Pulmonary Hypertension (again)

[coloradoman]

I have questions regarding Pulmonary Hypertension as a result of a cardiac catherization done recently. I am reposting and would like additional comments on PCW and SVC pressures.

I have a known small airway lung disease but I have not had a specific diagnosis.  I know from several tests that my heart is fine. Stress test (echo-cardiagram) plus an additional two other echocardiogram. I have not been able to get a specific diagnosis, I am having trouble getting my heart doctor to classify my Pulmonary Hypertension after the cath  procedure. The numbers below seem ominous when I read some papers. I am trying to understand how bad the Pulmonary hypertension is:

SVC (superior vena cava) mean =9mmHg and

Pulmonary Atery sys/dia
PA (mean values)= 32/26 (mmHg) mean values systolic/diastolic
PA (max values) =37/27
average value =28 mmHg

PCW Mean=16  A-wave=18  V-wave=20 mmHg

From reading I find that these measurements are the gold standard for defining the condition "Pulmonary Hypertension"  My doctors know that the lung is the problem which makes it "secondary" PH. I don't have a scale (normal,slight, moderate, or severe") Could you describe the SPH severity from these numbers ? I have chest pains and pressure in chest at rest. I am still able to walk 4 miles most days
I am 50 years old 6ft and weigh 207.  

I am reposting to get more comments on the other parameters which were not mentioned SVC and PCW measurements

[coloradoman]

It's like your not even reading the words I have sent. I don't have heart disease. I have a small airway disease of unknown cause which has created Pulmonary hypertension. The questions were regarding specific measurements and the severity. Is SVC=9mmHg normal ? is PCW =16 normal ? is PA mean 28mmHg normal ? I just wanted some feedback on these numbers. I am not even asking what they mean, just if they are abnormal and if so how much. Thanks for trying though. The first posting was answered regarding the PA, how about SVC, and PCW ?

[Douglas Bogart, MD]

Chest pain caused by coronary artery narrowing is generally a heavy pressure sensation and is sometimes described as "not a pain" but as discomfort.  It is not sharp or fleeting and tends to occur with activity and be relieved by rest.  The symptoms are not always classical and if you have risk factors for heart disease you should talk to your doctor.