PULMONARY HYPERTENSION INFO, PLEASE HELP :(?
A little over five years ago, a doctor told me I had pulmonary hypertension (46mmgh on echocardiogram). Since then I married and had a child, and in 2007 I went to another cardiologist for another echo and he said IF you have PH it is very mild (24mmgh by echo).
Skip to 2009, I am now in my second pregnancy and the condition came up again (59mmgh by echo). Today I went in for a f/u echo and the doctor said “you definately have pulmonary hypertension”; but then he asked “did they give you a green light to become pregnant?” and I explained that they told me I didn’t have it. So I asked him if the pressures were high, and he said that PH could not be diagnosed by that type of echo (same type where they measured peak pressures of 59mmgh) and that they would need to do a catheterization to confirm the diagnosis.
So I’m very confused; on one hand he says I have it on the other he says it can’t be diagnosed by echo–in ’04 they said I had it, in ’07 they said I didn’t, and now they’re saying I do. It seems like every time I have a test done something different pops up, the tech told me that this condition will never go away and that it doesn’t go away. So what’s right and what’s not? Is it diagnosed by echo or cath? Could the echocardiogram be wrong? I am getting the written report and taking it to the cardiologist who is currently treating me, but I wanted to do a little research to be better prepared. Please help if you can, thank you.
Thank you for your answer; I’m actually being treated at a teaching hospital right now and still unclear of what the true diagnosis is 
The first two doctors were private practices.
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I’ve been getting the same run around. My regular Dr. told me that a lot is not known, so maybe it’s all just opinions. I have not had the catheterization, so I don’t know about that. Basically my understanding is that the artery between the heart and lungs gets inflexible and causes fluid to build in the lungs. I’ve had fluid in my lungs most of my life and it has been diagnosed as a lot of different things (nearly 50 years), so I tend to just pay attention to how I’m feeling at the moment. Since sleep apnea was also diagnosed I have a c-pap machine and an oxygen concentrator. I make sure I use it if my lungs feel wet. It seems to help. Good luck!
P. S. Maybe try a teaching hospital where the tests are based on need not how much the Dr. can make off it? Not all docs are crooked, but some are trying to cover the bases with their insurance more than looking after you.
well
It is not necessary to do Catheterization confirmation
Echo. is sufficient to make the degree of hypertension . I f less than 60 mmHg,you can continuo your pregnancy with regular medical follow up. Also the cause must be clarified
best wishes
Echo is not método m
His hipertensià pulmonary ³ n can be the result of the increase of the present volume cycle during the pregnancy. Asegúrese to very follow close by with his gineco-obstetra, can control sÃntomas of preeclampsia, to create induced by the pregnancy hipertensià pulmonary ³ n. If you not estÃwith sÃntomas of you do not worry. While you can breathe when she lies down, they do not have serious hinchazà ³ n in the extremities, and not estÃn waking up the jadeo for the air (and, given what the previous answering machine) than needs in this affected point sein. In ours prÃctica if they were asintomÃticos, nonrecomendarÃamos cateterismo biheart completely (even has mÃximo of 2 catéteres used for diagnà ³ stico, one is a venous artery) to complete después of its pregnancy. There is HAP primary, that can be secondary to their pregnancy or the genética and the disease can reasons pulmonary (EPOC, fibrosis, or #: of sueño), and it can be due to abnormalitys of vÃlvula (regurgitacià severe ³ mitral n or estenosis). Before continuing with a-Cath biheart – you must consult with neumà ³ logo, one investigacià noninvasive ³ n can make sueño to see speak, if you have apnea, without añadir unnecessary risks for you or their son can be treated.
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