Mild Tricuspid regurgitation with mild pulmonary hypertention? -

I will try to ask this as best and briefly as possible. Had stress test. was normal. Had ekg said Abnormal. I asked to see cardiologist, was told didnt need to but I insisted. Had echocardiogram says. quot; Color flow Doppler studies reveals Mild Tricuspid reguegitation. Estimated Pulmonary atery systolic pressure is 38 mm/HG. CONCLUSION: Mild tricuspid regurgitatoin with mild pulmonary hypertension. This stufy other wise within normal limits. Now i read about both, and can be seriouse if left untreated. Went to pulmonologist, had chest cat scan and lung scan both say normal, Still short of breath with chest tearing pains mainly in the left breast area. No one seems to say they want to do anything about it. But my concerns is that from what i read at libray i can get clots or heart disease if not treated, or the pulmonary hypertension can killme, Anyone have any ideas. ty in advance.

Just to let you know, according to echo, almost everyone has pulmonary hypertension. Bernouli s simplified equation (the equation used in echo to determine pressure gradients) is 4Vsquared...meaning that with a 3m/s tricuspid regurgitation jet (normal), the patient would have a gradient between the RV and RA of 36mmHg. This means that the difference in pressure between the right atrium and the right ventricle is 36mmHg. The normal pressure in the RA during systole is negligible, so this would indicate that the RVESP (Right ventricular end systolic pressure) is 36mmHg. The RVESP is the same as the PASP (pulmonary artery systolic pressure). 35mmHg is right at the edge of pulmonary hypertension as far as echo standards go, however an echo estimate is not nearly as accurate as a measurement using a Swan-Ganz catheter. Since your doctor is not worried, I would not be. Your chest pains, since they are localized, are probably due to a local condition (pleuritis, intercostal muscle strain, rib injury, bruise, etc.) and your shortness of breath could be due to many things, including your current physical shape or an anxiety condition which is likely to manifest as a result of your concern about having a serious condition. I would not base your concerns off of a self diagnosis, especially since trained professionals have already told you not to worry about it. Good luck and all the best.

Did the cardiologist start you on any medications? A change in diet and lifestyle may help. I have PH at 58mm/Hg. The heart is slamming blood thru the pulmonary artery to the lungs. Transplant is the way to correct problem, sorry. I had moderate to severe regurgitation to both mitral and tricuspid valves which were repaired, via open heart surgery.

did you take the combination diet pills, fasten and the other i can t remember the name. it was called phen/fin it think. in the 80 s and 90 s. it was said to be the cause of pulmonary hypertension and mitro valve prolaps. not sure if this helped you or not.