Good Afternoon, I Was Gathering My Medicals And Reviewed A

Posted on Wed, 11 Nov 2020

Question: Good afternoon,
I was gathering my medicals and reviewed a report for an echocardiogram that was performed in April 2018. I see that in the 'Findings section' (along with other results) it states: 'Primary Pulmonary Hypertension of 40mg Hg'.
In the Conclusion Section it states: Lt & Rt Carotid mild thickening with small layer of plaque, generalized artherosclerosis w/o stenosis. - That is it and I was told for a 60yr old woman this was normal, no follow up needed. BUT, the Primary Pulmonary Hypertension stood out to me as I have not had high blood pressure? So I looked it up and many sites say anything over 25-30 mm Hg is a cause for concern and treatment is needed? Please advise. Thank you1

Answered by Dr. Drkaushal85 (2 hours later)

Brief Answer:
May I know your symptoms?

Detailed Answer:
Thanks for your question on 'Ask A Doctor' forum.

I can understand your concern.

Yes, you are right.
You are having mild pulmonary hypertension.
This is commonly seen with lung diseases.
So we need to rule out lung diseases first.

So please let me know:

1. Your symptoms?
2. Smoking habit?
3. Any lung diseases in the past?

Please let me know the answers to the above-asked questions so that I can guide you better about medicines and investigations.

Wish you good health.
Thanks

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Drkaushal85 (2 hours later)

Thank you for your reply!

Routine physical 1 1/2 yrs ago unremarkable.
I have no current conditions of any kind. I do not take any meds.
As of last physical I did not have high blood pressure and I do not believe I do so now.
I do not have symptoms except a little winded climbing many stairs, etc.
I have not smoked in well over 20 years
No history of any disease or immune disorder
Should this have been brought to my attention or listed in the conclusion for follow up?
Thanks!

Follow up: Dr. Drkaushal85 (7 minutes later)

One more thing, please - who treats this a cardiologist or a pulmonologist?

Answered by Dr. Drkaushal85 (4 hours later)

Brief Answer:
Cardiologist should be consulted again.

Detailed Answer:
Thanks for your follow up question on Ask a doctor forum.
I can understand your concern.
Since no positive history, no need to worry.
But better to meet cardiologist in person for repeat echocardiography to confirm about pulmonary hypertension.
Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.

Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Kampana