This question is for pulMologist!hope you are well! My mom is a px of Stanford Hospital in Palo Alto, Ca. For past 10 yrs. she was born with congenital hole which was repaired in 1975 in Queen's hospital in England. She is currently almost 78 now. She has a hx of PVCs for which she goes in for Echo and Holter monitor yearly. Her last echo was 07/07/15. It showed normal left side of heart but increase pressure right side with slight inc in heart damage from previous echo one yr. the pressure last yr was 25 now is 41. I am very concern about her Dx of possible pulmonary hypertension Her previous cardiologist moved to Texas about 2 yrs ago . However, during the visit he would pull the echo and review everything with us. How reliable is echo ? Can different techs get different findings? Since this is a hospital setting can the echo be misinterpreted ? How serious is her condition? She has no swellingin her ankles, no dizziness , no shortness of breath. She does cough but she always did. Not more than normal. Please advice!