What does it mean when the cardiologist says your heart is fine and then says you have plumanary hypertension he thinks.

Needs followup: The pulmonary arteries extend from the right sided heart chambers into the small blood vessels in the lungs where oxygen diffuses into the bloodstream and carbon dioxide diffuses out. When the pulmonary vascular pressures are high (pulmonary hypertension) that diffusion process is impeded and the blood flow from the right heart backs up leading to fluid buildup in the venous system, and sob.

Tricuspid valve : Regurgitation of tricuspid valve is common on echocardiography. Artifactually- elevated tr velocity can calculate an erroneous pulmonary systolic pressure. Look for other clues to suggest abnormal pulmonary vascular tone.