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Respected Sir/Madam I am 27 year healthy male sufferer from anxiety disorder from past 5 months about my heart. I did one echo and 2 ecg on 06/12/2017 which came normal but my anxiety didn't gone. I fell random mild chest pain for a while oftenly which travels from right to left of randomly in my chest. Now I see a second cardiologist who take an echo and said everything is normal but when I see mild TR with mild PAH I became more anxious. Please review the following echo reports and give me some suggestions please Normal LV with normal systolic function No segmental wall motion abnormality seen Normal Mitral and Aortic valve Normal sized RV. No PS Normal Pulmonaric and Tricuspid valve No pericardial effusion seen No LV clot seen No Vegetation seen RVOT= 14 mmHg Normal Diastolic function E = 1.11 m/s: E/A=1.35 E/E= 13 A=0.82 m/s: DCT = 73 m/s IVRT = 53 m/s (74+-7) Estimated RV/MPAP = 30mmHg EF= 60-65% FS=35-37% (Other all values are in normal range) except TAPSE = 28 mm S wave = 14 cm/s Mild with Mild PAH A note was on echo ** During the test patient has Fast HR** * Fast HR was from my anxiety. The question is this, that I really have PAH or it is just misdiagnosed due to fast HR which put pressure on this? I don't have any symptoms except a short episode of PVC and little fast HR for a short period. My resting HR is 50 - 65 BPM. I'll be very thankful for your kind replay. Thank you so much.


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