PA pressure

[tonpitts]

Okay...Thanks for answering my question.
  I had an echo done over a year ago for tachycardia when I was 31. I am now 32 yr old (female)and I have recently stated seeing a new Cardiologist. so I picked up my records from my previous Dr. While looking at the Echo report I noticed it sadi Minimal pulmonary hypertension with PA systolic pressure estimated at 33 mmHg.  This was the 1st time I had heard about this. My Dr. never mentioned it. The who  Impression reads as follows.....

Maximum tricspid regurgitation gradient was 23 mmHg.
Normal Left ventricular size, wall thickness, adn global and regional function with an EF of 60-65 %
Normal left ventricular diastolic function.
Mild thickening of the mitral valve leaflets with borderline mital vavle prolapse and trace regurgitation.
Minimal pulmonary hypertension with PA systolic pressure est at 33 mmHg.
Normal left ventricular pressure.

Recommendations: Becasue of the strutural abnormality of the mitral valve and the potential for intermittent mitral regurgitation the patient may benefit from endocarditis prophylaxis.

Now what I'm concerned about is the PA pressure....Should I be worried and is there additional testing that should be going on? Your help is appreciated...Thank You

[bunky65]

A related discussion, Significance of echo Est PA systolic pressure 41 mmHg was started.

[Cleveland Clinic]

Greater than 35 mmHG is the cut-off for mild pulmonary HTN.  

[tonpitts]

Thank You for your response....and yes they did add 10mmHg tot he TR gradient. I will have my new Cardiologist schedule another echo since it has been a little over a year since my last one...Your response has been very helpful.  Also, I was told the cut off was 30mmHg.  Was it moved up to 35mmHg or was I given the wrong info to begin with?  Thank  you again

[Cleveland Clinic]

Based on those findings you don't have pumonary HTN, our cuttoff is 35 mmHg, and I bet they overestimated the 33 by adding 10 mmHg to the TR gradient which is probably the wrong thing to do.  Either way, I don't think you should worry about this at all.  As far as the mitral valve, we tend to overcall quite a bit of mitral valve prolapse.  At this point, I think you should have yearly echo folllow up and make sure that this in not getting any worse.  The other thing you could do is an exercise stress echo to see if the mitral regurgitation gets worse with exercise.  You will be ok.