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Pulmonary Hypertension

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Debb,

My sister has been going through something very similar. She also has SD.

She does not have any pronounced breathing difficulty, but she does have

involvement of the heart. She experienced pains a couple months ago,

assumed it was heartburn, and popped a couple of pepcids. It didn't help

and the discomfort worsened. She went to the hospital and was informed that

she had had a heart attack. A follow up ECHO showed problems as you

described. Her ECHO 6 mos prior showed no problems. She's on meds now for

the heart and at least that seems under control, though she has serious

problems elsewhere. I don't believe she mentioned PH - I'll have to ask

her. This is probably not meant to be encouraging, but I mention it so

you'll keep that heartburn in mind and treat it seriously.

Jeff

----Original Message Follows----

From: Debbullwinkle@...

rheumatic

Subject: rheumatic Pulmonary Hypertension

Date: Wed, 22 Jan 2003 16:27:26 EST

Hi all, need some help here if anyone has any thoughts they would like to

share. I was dx with SD in 2001 and have been on the mino, name brand since

April 01. My AP Dr has me alternate mino with an every 8 week dose of oral

clindy for 10 days.

My pulmonary function tests have continued to be ok...in the normal range

but

my chest fibrosis is increasing. Which is worrisome but not as worrisome as

my recent echo results.

I have had chest pain and difficulty breathing for a couple weeks. I finally

called my local rheumy, she sent me to the heart DR. He had done an echo a

yr

and half ago and told me I did not have PH. This Dr on Monday did an ekg and

told me my heart was fine, he felt the chest pain was a flare and

inflammation and I needed to see my rheumy. I called her, she was gone and

they sent me to ER. At ER, not one of the DRs knew what to do with me and

kept me on the heart monitors and watched me while trying to reach my rheumy

and GP..who was on call...Finally at 2:30 in the am..the Er DR came in and

told me he could not reach anyone and that he did not know what to do with

me...and suggested steriods in my IV to reduce inflammation, after having

difficulty breathing for several days..and extreme difficulty the last

couple

days, I said ok, go for it...Within 6 hrs I started feeling some relief...he

sent me home with a 7 day tapered dose of Pred..I do not like Pred but I was

unsure what to do and agreed we needed to reduce inflammation..

My Rheumy called Tues am and said that was good my heart was ok and that I

seemed to be doing quite well with the connective tissue disease...which I

find interesting in view of the fact that I had an echo done on Dec. 12/02

by

an independent cardio here in town specifically for the Phen Fen class

action

suit..The results were mailed to me last night. In it..the report shows what

the Cardio found, same as mine..the mitral and aortic valve

regurgitation...BUT...this recent ECHO shows Pulmonary Hypertension and

tells

me to contact my cardio asap if I have chest pain or difficult

breathing..which I had had quite severely and went to see my cardio on

Monday

specifically for..

Here are my questions, the mino has done remarkably well at reducing and

eliminating my joint pain, epi scleritis and my ANA has dropped and stayed

at 320....but clearly, the mino and every 8 weeks clindy is not stopping

either the lung fibrosis or the internal organ involvement, ie...the

Pulmonary hypertension...Any suggestions would be most welcome, I have made

an appt with my SD Dr in NJ for Feb and will see him...a site on the net did

say that if you can get control of the underlying disease you can stop or

slow the PH...but no one is trying to control my disease other than my AP DR

out of town..here they just shrug...I guess I am unsure if the PH is the

result of the Pfen Fen usage back in 1995 or is the result of connective

tissue disease? nor does it really matter...but I do know that from my

research PH occurs in 25% of Crest SD patients and there is really no good

tx

for it...so I need some info if any of you out there have any

opinions..Thanks, DEBB

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  • 4 weeks later...

HI all, finally got the letter from my cardio DR...my pressure measures 28,

in the lungs but the heart is not enlarged...from sites that some of you have

sent me....the sites indicate that 14 is a normal pressure or below...and 25

with exercise...mine was 28 at rest....My cardio DR however, does not CALL

the PH until it reaches 35...I have sent the results to my SD DR in NJ and

will see him soon...any thoughts are much appreciated...I have had chest pain

for the past month...which I am concerned about....but as usual, my DRS here

just blow it off...Thanks everyone...Take care, DEBB

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Hi Debbie;

I was under the impression that you were doing very well with AP.I also have

been having chest pains and am scheduled for tests pretty soon.For me AP is not

working at

all but as long as I take that miserable MTX I lead a normal life(for now)Will

have to find out if there is a safer immune suppressant.Let us know what the SD

doc has to

say and when I get my results we can compare notes. Lynne

Debbullwinkle@... wrote:

> HI all, finally got the letter from my cardio DR...my pressure measures 28,

> in the lungs but the heart is not enlarged...from sites that some of you have

> sent me....the sites indicate that 14 is a normal pressure or below...and 25

> with exercise...mine was 28 at rest....My cardio DR however, does not CALL

> the PH until it reaches 35...I have sent the results to my SD DR in NJ and

> will see him soon...any thoughts are much appreciated...I have had chest pain

> for the past month...which I am concerned about....but as usual, my DRS here

> just blow it off...Thanks everyone...Take care, DEBB

>

>

>

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  • 8 years later...
Guest guest

?Dr. has retired.

rheumatic Pulmonary Hypertension

> Is anyone in this group who has SD been diagnosed with pulmonary

> hypertension? Also, I am trying to remember who had posted about seeing a

> Dr. in Texas.

>

>

>

> ------------------------------------

>

> To unsubscribe, email: rheumatic-unsubscribe@...! Groups

> Links

>

>

>

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Guest guest

Has anyone here with RA used this Chinese herb? Sally

http://www.naturalnews.com/031816_Chinese_medicine_cancer.html

Re: rheumatic Pulmonary Hypertension

?Dr. has retired.

rheumatic Pulmonary Hypertension

> Is anyone in this group who has SD been diagnosed with pulmonary

> hypertension? Also, I am trying to remember who had posted about seeing a

> Dr. in Texas.

>

>

>

> ------------------------------------

>

> To unsubscribe, email: rheumatic-unsubscribe@...! Groups

> Links

>

>

>

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