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Doctor insights on: Rvsp

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My RVSP 42.57mmHg, &myPCP told me that maybe the Dr of the echo had placed the probe on my chest in a wrong angle...is that enough?what should I do?

My RVSP 42.57mmHg, &myPCP  told me that maybe the Dr of the echo had placed the probe on my chest in a wrong angle...is that enough?what should I do?

Have test repeated..: You need to have a repeat echo done to be certain. Was the rest of the test normal? Why did you have the test done in the first place? If possible, have the repeat echo done by someone else. If the same result is obtained, you may need further testing. See a cardiologist if the next echo is also abnormal. Good luck!!! ...Read more

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Im 60 yrs old female my echo shows mild mr, mild to moderate tr rvsp 45mmhg, mild pah, no lung issue r results too threatening?Is tr problm major here?

Im 60 yrs old female my echo shows mild mr, mild to moderate tr rvsp 45mmhg, mild pah, no lung issue  r results too threatening?Is tr problm major here?

Effect of PH: Pulmonary hypertension if seen in the echo should be further investigated with a right heart catheterization to see if left sided valvular heart disease is contributing to it .
Also tr is due to ph most of the times and is called functional tr. Very rarely there could be structural tr not related to ph. Please talk to your cardiologist as well as a pulmonlogist experienced in ph. ...Read more

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Iam 60 yrs old female i had dry cough so was asked by cardiologist for echo which shows mild mr, mild to moderate tr rvsp 45mmhg, mild pah is it normal?

Iam 60 yrs old female i had dry cough so was asked by cardiologist for echo which shows mild mr, mild to moderate tr rvsp 45mmhg, mild pah is it normal?

Not normal: Pulmonary artery pressures reflect the tone and consequently the thickening of the pulm arterial blood vessels. How thickened these vessels are will determine how easy it is for oxygen to diffuse from the air sacs (alveoli) and into the pulm blood vessels (to oxygenate). Pah can thus lead to dyspnea and ultimately right heart failure. See doc. Rule out lung issues which can contribute to pah. ...Read more

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I have mild apical ischemia 54%, echo ef 55%, mild tr,rvsp 30-40, and right bundle branch block. Can you explain what this means ?

I have mild apical ischemia 54%, echo ef 55%, mild tr,rvsp 30-40, and right bundle branch block. Can you explain what this means ?

Coronary artery dise: Apical ischemia means - abnormal stress test needed eval. clinically /possible coronary intervention and treatment medically or with intervention/medical eval for lipids ,diabetes. Need to discuss with your physician for further course of treatment ...Read more

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Can the pressure of 42,57 mmhg in the lung be dangerous for me? (RVSP)

Can the pressure of 42,57 mmhg in the lung be dangerous for me? (RVSP)

PA pressure: If this is the blood pressure in your pulmonary blood vessels, its on the high side, indicative of ARDS with pulmonary hypertension, which can be bad for you. Suggest pulmonary function testing to explore this and get more answers ...Read more

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My echocardiogram reports shows mildly dialated ra/rv and mild tr/ estd rvsp of 36mmhg, cause unknown, what may be the reason & what's are the the risks?

My echocardiogram reports shows mildly dialated ra/rv and mild tr/ estd rvsp of 36mmhg, cause unknown, what may be the reason & what's are the the risks?

Not sure: Without knowing more about your medical history and habits, it would be hard to know the cause. Mild dilatation of the ra/rv can be due to several problems, including chronic lung disease, pulmonary hypertension, tricuspid valve disease, a defect (hole) in the atrial or ventricular septum of the heart, abnormal arterial blood flow to the heart muscle, and severe obesity being just a few. ...Read more

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What treatment is needed for interatrial septum aneurysmal with pfo, severe tricuspid reguritation, elevated rvsp?

What treatment is needed for interatrial septum aneurysmal with pfo, severe tricuspid reguritation, elevated rvsp?

Syndrome : More information is needed to make a determination. Should consult with your doctor and if desired get additional opinion from another who has all the information about the patient. ...Read more

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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?

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?

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. ...Read more

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Can the stress increase pulmonary hypertension? Can also walking & daily activity increase it? My RVSP 42.57

Can the stress increase pulmonary hypertension?
Can also walking & daily activity increase it?
My RVSP 42.57

Underlying condition: Pulmonary arterial hypertension (PAH) occurs as a result of heart problems (secondary PAH) or intrinsic lung diseases (Primary PAH, or PPH). Stress, walking & activity, depending on how those are defined, can affect the underlying condition but shouldn't directly affect the pressure. Your walking & activity will be limited due to PAH because that is a symptom of PAH. Use HealthTap Prime or TTYD. ...Read more

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I felt bruit on my left side neck/1year ago echo showed moderate pulmonary HTN RVSP 43mmHg, and I'll repeat echo, will that appear in the next echo?

I felt bruit on my left side neck/1year ago echo showed moderate pulmonary HTN RVSP 43mmHg, and I'll repeat echo, will that appear in the next echo?

Bruit.: A bruit felt in the neck would imply an issue with blood flow through a carotid artery, which is not visualized in an echocardiogram. You'd need a carotid doppler study to adequately visualize the carotid artery and thereby qualify this bruit you're feeling. ...Read more

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I had joints pain n swelling, did some investigations, ANA Strong +ive, Anti SSA positive, Anti Cenp +ive, i had an echo Rvsp value is 45, diagnosis?

I had joints pain n swelling, did some investigations, ANA Strong +ive, Anti SSA positive, Anti Cenp +ive, i had an echo Rvsp value is 45, diagnosis?

Consultation : It sounds like you have a complex set of issues and already had some evaluation. For personal attention to a medical concern, consider a second opinion consult with a doctor on HealthTap. The "inbox consult" allows you to message back and forth like email, and is good when a lot of information needs to be exchanged (like prior test reports.) Based on your question I'd ask a rheumatologist. ...Read more

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Please explain complications for severely dilated left atrium of 6 CM with moderate pulmonary hypertension with rvsp of 54 mm. ?

LAE and PH: Left atrial enlargement (LAE) and pulmonary hypertension (ph) often indicate that the ph is due to left heart disease, what is called group 2 pulmonary venous hypertension. One needs to determine the cause of the left heart disease before making treatment recommendations. ...Read more

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I felt bruit when I touched my left lower neck, last year my echo showed moderate pulmonary hypertension RVSP 43mmHg, is there association?What to do?

Possibly: In the setting of possible pulmonary hypertension, it may be that you are feeling fluid coming back up into your internal jugular vein from the heart. You should see your doctor and discuss the findings. ...Read more

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Is there difference between pulmonary artery hypertension and RVSP? If so, is there difference in severity? my echo showed RVSP42.57 mmHg, why?

Is there difference between pulmonary artery hypertension and RVSP? If so, is there difference in severity? my echo showed RVSP42.57 mmHg, why?

Yes. Need expert.: RVSP is a sign- or rather a calculation based on an echocardiogram. By itself, it doesn't mean anything. PAH is a medical condition characterized by high pressures in the pulmonary vessels. While symptom severity correlates with pressr, RVSP is calculated (estimated) & not directly measured. PAH is diagnosed based on symptoms & pressure readings on right heart catheterization. Use HealthTap Prime. ...Read more

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I am experiencing shortness of breath (time frame: gradual onset) (severity: moderate) (worsened by: exercise or physical activity) abnormal echo 3 years ago with LVH, elevated RVSP, now ekg & stress test show RAE but current echo normal?

I am experiencing  shortness of breath (time frame: gradual onset) (severity: moderate) (worsened by: exercise or physical activity) abnormal echo 3 years ago with LVH, elevated RVSP, now ekg & stress test show RAE but current echo normal?

Improved echo: Your improved left ventricular enlargement suggests that there may have been improvement in systemic hypertension or a viral cardiomyopathy, for example. You didn't mention it the ejection fraction was reduced at that time which could have explained the shortness of breath and pulmonary hypertension. Because you're still experiencing dyspnea, maybe a consultation with a pulmonologist is indicated ...Read more

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Who is at risk?

Question?: You do not have a question that i can answer. Please address who is at risk for "what"? Let us know and we will try to answer. ...Read more

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Is shaving risk-free?

Is shaving risk-free?

Mostly: If you use clean shavers and stick to your own without borrowing them, it is pretty much safe. There is a risk in those with very curly hair that close shaving may cause the hair to grow into the skin causing focal pustules and diffuse acne. There is no harm in having the hairs cut off by shaving except perhaps under the taliban. ...Read more

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What are risks of pad ?

What are risks of pad ?

Smoking, Cholesterol: Pad has multiple risk factors. Gender, race, age, and family history are factors which you cannot alter.
The biggest risk factor that can be altered is smoking. Other risk factors that can be modified include cholesterol, diabetes, kidney failure, and hypertension. While you cannot control what disease you have, you can control how well they are controlled. ...Read more

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Who is at risk for amd?

Who is at risk for amd?

Genetics, lifestyle: There are multiple risk factors for Age related macular degeneration. The strongest are genetics; did a first degree relative have it? Other risk factors are smoking, hypertension, obesity, sunlight exposure, fatty diet. ...Read more

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Hi dr. Need to rise my wight?

Hi dr. Need to rise my wight?

See below: In order to increase your weight you must eat or drink more calories daily than you burn up. But you don't want just more fat on the body so it's important to build muscle also. In order to do this you increase the amount of food you eat daily. Follow a mediterranean type diet and start a strength training muscle building program. For information on diet go to http://bit.ly/1FMQO4d ...Read more

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What is the exact level of rbs?

Z: Be clear with questions and please refrain from using sparingly used acronyms. ...Read more

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How can I get ripped in 2 months?

Not possible: Use a well thought out long term program. Life is not like a TV program. ...Read more

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What are risks of pedi at a salon?

What are risks of pedi at a salon?

Many possibilities: I have had patients come back from pedicures with athletes foot, ingrown toenails, skin infections, and fungal toenail infections. ...Read more

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Can you explain the ross procedure?

Can you explain the ross procedure?

Replace Aortic valve: Very interesting operation concieved by mr. Donald ross, a briish cardiac surgeon for severe aortic valve disease. Unique, in that patients aortic valve is replaced with their own pulmonary valve (autograft). Patient's pulmonary valve is then replaced with a porcine heart valve graft. Rationale is that patients own pulmonary valve functions longer that a porcineaortic valve replacement graft. ...Read more