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What Does My Echocardiographic Stress Test Report Indicate?

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Posted on Mon, 2 Feb 2015
Question: Hi, I have a daughter she's now 4 months, she has a congenital heart problem, doctor wrote on a letter "Echo showed situs solitus with AVVA concordance and mid-muscular VSD with a velocity of more than 4.3m/s. The heart was balanced without any valvular leaks laminar flow across the large big arteries in clinic pulmonary arteries and its branches and descending aorta velocity was 1m/s

So my impression is she has got a VSD which is mid-muscular unlikely to require any intervention. "

Could you please advise if she can travel for 10 hours on a plane for holidays for one month to bogota which is 8800f or 2600m above sea level, we live in London which is aprox 30m above sea level, so would such a big increase in altitude wouldn't make any problem? Her heart would be ok with that? Thank you.
doctor
Answered by Dr. Sumanth Amperayani (52 minutes later)
Brief Answer:
Suggestions on high altitude

Detailed Answer:
Hi...

1. Traveling in a plane is not a problem. She can travel 10 hours. As the plane's cabin is pressurized, nothing will change in body physiology.

2. Kids born with heart problems such as ventricular septal defect (VSD), theoretically, may experience increased symptoms at high altitude. Normal blood flow through the heart may get pushed through these holes in the heart in what is called right to left shunting. Caution should be exercised when considering high altitude exposure in babies with these issues. Use of oxygen at high altitude will prevent any problems.

3. But your baby doesn't have a hemodynamically significant vsd.... So it may not affect her.

But my suggestion will be not to venture.

Regards - Dr. Sumanth
Note: For further queries related to your child health, Talk to a Pediatrician. Click here to Book a Consultation.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Sumanth Amperayani

Pediatrician, Pulmonology

Practicing since :2003

Answered : 8339 Questions

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What Does My Echocardiographic Stress Test Report Indicate?

Brief Answer: Suggestions on high altitude Detailed Answer: Hi... 1. Traveling in a plane is not a problem. She can travel 10 hours. As the plane's cabin is pressurized, nothing will change in body physiology. 2. Kids born with heart problems such as ventricular septal defect (VSD), theoretically, may experience increased symptoms at high altitude. Normal blood flow through the heart may get pushed through these holes in the heart in what is called right to left shunting. Caution should be exercised when considering high altitude exposure in babies with these issues. Use of oxygen at high altitude will prevent any problems. 3. But your baby doesn't have a hemodynamically significant vsd.... So it may not affect her. But my suggestion will be not to venture. Regards - Dr. Sumanth