The diagnosis of pulmonary hypertension
is not easy; echocardiogram
showed mildly elevated pulmonary pressures, but the right heart cath is not consistent with primary pulmonary hypertension; the right sided pressures are actually normal AT REST. I think it is very reasonable for her to be seen at a specialty center; it may be decided that a repeat RH Cath may be necessary, particularly with an exercise phase (we get patients to ride a recumbent bike in the lab) to see how her pressures react with exertion.
Dr Brenes-Salazar MD
Mayo Clinic MN