Q. Is it safe to perform cardiac catheterization for breathing issues and toe discoloration in a patient with lupus?
Hello doctor,
I am a 29-year-old black woman with a pre-medical history of lupus, Raynaud's phenomenon, and migraines. Since being diagnosed with lupus two years back, I have been having difficulty breathing and it was found that I have tachycardia, and the doctor is treating me with Metoprolol. Metoprolol helps with shortness of breath when I am at rest, but once I start doing things like brushing my teeth or getting dressed I feel out of breath and sometimes become sweaty the more I move around. I have been extremely tired and it is getting increasingly worse over the months. I have a number of imaging done and the doctors do not have an answer for what could possibly be going on. I also have the lupus anticoagulant. I am worried because I keep getting worse, along with the breathing issues, I am holding a weight in my abdomen area despite eating healthy and exercising within my limits, and notice my toes turn bluish purple a lot more than usual. I used to run miles for exercise, but since being diagnosed with lupus and developing breathing difficulty, I become out of breath walking less than 100 feet. My doctor has a right heart catheterization scheduled for next month but I am wondering if anything can be determined from my reports and images before the catheterization.
Hello,
Welcome to icliniq.com.
I read your query and can understand your concern. No doubt, it takes a lot of courage to face a health challenge like this. I admire your strength. Your ECG (echocardiogram) report, echocardiography, and cardiac MRI (magnetic resonance imaging) are normal (attachments removed to protect the patient's identity). No cardiac dysfunction and no pulmonary hypertension as well. So, most likely your symptoms are noncardiac. One more test, called NTproBNP (natriuretic peptide) levels should be done. It is basically a screening test. If it is negative, there is usually no need for echocardiography, but if it is positive, then echocardiography is advised. SLE (systemic lupus erythematosus) is a multi-organ disease that affects the lungs, kidneys, heart, skin, etc. Please have a workup for pulmonary diseases like asthma, and interstitial lung disease. You are going for a cardiac catheterization which is done when the symptoms and cardiac imaging data do not match. But I would also recommend having a pulmonary workup done, one of them being a cardio-pulmonary exercise test (CPET). Shortness of breath on exertion has many causes, the heart is one of them. I hope your catheterization will also be normal. Thanks and take care.
Was this answer helpful?
|Same symptoms doesn’t mean you have the same problem. Consult a doctor now!
Related Questions:
Cardiac Computed Tomography - Uses, Procedure, Advantages, and Risks
It is not only limited to coronary vasculature but can also yield information on other causes of chest pain, like aortic dissection or pericardial disease ... A cardiac computed tomography (CT) is a non-invasive diagnostic im Read full
Why do I have difficulty breathing on the left side of my nose and difficulty sleeping at night?.. understand your concern. According to your statement, you have been suffering from difficulty breathing in the left side of the nose, difficulty breathing with the mask, and inability to have a long night's sleep. Read full
What is the effect of congenital heart disease during pregnancy?.. your wife's reports, she is having perimembranous vsd (ventricular septal defect) and severe pulmonary stenosis (PS). But, she does not have any complaints. Patients with severe PS will mostly tolerate pregnancy and 8 mm vsd will not be a concern. Read full
Also Read Answers From:
Comprehensive Medical Second Opinion.Submit your Case
iCliniq's FREE Newsletters
Expert-backed health and wellness information, delivered to your email.
Thank you for subscribing to our Newsletters!
Also Read
PCOS and Liver Problems
The hormonal imbalances in polycystic ovary syndrome could cause liver diseases. Read the article to know the relationship between these medical conditions. Read more»
Inferior Alveolar Nerve Lateralization Technique
The inferior alveolar nerve lateralization technique is a surgical lateralization technique to reposition the nerve. Read the article to know more about this. Read more»
COVID-19 and Ebola: Similarities and Differences
This article gives a comparison and broader overview of the outbreak of the two deadliest diseases that showed a greater incidence over the last two decades. Read more»
Ask your health query to a doctor online?
Ask a Cardiologist Now* guaranteed answer within 4 hours.