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What Causes Breathing Problem After Suffering From Pulmonary Embolism?

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Posted on Tue, 1 Apr 2014
Question: I had a series of pulmonary emboli in 2003. Up until that time I had little or no trouble exercising at fairly rigorous levels with aerobic exercise. During the PE I apparently experienced a MI in the lower left portion of my heart. A greenfield filter was placed and I took about 2 months of rehab and wearing an O2 cannula. I was amazed when trying to exert passed a couple of minutes when I cratered. I still exercise regularly and do "aerobic" for an hour 4-6 times a week. Still I cant proceed at any more than a 4 1/2 MPH pace for more than 2 or three minutes but I recover quickly and can go on with my routine. I am now 72 years old and have always been an exerciser. I quit moderate to lite cigarettes in 1990 and quit alcohol in 1976. I cannot get any physician to say I have had pulmonary damage. I have had exhaustive testing at a med school facility in the SE.
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Answered by Dr. Dr.Albana Sejdini (1 hour later)
Brief Answer: Please provide more of your medical data.... Detailed Answer: Hi, I have gone through your medical history carefully and am happy to know that you are still exercising at your age. I encourage to continue exercising within your "energy" limits. You are reporting to had a series of pulmonary embolism in 2003, but you succeeded this tough situation. Can you please upload any test you did recently: - spirometry (respiratory function tests) - EKG - cardiac echo that I suppose your doctor has asked to do annually? Furthermore, can you please provide the medications you are currently taking and to specify why it is hard to get any physician to say that you have had pulmonary damage? Usually, such damages can be reported during pulmonary examinations unless they are completely reversed. Thank you! Dr.Albana
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Dr.Albana Sejdini (2 hours later)
"energy limits" is not a good term. This "breathlessness," except for the few weeks before I had the PE and MI was not present. I was able to run 10 K's at sub 8 minute pace and as a younger man under 7 minute /mile. My cardiologist in XXXXXXX thought I was going to have some sort of stint because I had registered 99.99) on a prelim EBT in 2003 but I went to our vacation home in the NM mountains @ 8000 feet and collapsed and was airlifted back to XXXXXXX The angiogram says I am only 30% occluded in the circumflex and that finding was confirmed by a XXXXXXX in 2007 when the AVS was diagnosed. I had 7 tests run at the U of Va pulmonary clinic and the head hot shot said, "You definitely do not have asthma!" and forwarded the test results to my primary care P. The original AVS was diagnoses as having .8cm patency. After switching cardiologist and having echos for three years, the patency is steady at 1.0 -1.1 cm. I am now on an every two year program with my cardiologist. EKG's are very good. I take Crestor and my HDL is in the 70's and I am right at 118. Crestor (5mg) is the only med I am on other than ASA adult and OTC stuff. Fiber, eye vitamins, benedryl prn for sleep. I am 5'11" 185 pounds 34 inch waist. My big frustration with this is no one seems to want to hazard a guess as to why this sudden change. When it was suggested that it was the smoking that I quit in 1990, I just laughed. The only person who said anything to me was a respiratory therapist at my last function test who suggested that I prolly have some "scarring" as a result of the PE's. I practiced and performed oral surgery for 40 years and have moved to a new town. Frankly, I am about ready to go back home to speak with docs I know and trust, but I shouldn't have to do that. You site is being used as a reality check for me.
doctor
Answered by Dr. Dr.Albana Sejdini (3 hours later)
Brief Answer: Less oxygen need,improved symptoms... Detailed Answer: Hi, To respond to your big frustration, I can say as following: - you are reporting to be suffering of AVS and PE. By the passing of time, there is a reduction in metabolism rate and less Oxygen is required. Subsequently, the clinical symptoms will be relieved; however, the pathology (damage) is still there. Hope it answered to your query! Dr.Albana
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Dr.Albana Sejdini

General & Family Physician

Practicing since :2006

Answered : 7300 Questions

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What Causes Breathing Problem After Suffering From Pulmonary Embolism?

Brief Answer: Please provide more of your medical data.... Detailed Answer: Hi, I have gone through your medical history carefully and am happy to know that you are still exercising at your age. I encourage to continue exercising within your "energy" limits. You are reporting to had a series of pulmonary embolism in 2003, but you succeeded this tough situation. Can you please upload any test you did recently: - spirometry (respiratory function tests) - EKG - cardiac echo that I suppose your doctor has asked to do annually? Furthermore, can you please provide the medications you are currently taking and to specify why it is hard to get any physician to say that you have had pulmonary damage? Usually, such damages can be reported during pulmonary examinations unless they are completely reversed. Thank you! Dr.Albana