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Pulmonary Hypertension

RVSP normal?

12/15/2011

Question:

I had heart failure from pregnancy 12 years ago, I went to a routine echo this past month. My Ejection Fraction is back up to 58% and things are looking great. However in all the notes my doc said "pulmonary hypertension suggested"

Tricuspid Valve is Mild Regurgant, estimated RVSP 24mmHG 9two years ago it was 26mmHG, so this number is lower than it was!!! TR Peack Vel 0.45 m/s Pulmonary Valve Peak Vel. 0.65 M/S AT 129 Msec

Pulmonary Venous Flow Systolic 0.561 m/sec Diastolic 0.756 m/sec Pulmonary Vein Flow Reversal is present Mild MVP, Mild Pulmonic Valve insufficiency, Mild Tricuspid insufficiency.

I called doc and he said "you don`t have pulmonary hypertension, I just had to put that there because of the numbers. He was quick to get off the phone.

Which of these numbers suggests Pulmonary Hypertension? Is there anything I can do to lessen it?

Answer:

It sounds like you have developed a cardiomyopathy during your pregnancy and have now recovered. An RVSP of 24mm Hg is within the normal range .  

For more information:

Go to the Pulmonary Hypertension health topic, where you can:

Response by:

Namita   Sood, MD, FCCP Namita Sood, MD, FCCP
Associate Professor of Pulmonary, Critical Care & Sleep
College of Medicine
The Ohio State University