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What Does This Ultrasound Report Indicate?
Question: Today I exercised running vigorously for 10 minutes and then took my blood pressure. My initial blood pressure reading was 164/107 with a heart rate of 132. After two minutes it dropped to 128/97 with a heart rate of 110. I then took a final reading 15 minutes later and it was 128/88 with a pulse rate of 94. Is my diastolic pressure supposed to rise that high with exercise? When I exercised last night by just walking for 45 minutes my blood pressure reading after exercising was 114/82 with a heart rate of 64. I am concerned about the diastolic pressure rising so high during vigorous exercise. Should I avoid this type of exercise or is it safe to have my diastolic pressure rise this high? Thanks for your help.
Also, I forgot to indicate that my heart over the past two weeks has been having pre-ventricle contractions every 1 -2 minutes and sometimes more than 1 per minute. My last echo-cardiogram shows left ventricle mild hypertrophy, and mild aortic stenosis
Also, I forgot to indicate that my heart over the past two weeks has been having pre-ventricle contractions every 1 -2 minutes and sometimes more than 1 per minute. My last echo-cardiogram shows left ventricle mild hypertrophy, and mild aortic stenosis
Brief Answer:
I would explain as follows:
Detailed Answer:
Hello!
Welcome back on HCM!
I carefully reviewed your cardiac ultrasound and would say that having concomitant aortic stenosis and moderate or severe mitral regurgitation may mask the severity of aortic stenosis, leading to underestimation of systolic transvalvular aortic gradient.
The responsible cause of left ventricular hypertrophy needs to be differentiated between a more chronic hypertension and a more progressed aortic stenosis effect.
In such case it is important to quantify both anatomic and hemodinamic aortic valve area.
Regarding your increased levels of both systolic and diastolic blood pressure, during vigorous exercise, I would explain that you don't need to worry about it. It is just a normal reaction against a stressful physical or psychological situations.
The progressive decline of systolic and diastolic blood pressure within 30 minutes after stopping exercise, confirms this opinion.
As you have a moderate mitral regurgitation, I personally would not recommend you to undergo very excessively vigorous physical activity.
You should also avoid competitive sports. This, coupled with lowering of excessive anxiety, will also help in minimizing potential premature heart beats.
I would recommend you to closely monitor your valvular dysfunctions (both mitral and aortic) by means of cardiac ultrasound at least once in a year.
Hope to have been of help!
Feel free to ask any other questions whenever you need!
Kind regards,
Dr. Iliri
I would explain as follows:
Detailed Answer:
Hello!
Welcome back on HCM!
I carefully reviewed your cardiac ultrasound and would say that having concomitant aortic stenosis and moderate or severe mitral regurgitation may mask the severity of aortic stenosis, leading to underestimation of systolic transvalvular aortic gradient.
The responsible cause of left ventricular hypertrophy needs to be differentiated between a more chronic hypertension and a more progressed aortic stenosis effect.
In such case it is important to quantify both anatomic and hemodinamic aortic valve area.
Regarding your increased levels of both systolic and diastolic blood pressure, during vigorous exercise, I would explain that you don't need to worry about it. It is just a normal reaction against a stressful physical or psychological situations.
The progressive decline of systolic and diastolic blood pressure within 30 minutes after stopping exercise, confirms this opinion.
As you have a moderate mitral regurgitation, I personally would not recommend you to undergo very excessively vigorous physical activity.
You should also avoid competitive sports. This, coupled with lowering of excessive anxiety, will also help in minimizing potential premature heart beats.
I would recommend you to closely monitor your valvular dysfunctions (both mitral and aortic) by means of cardiac ultrasound at least once in a year.
Hope to have been of help!
Feel free to ask any other questions whenever you need!
Kind regards,
Dr. Iliri
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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