МРТ ИЛИ КТ

За последние 3 года появилась сильная слабость,одышка, беспокойство,задержка жидкости в животе ,сильное напряжение под грудиной в животе,головокружение, беспричинная потеря веса,морозит постоянно особенно по ночам и утрам,температура низкая,бессонница.
35.0-36.0 ,давление от 79/47-90/60.
Больше всего меня волнует систолического давления предсердия правого желудочка -32.31 mm/Hg. Прошлом году оно было 21.33 mmHg
Связаны ли мои симптомы с легочной гипертензией? Если да -то что делать?

Эхокардиограмма
2D Measurements

LVOT Diam 2.3 cm
LA Diam 4.7 cm
Ao asc 2.9 cm
IVC 19.93 mm
LAEDV MOD A4C 44 ml
LAEDV A-L A2C 46 ml
LAEDV(A-L) 47 ml
LAEDV Index (A-L) 29.10 ml/m²

Mitral Valve Doppler

MV E Vel 1.05 m/s
MV DecT 204 ms
MV Dec Slope 5.1 m/s²
MV A Vel 0.39 m/s
MV E/A Ratio 2.70
E« 0.11 m/s
E/E» 9.47

Tricuspid Valve Doppler

TR Vmax 2.61 m/s
TR maxPG 27.31 mmHg
RAP 5.00 mmHg
RVSP 32.31 mmHg

M-Mode Measurements

IVSd 0.6 cm
LVIDd 4.5 cm
LVPWd 0.5 cm
LVIDs 2.5 cm
EDV(Teich) 91 ml
ESV(Teich) 22 ml
EF(Teich) 76 %
%FS 45 %
SV(Teich) 69 ml
Ao Diam 3.3 cm
LA Diam 1.8 cm
AV Cusp 1.9 cm

Aortic Valve Doppler

LVOT Vmax 0.73 m/s
LVOT maxPG 2.14 mmHg
AVA Vmax, Pt 2.8 cm²

Pulmonary Valve Doppler

PV Vmax 0.83 m/s
PV maxPG 2.75 mmHg
PV AccT 192 ms
PV Acc Slope 3.7 m/s²



Findings

Study quality:This was a technically good study.

Left Ventricle:The left ventricle size is normal. Left ventricular wall thickness is normal. Left ventricular systolic function is hyperdynamic with an estimated EF of >70%.

Left Atrium:The left atrial size is normal.

Right Ventricle:The right ventricle is normal in size.

Right Atrium:The right atrial size is normal.

Aortic Valve:The aortic valve is trileaflet and appears structurally normal. There is no evidence of aortic regurgitation.

Mitral Valve:The mitral valve is normal. There is trace to mild mitral regurgitation.

Tricuspid Valve:The tricuspid valve appears structurally normal. Mild tricuspid regurgitation present. The right ventricular systolic pressure, as measured by Doppler, is 32.31mmHg.

Pulmonic Valve 0 ulmonic valve appears structurally normal.

Pericardium:There is no pericardial effusion.

Aorta:The aortic root is not enlarged and measurements are within normal limits

IVC/Hepatic Veins:The inferior vena cava is normal.

Conclusions

1. Left ventricular systolic function is hyperdynamic with an estimated EF of >70%.

2. Mild tricuspid regurgitation present.

3. The right ventricular systolic pressure, as measured by Doppler, is 32.31mmHg.

Спасибо
Виолетта