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Should I Be Worried For Moderate Triscupid Valve Regurgitation With Intermediate Probability Of Pulmonary Hypertension ?
Question: Moderate triscupid valve regurgitation with intermediate probability of pulmonary hypertension descending aorta ectatic 38 x38mm and paroxyml atrial tachycardia normal coronary artery variation without anomaly no other significant cardiac abnormality. Have been told to wait 1 year for review should I be worried. Did mention vq test . Thank yoi
Brief Answer:
I would explain as follows:
Detailed Answer:
Hello,
I understand your concern and would explain that it is important to further investigate on the potential reasons underlying pulmonary hypertension: whether it is due to a chronic pulmonary disease or due to the pulmonary artery disease (pulmonary embolism) or due to a left heart dysfunction.
In this regard, a VQ test would help investigate on a possible pulmonary embolism and also exclude any possible chronic pulmonary disease.
I would also like to directly review your cardiac ultrasound report, if you could upload it as attachment to this question.
Regarding the ectatic descending aorta, I find it reasonable to follow up with a cardiac ultrasound after 1 year, in order to investigate on its possible progression.
Hope you will find this information helpful!
I remain at your disposal in case of further questions whenever you need!
Kind regards,
Dr. Ilir Sharka, Cardiologist
I would explain as follows:
Detailed Answer:
Hello,
I understand your concern and would explain that it is important to further investigate on the potential reasons underlying pulmonary hypertension: whether it is due to a chronic pulmonary disease or due to the pulmonary artery disease (pulmonary embolism) or due to a left heart dysfunction.
In this regard, a VQ test would help investigate on a possible pulmonary embolism and also exclude any possible chronic pulmonary disease.
I would also like to directly review your cardiac ultrasound report, if you could upload it as attachment to this question.
Regarding the ectatic descending aorta, I find it reasonable to follow up with a cardiac ultrasound after 1 year, in order to investigate on its possible progression.
Hope you will find this information helpful!
I remain at your disposal in case of further questions whenever you need!
Kind regards,
Dr. Ilir Sharka, Cardiologist
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you for your reply I do not have ultrasound report only report that systems about moderate tricuspid valve regurgitation and intermediate probability for ph and that it also shows normal biventricular function .do you think one year is fast enough for review I do not have any symptoms of breathlessness and exercise capacity good I am 66 years old and 80 lbs.
Brief Answer:
Opinion as follows:
Detailed Answer:
Hello again!
Considering the fact you have normal biventricular function and are quite asymptomatic (clinically normal); a periodic followup 6 month to 1 year seems reasonable.
But, from the other side, it is necessary to investigate any possible underlying cause in case you have confirmed pulmonary hypertension (if it is exactly measured by means of cardiac ultrasound).
In this regard a Ventilation/Perfusion (VQ test) scan of pulmonary angio CT would be helpful. Once any potential lungs disorders is ruled out, then an exact follow up strategy could be determined.
Let me know in case of any further questions.
Regards,
Dr. Iliri
Opinion as follows:
Detailed Answer:
Hello again!
Considering the fact you have normal biventricular function and are quite asymptomatic (clinically normal); a periodic followup 6 month to 1 year seems reasonable.
But, from the other side, it is necessary to investigate any possible underlying cause in case you have confirmed pulmonary hypertension (if it is exactly measured by means of cardiac ultrasound).
In this regard a Ventilation/Perfusion (VQ test) scan of pulmonary angio CT would be helpful. Once any potential lungs disorders is ruled out, then an exact follow up strategy could be determined.
Let me know in case of any further questions.
Regards,
Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you so much for your promp reply . I see my cardioligist next week and I now know what to ask. Again many thanks .
Brief Answer:
You are welcome!
Detailed Answer:
I am glad to have been helpful!
I remain at your disposal for any further discussions in case of health issue concerns.
Wishing you good health!
Dr. Iliri
You are welcome!
Detailed Answer:
I am glad to have been helpful!
I remain at your disposal for any further discussions in case of health issue concerns.
Wishing you good health!
Dr. Iliri
Note: For further follow up on related General & Family Physician Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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