Do height and weight play a role in aortic regurgitation?
Hello doctor,
I am 57 years old. I had a recent echocardiogram to monitor my moderate aortic regurgitation and mildly dilated aortic root and ascending aorta of 41 mm. Both remained stable. My rest echo report indicated the following such as normal left ventricular size, overall low normal systolic function with and EF of 54, LV FS equals 27%, no resting regional wall abnormalities, spectral doppler shows impaired relaxation pattern of LV diastolic filling and indeterminate LV filling pressure with E/A ratio equals 8, normal right ventricle size, wall thickness, and systolic function RVS equal 15 cm, mildly dilated left atrium of 23 cm2, normal right atrium, normal pericardium, tricuspid aortic valve with localized prolapse of the anterior half of the right coronary cusp resulting in eccentric posterolaterally directed aortic regurgitation with no evidence of stenosis; PPG of 12mmHg; moderate aortic regurgitation 2-3/4; resting LVOT SV equals 125 mL Indexed equals 62 mL/m2, mild regurgitation of mitral and tricuspid valves 1/4, and normal pulmonary artery systolic pressure. RVSP equals 31 mmHg. My questions are as follows. My height, weight, and body surface area are 5' 4" feet, 211 pounds, 2.03 m2. l am actually 5' 9" tall and was wondering if this affects the measurements in any way? My cardiologist wants to see me in a year for a follow-up echo and does not think I will need a new valve in the short term. Does this seem reasonable? I am 57 years old and am wondering if I should be worried about the reference to impaired relaxation pattern of LV diastolic filling. I am currently on Atenolol 100 mg, Crestor 40 mg, and Effexor 75 mg. Please help.
17 May 2024 - 1 min read
Is difficulty in breathing a sign of a heart condition?
Hello doctor,
I am taking medicines for the heart. Now, I have difficulty in breathing. So, I decided to see cardiologists. Here are the findings: the study is done using standard transthoracic 2D echocardiographic views. Normal left ventricular internal diameter with left ventricular mass index (LVMI) of 93.9 gm/m2 and relative wall thickness (RWT) of 0.53. There is normal wall motion and contractility with normal left ventricular systolic function with ejection fraction of 59 % by Simpsons. Normal left atrial anteroposterior diameter with left atrial volume index of 20.60 ml/m2 without thrombosis. Normal right ventricular dimension with adequate contractility. Normal right atrium, main pulmonary artery, and aortic root dimensions. Structurally normal aortic, mitral, tricuspid, and pulmonic valves without restriction of valve opening. No pericardial effusion. The result of ECG is sinus tachycardia. I hope you can help me. Thank you.
11 May 2024 - 1 min read
How accurate are machine-generated reports of ECG?
Hello doctor,
I am a 41-year-old male. I have been elected for an EKG because I am a pilot and need a medical certificate. I have hypertension that is controlled easily with 10 mg of Propranolol daily and 10 mg of Lisinopril daily. My BP is 117/70 mmHg with 66 BPM. There are no symptoms of chest pain or shortness of breath ever. Yesterday during a routine visit, I asked the physician's assistant for a 12-lead EKG as I have heard it is a good thing to do. Never had any symptoms, slightly overweight, BP great with 10 mg of Propanolol and 10 mg of Lisinopril. I had an abnormal EKG and asked if I had ever experienced the symptoms of a heart attack. I have a copy of my EKG, which is machine printed that reads "abnormal old anterior infarct." I have an appointment with a cardiologist, but I am going crazy until next week. Should I be worried?
18 Apr 2024 - 1 min read
Can you explain cardiac dysfunction in a patient with deep vein thrombosis?
Hello doctor,
I need to know about cardiac dysfunction. I was told it was found on venous Doppler looking at DVT. What all information can you tell me about the blood vessels having a pulse and it being a cardiac dysfunction? That is all I was left with until the cardiologist consult.
18 Feb 2024 - 1 min read
Will hypertension cause early death?
Hello doctor,
I am a 40-year-old male with a weight of 216 pounds and a height of six feet. I felt choking last month and I rushed to the hospital. It was there I got to know that my blood pressure was very high. In fact, I have been hypertensive for some time now. I did a series of tests including lipid, ECG and echo. The cardiologist told me that I have left ventricular hypertrophy which has got me scared to death. The following are my echo results. The chamber summary is normal except dilation of the left atrium but the LAD is 30.4 mm, IVSD 13.8 mm, IVIDD is 50.8, PWD 12.3 mm, IVSS 16.3, lVIDD 34.6, EDV 130 9 ml, ESV 41 5 mL, SV 89.4 ml, EF at 68.32%, FS 35.82%, IV mass 337.3 g, IV Mass - c 270.4 g, LAD 34.6 mm and RVD 34.6 mm. Both diastolic and systolic functions are normal. The wall motion of left ventricle and contractibility are normal. Aorta valve is normal. Mitral valve is normal. The pulmonary valve is normal. IVC is normal. Pericardial space is normal. Tricuspid is normal. The cardiologist did not tell me the kind of hypertrophy I have and I want to know it, please. Am I likely to drop dead? I am on aggressive blood pressure control taking Losartan 50 mg and Carvedilol 6.25. Blood pressure is always under 120/80. I eat a lot of fruits and vegetables and also have 30 minutes of walk four times a week. Please, will LVH recess over time and can I live for another 40 years?
12 Feb 2024 - 1 min read
