Routine echo shows moderate pulmonary hypertension. What does it mean?

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This means pressure in the pulmonary circulation has increased likely due to lung problem (if echo is not showing any abnormalities other than this). Likely this is related to obesity although we need to rule out other causes of pulmonary hypertension by doing CT (computed tomography) scan and other few investigations. Do you have shortness of breath, any other symptoms to suggest some cause? You should focus on healthy lifestyle and weight loss.

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It does not appear to be a worrisome matter. So likely cause in you is obesity-related only. I guess you do not have night symptoms like snoring, interrupted sleep, frequent awakenings, daytime sleepiness, etc. So this rules out obstructive sleep apnea. Another important thing, we need to rule is DVT (deep vein thrombosis), which I guess is also not there. Symptoms include pain and edema of legs, history of some trauma and bedridden state for some time or any major medical and other surgical illness in the past requiring hospitalization and bedridden state for few days. And physician must have auscultated you to rule out crepitations and interstitial lung disease. I assume you do not smoke and if yes then please quit. Also, see if there are any work-related exposure to fine particles, etc. So these rules out common causes. And that is great, you are losing weight and continue to do so. Pressures will take few months to decrease after you have lost weight if it is only related to obesity. So I think, the best course of action for you is repeating echo after six months as your appointment is at that time, and if pressures are still high then HRCT (high-resolution computed tomography) chest, pulmonary function test, and VQ (ventilation-perfusion) scan.

Hi,

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You are welcome and all the best.