This is solely my personal experience with the 6-minute walk tests done for judging the level of fatigue/shortness of breath experienced during the walk. I think this test is all wrong for truly determining the degree of symptoms experienced by someone with pulmonary arterial hypertension. First the test is performed inside in comfortable heating/cooling conditions. Second, you walk at your normal pace. Third, you stand straight up. My shortness of breath and dizziness occurs when I am exposed to cold and or hot temperatures. If I bend over I immediately get dizzy. I can walk all day inside and have hardly no distress but put me outside in the summer and I can't breath immediately. So much of my medications and overall treatment regime has been based on this walk test. I always do really good so my doctor keeps me on the same medications. Then after a year and a half I receive another heart catheterization which shows the right side of my heart bigger and my pressures way worse than my previous heart catheterization. Now my doctor switches all my medications and admits that the previous medications didn't help. Meanwhile I had been telling my doctor about my symptoms worsening.