Heart echo

[Ascb]

I noticed that on my heart echo results, it notes moderate tricuspid regurgitation and intermediate echo probability of pulmonary hypertension, my PASP was 43.6. In the letter I had from the cardiologist following my appointment, it notes mild tricuspid regurgitation which is of no concern and doesn't mention anything else apart from I'm being discharged to the GP.

He was fairly abrupt during our appointment.

I'm wondering if I should query this or if I'm concerned about nothing?

[Tos92]

Hi Ascb

I think it would be a good idea to query this with your GP. It can be worrying when we don’t fully understand something regarding our health and I think it would definitely put your mind at ease.

I hope you can get an appointment with your GP soon to discuss this over.

All the best.

Tos

[Anon2023]

hi. I had severe pulmonary hypertension written on a letter between my heart surgeon and cardiologist yet nobody had mentioned it to me. I only read it by chance. I googled it and was terrified by the results but there are many reasons for pulmonary hypertension and valve regurgitation is one of them. When I queried it the cardiologist said it is common with valve regurgitation as it increases pressure in the lungs. After my valve surgery my pulmonary levels returned to normal. If the cardiologist has discharged you back to your gp I think that you can be reassured that it isn’t serious and that the level of pulmonary hypertension isn’t anything to worry about. You are well within your rights to seek clarification on what is written in your notes though. Good luck.

[Deejay62 in reply to Anon2023]

Anon that first part sounds like a report I got in January saying I have severe Pulmonary hypertension, after my visit to the clinic. I now have to wait until October when I see them again, to discuss it. In January they never mentioned it during my appointment.

[Anon2023 in reply to Deejay62]

iwas so worried when I saw that letter that I asked to see the doctor at the hospital while I was there getting my sternotomy wound checked. Fortunately a registrar was available to see me.. He explained that my pulmonary hypertension would be resolved by my valve replacement. I was terrified though as nobody had mentioned it before then. I would ring your gp and ask them if they can see you.

[Deejay62 in reply to Anon2023]

My Gp is ok with everything but my cardiac issues. Usually he would just look at me blankly. I did speak to a BHF nurse and she explained it to me. Mine is caused by my heart failure and the water tablets and warfarin is the treatment for me as my heart function is only classified as 20-15 %. I only wondered what affects it as on me. November I’m seeing my EP regarding Ventricular Tachycardias

At least yours can be resolved which is a very good thing.

[Anon2023 in reply to Deejay62]

Yeh I’m lucky in that regard though I still have heart failure. Good luck with your appointment in Nov, I’m sure we will speak before then but if not, please let me know how you get on.

[Deejay62 in reply to Anon2023]

Thank you, and all the best with yours. I will post once I’ve had it, although I do find it difficult posting.

[MummaSoap]

Yes, I would advocate for asking questions and getting clarification when you’re unsure/unclear on something. Far better than allowing the worry to fester and gain space in your thoughts 🙂

I hope you get the answers you seek and your cardiologist/GP can help to put your mind at rest or furnish you with the knowledge to manage it moving forward.

Keep us posted with how you get on.

Best wishes

Soap 🧼

[Hana2106]

Hello, have you had an update from your cardiologist on this? I have a similar thing with moderate tricuspid regurgitation and a PASP of 32 with intermediate probability of PH.

[Ascb in reply to Hana2106]

Sorry Hana2106 , I've only just seen your message. I haven't had an update, but I have been slightly reassured by some of the comments on here. I may seek further reassurance/advice from my GP in the first instance and if I do get any information I will let you know. Have any of your medical team given you any information about this at all?

[Hana2106 in reply to Ascb]

Thats brilliant, hope you are doing well!

I have to go back for frequent ECHO's (last one was in Jan, next one is this Saturday), and I'm worried about the pressure level and the state of the TR. Will report findings back on here.

[Ascb in reply to Hana2106]

I'd be interested to hear Hana2106 . Do you mind me asking why they are doing regular echos? Is is because of the PASP score?

[Hana2106 in reply to Ascb]

Mainly the TR because it went from mild to moderate in under 12 months. But I'm more concerned about the PASP number because I've heard that if the PASP is even classed as 'mild PH', it needs monitoring and medicating before it becomes severe. Of course that would mean a RHC test which fills me with a lot of fear! Will keep you posted. Do you currently have any symptoms? I have palpitations and heart thuds.

[Ascb in reply to Hana2106]

I have AF so it's difficult to figure out what is what. But yes, I get runs of fast heart beat and sometimes get that horrible thump too. Take care and let's keep each other posted.

[Hana2106 in reply to Ascb]

sorry to hear about it the AF, hope you have it under control.

I had my repeat ECHO yesterday and it looks like the pressure has come down to 27 from 32. The TR had also gone from moderate to mild with a VMAX of 2.5-2.6 which still puts me in the low probability of PH bracket.

The cardiologist said though that every echo is subjective and things like whether you’d had breakfast or a cup of coffee before the scan can affect your TR and pressure scores! So try not to worry, they have told me to go back in a couple of years but have offered me an MRI if I want it to out my mind at ease.

[Ascb in reply to Hana2106]

Gosh the care you received sounds wonderful. It's great news to hear you don't need to be seen again for a couple of years. If you decide to go for the MRI, let us know what it shows