Furthur to previous corrospondence, miss watson has now had an echocardiogram, the study was a bit difficult as Nichola was noticed to be very anxious with marked sinus tachycardia of between 11- and 130 beats per minute.
As such both her left and right ventricular function does appear mildly inpaired, although this is difficult to asses accurately in such tachycardic state, I am a bit hesitant to suggest a clear cut abnormality here but i think that we should check this out with some furthur study, as such i would be grateful if you could organise a blood test for BNP, as a clearly evevated value would suggest a myocardial problem but equally a normal value would be reassuring here.
I would be very happy to see her in clinic and discuss all this with her personally and having that result would make the situation that much more easier to interpret. i will organise a routine outpatient appointment for her accordingly and we can take matters from there.
oh no! what do this mean?