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A member asked:
Per echo ef 50-55%, rv size upper limit of normal, mild mv regurge, mild-moderate tricuspid insufficiency, rvsp 44 mghg. next step right heart cath?
4 doctors weighed in across 2 answers
No, unless: Unless you are having shortness of breath that does not improve with standard medical therapy , based on those echo findings there's no need for a right heart catheterization. Pulmonary hypertension and tailored management for pulmonary hypertension is another reason to perform right heart catheterization with testing during that procedure.
Answered 6/17/2014
4.6k views
Perhaps: With the information you provided, your diagnosis is incomplete. Was there any evidence of an atrial septal defect or anomalous pulmonary venous connection? Also, the rv pressure as predicted by doppler is only an estimate. It is possible that the rv pressure is either higher or lower. If it is higher, you may have pulmonary hypertension and may require a diagnostic evaluation for causes.
Answered 1/6/2014
4.6k views
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