Posted 10 December 2007 - 03:40 PM
It's me again. I had an echo today also to look for pulmonary hypertension, but the tech said she wasn't able to measure it.
Does this mean it is low, high, or nothing at all?
Posted 10 December 2007 - 04:29 PM
I may be wrong (I often am!) but I think it just means that they were not able to measure it. Which doesn't matter too much, actually, since a right heart catheterization is the only real way to diagnose pulmonary hypertension.
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Posted 10 December 2007 - 11:14 PM
My echo showed normal ranges, but my doctor decided to do a RHC anyway because of my shortness of breath. The article Janey posted said, "However, Doppler echocardiograms are notoriously inaccurate when the PH is mild or when there is simultaneous presence of lung scarring." In my case this statement was true. My RHC showed mild PH.
If you are concerned over PH, I would consider getting an RHC.
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my HMO makes me wear a helmet...
Posted 11 December 2007 - 12:10 PM
I had an echo done and it showed a mild PH. About four months later I had it done again and this time it didn't show anything. Totally normal, the doctor said.
I asked my primary care physician if it was possible to have ph and have it dissapear by itself since I never took any medication for it and she said that maybe the firt test was missread. Now I don't know what to think. I will ask the doctor for the rhc test and I will take it from there.
Posted 11 December 2007 - 03:54 PM
I met with the doctor today and he thinks that it is likely that it is due to my thyroid being out of control. But he isn't ruling out PH yet. I have a RHC tomorrow morning and I will be scheduled for a sleep study to make sure I don't have obstructive sleep apnea.
I will update you tomorrow.
Posted 12 December 2007 - 09:10 AM
I have to go for an echo-cardiogram this afternoon. My rheumatologist wants to rule out pulmonary hypertension, but I am wondering why they do this if the only way to tell is with heart catheterization. I went Monday and had an ekg and saw the heart doctor and he ordered this echo thing for today and then I have to go in next week for something called Myoview & Adenosine Stress test. Does anyone know what that is?
The reason for the testing is that I have been having a chest pain which feels as if my chest is just tightening up, then I decide it's in my back muscles, then my jaw, etc. So I definitely want to find out what's going on. This symptom only occurs about two or three times a week, but it really is painful and it scares me! I always wonder if I should go straight to the emergency room, but, so far, I haven't done that, and the pain passes and nothing happens.
I really think this is due to stress because there's been plenty of that around here lately, but I need to know for sure!
I also have the beginnngs of a new finger ulcer that has really been hurting the past couple of days. My doctor increased my Cialis from 1/2 a day to a half in the morning and again in the evening. So far, it doesn't seem to be helping though.
Mary in Texas
Posted 12 December 2007 - 11:27 AM
The RHC went very well. The lidocaine injection was the worst part. I am not sure if I have mild PH or not. They weren't very clear. I think they are leaning towards thyroid as the causitive agent. They did say my heart was very "stiff", but they are attributing that to the fast heart rate. I go to my pulmonologist next week - and I may get some more clarifications there.
Posted 12 December 2007 - 06:18 PM
I haave had echocardiograms in which the report states "could not measure right side pressure" or some such. It does get a reading on the left side. When I questioned the pulmonologist about this, he said this was often the case! Needless to say I am seeing a different pulmonologist. Good luck with figuring the cause.
Posted 13 December 2007 - 12:54 PM
My cardiologist called this afternoon and said that everything looked fine. The only thing of concern was my Thyroid function. ... So just waiting on an appt with an endocrinologist.
Posted 13 December 2007 - 02:19 PM
I have the myoview and stress test done yearly. The myoview is basically taking pictures of your heart with a contrast before you do the stress test The stress test will speed your heart rate up chemically instead of having you walk on a treadmill. I think it lasts for 3 minutes. You may feel nauseous or lightheaded. This is normal with the test. Just let the person administering the test know how you are feeling. The way you feel determines the amount of the antidote they need to give you to reverse the effects. You will probably get another myoview after the stress test. The worse part is the nauseous feeling but that only lasts a few minutes until the stress test is completed. All in all it's not too bad just takes some time.
If you sweat the small stuff you have wet, soggy small stuff.
Posted 13 December 2007 - 09:12 PM
Mary in Texas