Hello,
Thank you for your query at DoctorSpring.com
Regards from our team.
I had gone through the medical records, and I wish to assure you that everything seems fine and there is absolutely no need to press the panic button now.
I wonder if any evaluation was done for a stroke that happened at an age of 64, or was it presumed to be normal atherosclerotic ischaemic stroke?
By any chance have you calculated her body mass index? Is she obese? What about her neck circumference? Does she snore during sleep? Did she have any breathing difficulties/ on rest, with change in climate or day or seasons? Does she have any breathing difficulties during walking?
Why would I ask you to ignore the minimal pulmonary artery hypertension- because it's associated with age, it's still mild, and above all, it's measured by transthoracic echo, which is highly erratic for assessment of pulmonary hypertension.
What all would I suggest if you are still keen for evaluation??
1). Sleep study.
2) pulmonary function test, with diffusion capacity.
3). Chest x ray.
And based on above, if indicated, a hrct thorax.
A pulmonologist would be able to do a physical examination of lungs, and help you further.
The reports of pulmonary hypertension you read over net would be those of primary pulmonary hypertension, that begins in bit younger age, and progresses over time - which is not the case here.

Hope I might have cleared your doubts.
Regards,
Dr. Jacob George P
MD IDCCM FCCP

Dear friend,

I suggest you try a sleep study to know if she is desaturating during sleep. I expect it. And if it's severe, a cpap might be required, and it will help to cut down further chances of stroke.
Else, we can ignore it..

Regards

Hi,

Suggest you do it professionally.. But any value less than 88 will be alarming. There is something called apnoea, hypopnea index which is difficult to detect randomly.
Regards