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Question About Pulmonary Artery


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#1 Clementine

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Posted 20 January 2009 - 09:59 AM

Hello,

I have a mildly enlarged main pulmonary artery. Last year it was 3 cm and currently it is 3.2. I know this isn't much higher than what is considered normal, but is it something to be concerned with?

If anyone can provide a good link with information on this I would be very happy.

Thanks,
Clems

#2 Shelley Ensz

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Posted 20 January 2009 - 10:36 AM

Hi Clem,

Keep in mind I have no medical training, I may be wrong, I often am, blahdeblahdeblah...but I believe anything up to 3.32 CM is considered to be a normal pulmonary artery.

So far, so good, eh? How did the rest of your tests go? Has your heart rate subsided any?
Warm Hugs,

Shelley Ensz
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#3 Clementine

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Posted 20 January 2009 - 10:54 AM

Thank you :) . I read differently.. I just read that for women, 2.47 was normal. It was a little higher for men. That is why I am concerned. Do you have a good website I can read? I just read the first thing I could find and I know better than that.

I am doing fine from a scleroderma standpoint. The CT scan ph diameter reading changed, as I mentioned before. At my 6 minute walk, I dropped to 85 o2 and my diffusion capacity lowest number was 50 but the highest was 54. We will go with 54 :) .

Yes, the heart rate has gotten back to normal. It had to have been the Mucinex D. After my first dose of ZPac I am already so much better! Wow that stuff works.

Thanks,
Clems

#4 Shelley Ensz

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Posted 21 January 2009 - 05:49 AM

Hi Clem,

Well, come to find out, I really needed to update my brain's data-bank. :blink:

I just added a new article to our Pulmonary Hypertension Diagnosis page. It is from 2008 and discusses the measurements in more depth.

Basically, though, a right heart catheterization is still the gold standard for diagnosing pulmonary hypertension -- as you will see in the article above it, High-Resolution Chest CT Findings Do Not Predict the Presence of Pulmonary Hypertension in Advanced Idiopathic Pulmonary Fibrosis, which says that "Chest CT-determined fibrosis score, ground-glass opacity score, honeycombing score, total profusion score, diameter of the main pulmonary artery, and the ratio of the pulmonary artery to aorta diameter did not differ between those with and without PH."
Warm Hugs,

Shelley Ensz
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Hotline and Donations: 1-800-564-7099

The most important thing in the world to know about scleroderma is sclero.org.

#5 Clementine

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Posted 21 January 2009 - 06:02 AM

Ahhh, you are the *best*. Thank you!


Clem

#6 Jeannie McClelland

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Posted 21 January 2009 - 06:20 AM

Hi Clem,

Do you like the wonderful weather we arranged especially for your visit??

Sounds like the tests went really well, all in all. When you think how icky you were before the PFTs, I'd say you are Wonder Woman to have done so well. The 85% SpO2 wasn't swell, but don't forget you were at altitude again.

Isn't Z-pac "da bomb" as my kids would say? I'm really glad you are feeling better.
Jeannie McClelland
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#7 Clementine

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Posted 21 January 2009 - 08:22 AM

Yes, it was a beautiful day in Denver! Too bad I left at dawn and when I got back to the hotel had to pull the shades so the skyscraper people could look in my windows, LOL.

My walk was better last year though :( . But, that's OK, I do have an infection at the moment. It is DABOMB!!! It's amazing how fast it works.

The doctor just let me know that a CT scan is an unreliable way to detect PH and that's why they do the ECHO.

Thanks! :D

#8 Jeannie McClelland

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Posted 21 January 2009 - 11:19 AM

Hi again!

Aren't you glad the doctor let you know that about the CT? :)

When I had my HRCT, echo, and bubble echo, the results came back "moderate to severe" pulmonary hypertension. Panic? Oh, yes! I immediately rewrote my living will, told my best friend what I wanted for a funeral (a party, OK?), started making lists of things and saying who I wanted them to go to...

Then they sent me for a right heart catheterization (much easier than I expected) and guess what? The degree of PH dropped down to "mild" and even better (huzzah!) is that they put me on ambrisentan and that brought the numbers down into the normal range.

I have GOT to stop scaring myself to death!! :lol:

Warmest hugs,
Jeannie McClelland
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#9 debonair susie

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Posted 22 January 2009 - 12:44 PM

Hi Clem,

Baby steps, huh?

You mentioned Mucinex...it works very well to keep the mucous thinned...as long as plenty of water accompanies the Mucinex.

Hope you are on the road to feeling much better soon!
Special Hugs,

Susie Kraft
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#10 ksunshine4u

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Posted 22 January 2009 - 04:12 PM

Clem,

My thoughts are with you! :rolleyes:

#11 Shelley Ensz

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Posted 22 January 2009 - 04:40 PM

Hello Ksunshine,

Welcome to Sclero Forums! We are delighted to have you join us and look forward to hearing more from you.
Warm Hugs,

Shelley Ensz
Founder and President
International Scleroderma Network (ISN)
Hotline and Donations: 1-800-564-7099

The most important thing in the world to know about scleroderma is sclero.org.

#12 Clementine

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Posted 23 January 2009 - 03:07 AM

Well thank you KSunshine! I love you atavar and name :).

#13 Jeannie McClelland

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Posted 23 January 2009 - 04:42 AM

Hi Ksunshine4u!

Nice to have you with us - welcome to the Forum. Hope we'll see you around often!
Jeannie McClelland
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