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A 21-year-old female asked:

I'm 22year old female. i had my echo and ecg done due to shortness of breath on exertion and high heart rate. ecg shows sinus tachycardia(hr 129bpm). echo are all normal except mild mr, mild tr/mild pah with rvsp 45mmhg. is mild pah causing symptoms?

2 doctor answers2 doctors weighed in
Dr. Rebecca Gliksman
Internal Medicine 40 years experience
Yes, possibly. PAH is a serious condition - follow up with pulmonologist and cardiologist regarding treatment and possible underlying causes . Your heart rate is in the high range. Would also consider testing for amyloid, thyroid function, autoimmune disease, sleep apnea.. Would avoid caffeine products(tea,coffee). https://my.clevelandclinic.org/health/diseases/6530-pulmonary-hypertension-ph
Created for people with ongoing healthcare needs but benefits everyone.
Estimation of right ventricular pressure from a Doppler is dependent on the quality of the study the expertise of the interpreter etc. My own recommendation is for you to see a cardiologist with experience in echo interpretation. Based on my own experience, this is likely an overdiagnosis of right ventricular hypertension and warrants interpretation by a cardiologist.
Created for people with ongoing healthcare needs but benefits everyone.
Last updated May 3, 2021
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