Question 1

severe chest pressure & pain. microvascular heart disease. history of pulmonary hypertension. no relief w/rest. clear right cath recent. er?

Accepted Answer

If of: Sudden onset yes.  There are a number of life threatening conditions that can cause severe chest pain.  You didn't say who or how old the individual is but "severe" pain should be evaluated.

Question 2

small left sided heart with abnormal septal motion in ventricle ef 60-65% heart is normal including thickness. possible pulmonary hypertension cause?

Accepted Answer

MRI: If you have severe pulmonary hypertension, you may have Primary Pulmonary Hypertension. This is potentially a serious diagnosis. Intracardiac and intrapulmonary shunting must be ruled out. A cardiac MRI and nuclear shunt test can make this determination.  These tests are likely only available at a major referral center - London. Good luck.

Question 3

a small left atrium normal in thickness on my echo with abnormal septal motion. heart structure normal with ef 65%. possible pulmonary hypertension?

Accepted Answer

Echo: The echo results you quote do not rule in or necessarily suggest pulmonary hypertension. Pulmonary hypertension is possible with the findings mentioned above but not because of the findings.

Question 4

is a moderately dilated left atrium serious? my echo shows normal heart function with trace tricuspid regurgitation and pulmonary hypertension (46 mm hg)?

Accepted Answer

Get evaluated ASAP..: You need to see a pulmonary doctor who specializes in pulmonary hypertension. You need to be evaluated to see if you have pulmonary hypertension which is an increase in the blood pressure in the lungs’ blood vessels. If you have pulmonary hypertension, for whatever reason, the heart has to work harder to pump the blood and this can lead to dilation and tricuspid regurgitation. See specialist ASAP!

Question 5

is pulmonary hypertension always associated with heart failure?

Accepted Answer

No: Only when the pulmonary hypertension causes the right ventricle to dilate (enlarge) does heart failure occur.  This type of failure may affect the right side of the heart causing increased leg swelling, fluid buildup in the abdomen and elevation of liver enzymes.  If the swelling of the right heart becomes severe it can affect the function of the left side of the heart and cause pulmonary edema.

Question 6

i have pulmonary hypertension and a enlarged heart will i die soon?

Accepted Answer

Honest discussion: You need an honest discussion with your doctors, they know your situation much better than we do.

Question 7

how long does it take for pulmonary hypertension to cause right sided heart failure ?

Accepted Answer

2 to 5 years: Would suspect this estimate depends on variables

Question 8

i have moderate pulmonary hypertension, enlarged heart, what can i expect? what is the prognosis? please give me your opinion.

Accepted Answer

Need more info: Pulm HTN is a complex syndrome,  and it can be the result of a number of diseases,  or it can be "idiopathic".  Given your age and gender,  a lot of things are potentially treatable,  but you likely need more evaluation.  You need a lung doc.   I don't know of any in athens, but i know several in zanesville.  I could also see you in columbus, if you were willing to make the trip.

Question 9

if i have a heart mur mur & pulmonary hypertension (mild). is this something i should be concerned about? as the doc hasn't given me anything. . thank

Accepted Answer

Heart disease: It is necessary to know more. You should ask your doctor what the problem and its treatment are. Heart murmur is a nonspecific term.

Question 10

is pulmonary hypertension officially classified as a condition of the lung or heart?

Accepted Answer

Lung: Officially it is a condition of the blood vessels of the lung. The ultimate result of untreated disease however is right sided heart failure.

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Doctor answers about:

Pulmonary hypertension due to left heart disease

A member asked:

Severe chest pressure & pain. microvascular heart disease. history of pulmonary hypertension. no relief w/rest. clear right cath recent. er?

A member asked:

Small left sided heart with abnormal septal motion in ventricle ef 60-65% heart is normal including thickness. possible pulmonary hypertension cause?

A member asked:

A small left atrium normal in thickness on my echo with abnormal septal motion. heart structure normal with ef 65%. possible pulmonary hypertension?

A member asked:

Is a moderately dilated left atrium serious? my echo shows normal heart function with trace tricuspid regurgitation and pulmonary hypertension (46 mm hg)?

A member asked:

Is pulmonary hypertension always associated with heart failure?

A member asked:

I have pulmonary hypertension and a enlarged heart will i die soon?

A member asked:

How long does it take for pulmonary hypertension to cause right sided heart failure ?

A member asked:

I have moderate pulmonary hypertension, enlarged heart, what can i expect? what is the prognosis? please give me your opinion.

A member asked:

If i have a heart mur mur & pulmonary hypertension (mild). is this something i should be concerned about? as the doc hasn't given me anything. . thank

A member asked:

Is pulmonary hypertension officially classified as a condition of the lung or heart?

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