I'm really concerned about my recent echocardiogram results. It showed everything as normal except it mentioned mild PAH, trivial TR, Grade 1 diastolic dysfunction, and traces of pericardial effusion. My last master health check-up was normal just two months ago. I'm 41, unmarried, and I weigh 108kg, which puts me in the obese range. I've also been experiencing some issues with deep breathing and saw a pulmonologist who prescribed some medication. I'm really anxious about the mild PAH results. Is this something I should be worried about, and is it possible for mild PAH to be reversed? And what about the other findings? Are they serious? I'm planning to do a TMT soon, but this whole thing is stressing me out quite a bit. Could you please help clarify all this?

Dr Anshul Maheshwari

General Practitioner

• MBBS
• 5+ Yrs

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Mild PAH (Pulmonary Arterial Hypertension) is a condition where there is increased blood pressure in the arteries of the lungs. While mild PAH may not cause immediate concern, it is important to monitor it regularly as it can progress over time. Treatment options for PAH include medications such as Sildenafil or Bosentan to help manage symptoms and improve quality of life. It is important to follow up with your Pulmonologist regularly to monitor the progression of PAH. Trivial TR (Tricuspid Regurgitation) is a common finding in echocardiograms and is often not a cause for concern, especially when it is mild. Grade 1 diastolic dysfunction refers to abnormalities in the relaxation phase of the heart's pumping cycle, which may indicate early signs of heart disease. Traces of pericardial effusion indicate the presence of fluid around the heart, which can have various causes and may need further evaluation. Since you are experiencing deep breathing problems, it is a good idea to follow through with the planned TMT (Treadmill Stress Test) to assess your heart's response to exercise. This test can provide valuable information about your heart's function and help guide further management. Overall, it is important to continue working closely with your healthcare providers, including your Pulmonologist and Cardiologist, to monitor and manage these findings. Regular follow-ups and lifestyle modifications, such as weight loss in the case of obesity, can help improve your overall health and well-being."

Answered 04/07/2025