Hello! I am not a medical professional but I will try to suggest a reason or two. First of all, were all of your pressure readings tagged as "systolic" measurements? Also, echo measurements are NOT considered reliable...they are merely used as indicators and normally if an echo systolic reading was over the 40-45 range, a Right Heart catheterization would have/should have been suggested as a next step. Systolic measurements in a RHC are very frequently lower than what shows in an echo. My first RHC number was almost 20 points lower than what my echo had indicated.

If any of your readings were "mean" numbers, they would tend to be lower than a systolic number as it is calculated using a formula with both the systolic and the diastolic numbers.

Hopefully somebody more knowledgeable than I will come along and explain better. And of course you should ask your care team who would know better than any of us.

To keep things simple. It seems you are showing improvement and stability. It could be a combination of your adherence to lifestyle changes and effective medications. The right heart cath numbers are the most accurate. You represent what so many aspire for - physiologic improvement. Good for you. Keep doing what you're doing. Feel good.

Thank you, Heather. I will ask my care team about this.