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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is diagnosis of pulmonary hypertension in echo test conclusive?

My echos have all diagnosed me with pulmonary hypertension however after my recent right heart cath the dr whom I never met before the procedure said I do not have it and my heart is fine. I was told the procedure would take way longer than it did and since I was not sedated at all I heard him telling the fellow dr he was instructing what to do. It not only felt rushed but he was shrugging off everything and when the techs asked about certain things they usually perform during the right heart cath he said no she s fine we don t need to.... The stigma is also attached I am 33 yrs old 120 lbs 5 2 and everyone looks at me and says oh you re too young for heart disease or to be here including this dr and all the staff that took care of me that day. Which I have heard before and then ended up with a pacemaker. Anyway my question is should I be concerned or trust in these results that I do not have pulmonary hypertension? I do not ever want to go through the cath again but I am still very symptomatic and clearly have something still not right.
Mon, 4 Jul 2016
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Ayurveda Specialist 's  Response
Thanks for contacting with your health concern and following is the clarification regarding your query:

1. Echocardiography (ECHO) is an important non invasive assessment of PH (pulmonary hypertension) and to determine right and left heart structure and function, and assess response to therapy in persons with PH thus ECHO can provide an estimate of the pulmonary arterial systolic pressure but cannot be used to establish the diagnosis of PH although is a useful screening test.

2.Since symptoms of PH mimic other similar heart and lung condition thus PH ia difficult to diagnose during a physical examination, so one should look for any other conditions that might contribute or make PH worse, like:
. heart disease
. congenital heart defect
. scleroderma
. HIV
. family history of PH

3. Consult a Cardiologist for second opinion and for more information about your specific condition, treatment plan and long term outlook
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Is diagnosis of pulmonary hypertension in echo test conclusive?

Thanks for contacting with your health concern and following is the clarification regarding your query: 1. Echocardiography (ECHO) is an important non invasive assessment of PH (pulmonary hypertension) and to determine right and left heart structure and function, and assess response to therapy in persons with PH thus ECHO can provide an estimate of the pulmonary arterial systolic pressure but cannot be used to establish the diagnosis of PH although is a useful screening test. 2.Since symptoms of PH mimic other similar heart and lung condition thus PH ia difficult to diagnose during a physical examination, so one should look for any other conditions that might contribute or make PH worse, like: . heart disease . congenital heart defect . scleroderma . HIV . family history of PH 3. Consult a Cardiologist for second opinion and for more information about your specific condition, treatment plan and long term outlook