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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest treatment for mildly elevated pulmonary pressure

Answered by
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Dr. Bhanu Partap

Cardiologist

Practicing since :2010

Answered : 2404 Questions

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Posted on Fri, 5 May 2017 in Hypertension and Heart Disease
Question:
Hi Doctor, back in 2005 I had an echo done which picked up on mildly elevated pulmonary pressure of 41 mmHg; subsequent echos in 2006 and 2009 had readings of 36 to 41.

I'm experiencing some health anxiety and had brought up my concern about the pressure to my doctor, who just sent me for another echo. I'm attaching a copy of the echo report, which showed normal pulmonary pressure, and trace/mild mitral and tricuspid regurgitation, which I've had for years.

The new things which showed up are: borderline LV hypertrophy, mild aortic valve stenosis, and mild aortic regurgitation. I'm turning 50 in a few weeks, am in relatively good shape, and I walk three mile a day. I do have hypertension, for which I take furosemide.

Are any of those new findings anything to be concerned about, and can any of them be reversed if I get extremely serious about my diet and exercise??

Also, my doctor recommended a follow up echo every two years, do you feel that is a good plan of action?
Thank you so very much!!
doctor
Answered by Dr. Bhanu Partap 2 hours later
Brief Answer:
The plan is good

Detailed Answer:
Hello Ma'am

After going through your medical query I understand your concern, I am Dr.Bhanu Partap and am a cardiology practioner. Here I will try to simplify things for you.

I am unable to find any attached echo reports aa you have mentioned with your question.

Kindly re-upload them in my profile dashboard in attachment section so that I can go through and then guide you in a proper manner.

I'll be waiting for your reports and will be happy to help.

Kind Regards
Dr. Bhanu Partap
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Bhanu Partap 23 minutes later
Hi Doctor! I'm having some problems with uploading the echo report, it won't seem to upload. I'll keep trying.
doctor
Answered by Dr. Bhanu Partap 13 minutes later
Brief Answer:
Hello Again

Detailed Answer:
I asked for the report because I wanted to know how much is the pressure gradient across the aortic valve, how much is the pulmonary artery pressure, LV ejection fraction, interventricular septum thickness ( LVH) .

All these parameters are required to guide you in proper way and to plan further line of action.

So please do try to upload the report and if that doesn't happen then kindly give me parameter values that I've mentioned along with the final summary of the report which should be there at the end of your report's hard copy.

Kind Regards
Dr. Bhanu Partap
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Bhanu Partap 21 minutes later
Hi Doctor...I've emailed the report to your customer care center, as the images still won't upload.

Here are the readings:

IVS 0.96 cm
LVID (d) 4.45 cm
LVPW 1.1 cm
LVID (s) 3.24 cm
LA DIMENSION 2.91 cm
AO Root Dia 2.59 cm
EF 62.7%
RA dimension 3.2 cm
RVID 3.25 cm
IVC 1.52 cm
RVSP 22.7 mmHg

Diastolic filling appears normal, no wall motion abnormalities, normal RV walL dimension and systolic function, trleafletnaortic valve, mild aortic valve sclerosis without stenosis, mitral valve leaflets normal with normal excursion, tricuspid valve structurally normal, no pericardial effusion, aortic arch normal in size, inferior vena cava dimension normal, no intracardiac mass or thrombus identified.

AV peak gradient 8.81 mmHg
AV peak velocity 1.48 m/s
Hope that helps!
doctor
Answered by Dr. Bhanu Partap 2 hours later
Brief Answer:
Hello again

Detailed Answer:
Although the reports you have uploaded were both blurry and out of focus but anyhow the written details fulfiled the required details.

I would like to tell you that your report is almost normal without any significant issues. Some age related Changes are there even they are not significant.

There is no stenosis as per your details it's just aortic sclerosis. Which is a age related degeneration nothing to worry. As you are hypertensive that's why the posterior wall thickness is just slightly high not significant.

So just relax and maintain healthy lifestyle habits along with your meds as prescribed.

Follow up echo every 2 years will be sufficient.

I hope this information will answer your question. If you have any more doubts you can ask me back or else you can close the discussion and kindly rate the answer.

Kind regards
Dr Bhanu partap
Above answer was peer-reviewed by : Dr. Remy Koshy
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