ok, so  saw my pulmonologist this afternoon for a followup from the
other thing. well.. he saw the echo report and said well, 25 was the
cut off for "normal" and mine is 27, so.. he didnt think i have PH.
considering all the other things as well. that i passed their 6 minute
stress walk and the CT scan, the echo (which pretty much came back
perfect and all the right heart stuff was fine) and the the PFT.
but... i mean, there's many people that pass all of those just fine
with flying colors and they still have PH. ive even known of people
who've had it whos levels were in the 60s and 70s and they still were
barely symptomatic. so, who knows.

well, normally, anything 25 and over they consider it to be PH and and
in that case id think even a 23 would be high. i mean, how did they
come up with this scale anyway, really? isnt it possible that a PP of
30 or 35 for someone could actually be normal for that person and not
cause any strain?

i talked to my mom's other cardiologist on the phone. well... he was
callng my mom about something about her, and then she put me on the
phone. ha. but he said that he wouldnt be concerned with the 27. that
"it depends on the person, as in age, size, weight, etc"
that doesnt make sense. and he seemed to say about that whole "mean"
pressure thing, that.. it depends.. but still.. the systolic, either
way shouldn't be anything higher than 25. eeek.

but what would cause someone's PP's to be 27? if no other problems
exist with the heart and lungs? when they should be lower? i mean..
with systemic blood pressure.. thats different. many factors.. such
as .. sodium, stress, weather, exercise, etc. but with the lung
pressures.. cant it realistically be the same? everyone always says,
no, its totally different... but how do they know? PH seems to be a
very understudied condition and maybe, just like our systemic
pressures, that it is possible for a persons PP's to vary just as a
systemic blood pressure. i would think when your systemic blood
pressure rises.. all the blood pressure throughout the body will as
well.. even in the organs.. like.. the lungs... the kidneys.. the
brain, etc. but not to dangerous levels. within a certain range..
but.. ya know what i mean?

ive even heard of people get numerous catherizations done and the
levels be off. one woman was telling me online that she had one cath
and it showed a PAP of 43 and then she had another one done a couple
months later and it was down to a 23! or something like that. and then
she was in the hospital for something else a couple weeks later and
then it was up in the 50s and then back down again to a 17 or 20 or
something like that a few months later. and i dont think she was on
any meds, either.

its an interesting thought, though.

maybe more people have "PH" than is recognized and they dont even know
it themselves... but it causes no problem, damage, or even
progresses... ever. or intermittent.

so, if say my PAP came back on the echo of a 32 or 35.. then would i
need to be worried? everyone always says. even at a 35 on an echo, one
shouldn't be too worried.

how exactly DO they measure the PP's on an echo, via the tricuspid
regurgitation with this jet velocity technique anyway?

is it true that theres no other way to determine PP's unless there s
some tricuspid regurg?