I had started working with a new trainer and contributed it to that, but after about 6 weeks there was no
improvement, and my trainer suggested I see my Pulmonologist . CPET was ordered. Results mildly low CO2 at peak, decreased O2pulse at peak, and low VE max. No EKG abnormalities. He ordered a new ECHO and referral to cardiologist. Last ECHO, a year ago, showed LAD of 4.2, mild diastolic dysfunction, RVSP of 33, and intra atrial septum aneurism.