Provigil and pulmonary hypertension
Common Questions and Answers about Provigil and pulmonary hypertension
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Mild pulmnonary hypertension.(1)...LV normal wall thickness, end-diastolic volume. Regional and global LV systolic performance normal to hyperdynamic. LV filling pattern suggest impaired relaxation. ..probably due to rapid heart rate present during study. .confirmed by normal tissue Doppler interrogation of mitral annulus velocity. RV normal size, performance (2) atrial chamber dimensions normal (3) valves normal structure.
I have just been diagnosed with pulmonary hypertension. I am 49 and presented to my MD after I noticed a significant developement of DOE when training for a marathon. I am an avid runner and cannot imagine not being able to run. I was hoping for a general opinion from someone that understands exercise physiology as well as cardiology.
Mild pulmnonary hypertension.(1)...LV normal wall thickness, end-diastolic volume. Regional and global LV systolic performance normal to hyperdynamic. LV filling pattern suggest impaired relaxation. ..probably due to rapid heart rate present during study. .confirmed by normal tissue Doppler interrogation of mitral annulus velocity. RV normal size, performance (2) atrial chamber dimensions normal (3) valves normal structure.
Although pulmonary arterial pressure can be estimated on the basis of echocardiography, pressure measurements with a Swan-Ganz catheter provides the most definite assessment. Pulmonary hypertension (PAH) and pulmonary vessel (PVR)vresistance cannot be measured directly with echocardiography. "A diagnosis of PAH requires right-sided cardiac catheterization.
As unrelieved pulmonary hypertension can lead to right-sided heart failure. Signs and symptoms of pulmonary hypertension are often subtle and nonspecific. The diagnosis Pulmonary hypertension is a complex problem characterized by nonspecific signs and symptoms and having multiple potential causes. It may be defined as a pulmonary artery systolic pressure greater than 30 mm Hg or a pulmonary artery mean pressure greater than 20 mm Hg.
Is the pulmonary hypertension causing the right ventricle enlargement and the tricuspid regurgitation and would this then be primary pulmonary hypertension. Or, can you explain what is causing her pulmonary hypertension.
I have been told my my mother's cardiologist that her tricuspid regurgitation is causing the pulmonary hypertension. But I have talked to other doctors that tell me that the pulmonary hypertension is causing the tricuspid regurgitation.
i have tested my theory many times since the early 1980s. i was born 1952. my first experience with pulmonary hypertension was after an surgery had sodempentathall was my anesthetic .
is it Primary Pulmonary Hypertension or is it so-called Secondary Pulmonary Hypertension, the most common causes of which include recurrent pulmonary emboli (clots to the lung), disease of a heart valve, or estrogen or appetite suppressant therapy.
While pulmonary hypertension is a somewhat common disease, the cause may not immediately evident to one’s doctors.
There are many causes of pulmonary hypertension and establishing the cause may require collaboration between the pulmonologist and a cardiologist. There are pulmonary hypertension clinics at many academic institutions. You might want to check on this at your nearest university hospital.
Good luck.
Thank you My right heart cath said My mean pulmonary pressure was 35 and pulmonary capillary pressure was 14. So I quess I do have Pulmonary Arteial Hypertension. One specialist said I did the other said that I did not because of my size. I was very confused. Thanks for answering my question.
If HOCM has been treated the incidence of pulmonary hypertension is usually less. And pulmonary hypertension can be due to other causes also. It may indicate a poorer prognosis, but this depends on the clinical symptoms and others cardiac factors. Regards.
If a large enough residual, it could lead to chronic pulmonary hypertension, with chronic right heart strain and/or in some instances, shunting of blood (at the atrial level) from the right heart to the left heart through a patent foramen ovale. For all of the preceding reasons, and especially with the recent onset of chest pain, you should have a cardio-pulmonary reevaluation at this time, with a CT scan and an ECHO to assess pulmonary hypertension.
Other than that I’m a normal weight female so he didn’t see a reason to follow up. I asked if he was sure it was mild pulmonary hypertension and what could I do to help myself and he said just exercise and eat right. The visit was frustrating because he didn’t respond to my questions which were all valid.
5 phentermine pills to lost weight she gave it to her every 3months for a year with no break and 1year and a half later she was diagnose with pulmonary hypertension and she never had a history of problem before taking this pill she played basketball for her school and passed out playing one night so i stop her from playing basketball and that was the start of my nightmare with this disease i alway read u got to be 16 years old and u can only take it for 3 months out of the year and that's fo
Thanks for posting! I see the pulmonary hypertension cardiologist today and will ask him about my heart function. However, he told me everything looked normal but all he looked at was the stress echo test. I've been tested for pulmonary emboli and it's been negative. My pulmonary specialist said that it's possible it's a precursor to a lung disease that hasn't shown up yet on the CT scan. She just doesn't know which disease it is yet.
My blood pressure has gone up and staying there. I have gained weight, 10 lbs in 2 mos. and ankles and lower extremities are still with 2-3+ edema when I get up in am. I tend to have a reason for each. I think deep down I am afraid. I keep telling myself the docs are wrong and truly they may be. When I get SOB or have chest pain I get scared. When I have CP I will take a couple of aspirin. I know you think I am being stupid, but I just will not accept diagnosis at this point.
Hey,I hope someone that reads this can help.I would go to the doctor but lack insurance so I'm hoping someone can help me figure this out.Here's my story: I was a healthy 20 y/o in 2006 and just woke up one morning unable to catch my breath.It progressively got worse over the course of 4 days so I went to the ER and was told that I either had asthma or anxiety and was given an inhaler.I noticed it wasn't working after trying for a week so I made an appointment with my doctor.
The results were normal heart function however my right ventricle was moderately enlarged and pulmonary pressures quite elevated 44 at rest and 80 with exercise. I had a right heart catheter test and another echo done the following Monday after the echo/stress test to rule in/out PPH. All pulmonary pressures were normal.
With out knowing which part the measurement came from it would be hard to tell. But it not a bad number for any of those diameters. As far as pulmonary hypertension goes it is also known in the medical world as PH and what it means is that the arteries inside of the chest wall basically are having high blood pressure and its easily treated by docs. I would say that your doc needs to sit you down and go over all of this with you so that you aren't in the dark here......
The smaller surgery can be done if his pressures are like at a 6 ...or 8 at the highest and according to the cath his was at a 14. Do you know if pulmonary hypertension can get better on its own? And, do you know if it matters what leg they use in the cath procedure? I will ask his drs tomorrow but we have not had such a great relationship with some of them and would just like as many opinions as possible. I am currently talking to a dr. at CHOP ...Philly Childrens...
Anyway I read on the report that my RVSP was 43mmhg. I know that it should not be above 35, anything higher than that is pulmonary hypertension. Some sources even say it should exceed 25 at rest. The test also showed mild mitral and tricuspid regurgitation. My question is should I be worried about this? If the RVSP is 43 then it's clearly above normal, yet the doctor made no mention of it. Is it time to find another doctor or is it indeed normal?
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