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abray1115
abray1115, Physician
Category: Cardiology
Satisfied Customers: 10337
Experience:  Primary care with particular interest in cardiology problems and prevention. Work closely with cardiologist colleagues.
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Today during my echocardiogram the tech (while checking near

Customer Question

Today during my echocardiogram the tech (while checking near my lungs) asks if I have asthma. I responded, no. Why would she ask that?
Submitted: 2 months ago.
Category: Cardiology
Customer: replied 2 months ago.
Also, I have lupus. I've been having episodes where my body will get really hot. Then my heart will just start racing. I get dizzy, and sweaty. Then my blood pressure shoots even higher than it already is. My dr thinks I could have myocarditis. Could this be the case?
Expert:  abray1115 replied 2 months ago.

Hello,

Well if the lungs looked very expanded it may have prompted the question ..

If you have no asthma ...no shortness of breath or chronic cough or wheezing and you aren't a smoker then I would not worry about it.

An echocardiogram IS NOT A LUNG TEST ...

So probably no reason for you to worry it seems to me

I hope that this information is helpful for you

Let me know if you have further questions or concerns

I will be happy to get back with you

If my answer has been helpful and to your satisfaction then please remember to leave positive feedback Thank you and Best Regards,

Anthony Bray MD

Customer: replied 2 months ago.
I had a treadmill stress test as well today
Expert:  abray1115 replied 2 months ago.

Hello again,

That is more detailed of a heart test ...looking to assure that you have good blood flow to the heart ...

Customer: replied 2 months ago.
I'm confused. Myocarditis is what? What does it mean? What does it have to do with lupus?
Expert:  abray1115 replied 2 months ago.

Ok I see ...

You wrote 2nd question while I was responding to first ...

Then responded to other question below that one

Myocarditis is inflammation of the heart muscle itself ...

That condition may be caused by certain viral infections which may cause inflammation of heart muscle ....

Expert:  abray1115 replied 2 months ago.

Autoimmune networks may be a possible consideration

That is a rare condition however ...

Expert:  abray1115 replied 2 months ago.

Lupus may cause inflammation of various tissues ( kidney / muscle/ joints / etc..)

Expert:  abray1115 replied 2 months ago.

Autoimmune myocarditis meant above ( spell check changed it on me....)

Customer: replied 2 months ago.
Ok, I see. It's the only thing they've been able to tie all of these symptoms and my extremely high blood pressure together to. They've had me on 3 different meds for my blood pressure and heart palpitations for 5 years. Nothing has helped. Today my BP was 133/96.
They've checked my cholesterol, it's great. I'm a healthy weight 5'3, 139.
Expert:  abray1115 replied 2 months ago.

Myocarditis may cause chest pain / shortness of breath / weakness/ EKG changes / abnormal blood tests related to heart muscle ( CK - MB/ Tropinin )

Customer: replied 2 months ago.
I guess I'll find out within a week
Expert:  abray1115 replied 2 months ago.

It would be best seeing your AVERAGE BP to be controlled to less than 135/ 85 ...

Your numbers were a bit high above ...

Customer: replied 2 months ago.
This was one of the better reading. I think it's low. I take lonistar, triamtermene and metoprolol. Per my cardiologist with 3-5 years on all of these meds, the bottom number she have started coming down, not continuing to go up.
Expert:  abray1115 replied 2 months ago.

Hello again,

Your BP meds may need to be adjusted if you have ongoing average is >> 135/85 ...

If you are on a regimen the numbers usually stabilize but to DO not trend better over long period of time ...

It is the opposite -- BP trends up for most of us with our age ...that is the typical finding ....

I hope that this is helpful for you

Best regards!

Anthony Bray MD

Customer: replied 2 months ago.
This is normal? I'm only 35, this started when I was 29.
Expert:  abray1115 replied 2 months ago.

The high blood pressure is common more at higher age ...

I had to start BP treatment at age 25 so it is not so uncommon either ....

Customer: replied 2 months ago.
I do know (per my nephrologist) my body produces to much adrenal
Expert:  abray1115 replied 2 months ago.

Hello again,

That may mean that you have adrenal growth = pheochromocytoma ...

That may need to be addressed for you ...

Discuss further with your nephrologist

Best regards---

Anthony Bray MD