Thank you for taking my question on above subject. Would so appreciate advice.
Given 2 diagnoses on visit to PH Clinic:
#Exercise-induced pulmonary hypertension.
#Systemic hypertension.
'Inadaquately controlled needing more agressive treatment,'as printed on report.
Third echo since Nov 04, this at PHClinic, normal left 'side' at rest incl RV size and function. Est. RV S.Pressure; 32 mmHg (BP 158/90) inc. to 60 mmHg (BP 184/82)at peak exercise(supine bike). Ejection fraction response to stress from 65% at rest to 75% peak stress. LV end-systolic volume decr. with stress. There was an exc-induced increase in tricuspid regurgitant peak velocity, 2.6 to 3.7m/s (RV S-pressure: 32mmHg to 60, assuming RA pressure of 5mmHg).
Still don't understand what above means in relation to 2 previous Echos (posted 01/30). Also wonder why PH Clinic didn't do a RHC to be sure, mostly was reason we traveled so far. May the reason have been my blood pressure was high; or fact that I had adverse reactions to Versed/Demarol after a TEE attempt, this year, locally?
PH Clinc increased my 120mg diltiazem to 240mg daily, with suggestion of increase to 360 mg, and advised me 'PH does not appear to be a feature of my symptoms or current situation'.
Two weeks following my visit, new PHP prescribed Lisinopril 2.5mg AM, diltiazem 120mg PM. I track my blood pressure as advised; in the range of 145/80 pulse 75. I weigh 134lbs, 5'5", don't smoke/drink, am 60. Exercise around the house and use stat. bike. Sometimes my BP reaches 180/95 for no reason. Worry so about all this.
MBT