Hi Dear !! Thanks for your query to HCM.
I reviewed facts of your query in context to your health issues and feel concerned about them.
My Opinion-
In My opinion, in the given situation you seem to suffer from-Impaired Cardio-dynamics with clot in the atrium from untreated ASA(Atrial Septal Anuerysm) by antiplatelets and blood thinners.
Other defects accompanying ASA needs to be ruled out and treated.
Venous Over-Distension from TOS-(Thorasic Outlet Syndrome) Scalene syndrome or from Extra Rib or long transverse process compromising the space for External jugular neck veins.
Increase in deep breathing and exertion is from compromised cardiac out due to Complications with untreated ASA in your case.
Do's Suggested-
Consults with Cardiologist with 2 D echo studies would fix the cause with CT neck and thorax.
Start treatment of accompanied cardiac failure and clot dissolution with blood thinners and antiplatelet-
Clopidogrel medicines.
Other causes need to be ruled out,after getting more details from you.
Next appointment-
Asap to review and plan the treatment for existing problem .
If you update more information/ details upon these suggestions, I would give further suggestions on medicines to correct your health issues.
If need be, update any health issue 24 x 7 by a direct question to ME, at following HCM link-http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=70229
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You are most Welcome herewith !!
Good Day!!
Wishing Good Healthy Life in time to come!!
Dr.Savaskar M.N.
Senior Surgical Specialist
M.S.Genl-CVTS