Pulmonary Embolism Support Group
By far the most common form of pulmonary embolism is a thromboembolism, which occurs when a blood clot, generally a venous thrombus, becomes dislodged from its site of formation and embolizes to the arterial blood supply of one of the lungs. Symptoms may include difficulty breathing, pain during breathing, and more rarely circulatory instability and death.
If your heart ECG scan was normal, there is little chance of PH. You should be able to find out what your pressure reading was and convince yourself its in the normal range. Your doctor sounds like he is right.
Well, long story short, it wasn't another clot. We traced my symptoms back and realized they started the day we had the carpets cleaned. The fumes from the cleaner were just too much. A few good vacuums and leaving the windows open and I was much better.
Of course, it could also be weather related. Or, if you're pushing yourself a little more than you have been, it could be that too. Or you could be fighting a cold. Could be a lot of things, but I do know that I it sounds pretty normal for PE recovery. I had bouts of SOB and increased pain up until 11 months after my diagnosis and it was always just me pushing my lungs a little too hard.
With PEs, they generally give you 6-9 months for your body to sort itself out before even considering PH. If your ECG scans and hence pulmonary artery pressure are OK, you are unlikely to have PH. I believe PH (CTEPH) develops in a few percent (1-3) of acute PE patients. Having clots for a few months before a proper diagnosis isn't too unusual (unfortunately). If you're scans show that your heart isn't too affected, you've come out OK.
With me, SOB, dizziness, ... comes and goes. There is still quite a bit of time before you get back to something approaching normal.
If you really worried about it and you find it is not improving, I think it's a discussion reserved for your doc, since they have all your history, test results, etc.
What about just taking a wait and see approach. Could you see if your SOB worsens over the next few weeks. Or determine if you're experiencing other things that can be indicative of PH, like SOB after exercising specifically, dizziness when getting up, edema, racing heart, etc. If so, then see your doctor and say, ok, my SOB is getting worse, or now I have xy and z symptoms.
Remember too the more you focus on your breathing, the more it can make SOB feel worse. So take that into consideration if you're finding you're getting anxious.
We can't tell you for sure if you don't or do have PH. You have to rely on a doctor to make that diagnosis. I don't know that they're dismissing you because of your age. It may just be you don't present as someone who has PH at this point.
This morning, I was having a weird breathing issue. It's so super windy here this morning, blowing all kinds of crap and snow around and it's about 20 degrees colder today than it was yesterday and it sort of took my breath away when I was walking from the house to the garage. It took a couple of minutes for my chest to not seize up. So weather can be factor. My PEs were several years ago and I still have those moments.
I think pain is a hard thing to describe because people interpret it differently.