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A member asked:
I had an echo done in may says likely pulmanary hypertension , a lung doctor says no, a cardio doctor says no ph and all stress t levels 7.9 to 6.0.
3 doctors weighed in across 2 answers
Both could be right.: An elevated right heart pressure is usually (not always) due to a problem on the left side of the heart. So, if one has high BP on the day of an echocardiogram, his right heart pressure (and pulmonary artery pressure) might be high at that moment. But, if his blood pressure is normal on the day he sees a pulmonary doctor, the heart sounds may reveal no evidence of pulmonary hypertension.
Answered 1/27/2020
4.8k views
They may be right: Pulmonary hypertension is suspected but not diagnosed on echocardiogram. That is because ultrasound can grossly under or over estimate the pressure in the heart. Many studies confirmed that. So when there is elevated pressures by echo, we need to perform a right heart catheterization to measure directly the pressures. If they are elevated, then you get your diagnosis.
Answered 12/6/2016
4.7k views
Related Questions
A member asked:
Always lighthead , chest pain, palpitations.Both X-ray & CT showed slight enlarged pulmonary artery.Had echo 4possible pulm hypertension. If echo results are normal, is my artery not cause? I have lupus.
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A member asked:
PH by echo w/ resting pressure @ 40, slight sleep apnea, treated mild asthma, BP 130/90, 78% TLC/PFT, 9 min treadmill stress test, doc says lower BP will help PH but no reason for RHC, SOB on exertion and resting for years. Clear lungs. Recommend???
3 doctors weighed in across 2 answers
A member asked:
I have had three stress test 79 in aug to 53%. Now one doc says poss lung diseases and lung doc says no going for a 4th echo on heart what go it mean?
A doctor has provided 1 answer
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