- but said it was not significant.

The cardiologist and internist told me to lose weight- difficult due to SOB.The rheumatologist is keeping an eye on this.

Before diagnosis- I was active and athletic- now mostly housebound- can't breathe in outside air well especially when it's above 75 degrees/below 40.

My home and office are air-conditioned- making it bearable to breathe.

#7 jefa

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Posted 23 September 2007 - 10:35 PM

Hello, zaduzbina, and welcome to the ISN Sclero Forums. I am sorry to hear that your health is keeping you relatively housebound. I hope you will find the members of the forum supportive and informative. Additonally, the site itself holds a wealth of information which you should find useful. We look forward to hearing more from you.
Warm wishes,
Jefa

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#8 summer

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Posted 23 September 2007 - 11:14 PM

Thank you all so much for replying to my post, it is much appreciated.

Take care
Celia :)