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Breathlessness,EF and Mild PAH
I suffer from sinus tachycardia for which I take metoprolol and olimsartan ( my BP without it used to be around 140/90-95). I had my 2 D echo done on 5th May 2023 with EF 60% and mild PAH 31 mm Hg. I have been told mild PAH is no problem. But since yesterday morning I started having bouts of breathlessness even while sitting ( before that I had no breathlessness). Though oxygen levels at rest are still intact 97-99. I felt very anxious about my deteriorating PAH as breathlessness is main symptoms of it. So I went for 2D Echo again I was told I have same mild PAH of 31 mm but I looked at the report my EF fraction drops to 56% to 60% in just over month. I feel very afraid whether Is it going towards heart failure. I also had Chest X ray and spirometery today which were normal but IGE allergy test was 330.
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All the dimensions of heart chambers are normal. Ejection fraction above 50-55% is considered normal. Any value above 55 is just a subjective number. So do not worry about it. If your EF comes down then will be secondary changes in chambers There is now RWMA and No Diastolic dysfunction. X ray and PFT is also normal.
Next Steps
Do regular physical activity at least 30 minutes a day .
Health Tips
Control your BP . Check lipid profile and adopt a heart healthy lifestyle. Till now all is good. Try to maintain it
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Mild PAH is not problematic. EF 55-60 is also normal. It's not deteriorated. Your echo reports are normal. You should control your anxiety. It could be a simple anaemia or other pulmonary pathology.
Next Steps
Consult Physian/Pulmonologist/Psychiatrist.
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Stop searching Google.
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.