I am 32 years old single female and the 2D Echo revealed that I have a dilated left ventricle (5.7). The specific finding is as follows: dilated left ventricle with hypokinesia of all left ventricle segments except the inferolateral left ventricular free wall B-M.
The other results are as follows: EF - 41%; FS - 20%; normal left atrial, right atrial, and right ventricular dimensions; thickened aortic cusps without restriction of motion; thickened mitral valve leaflets; structurally normal tricuspid valve and pulmonic valve with good opening and closing motion; normal main pulmonary artery and aortic root dimensions; no pericardial effusion noted mild tricuspid regurgitation; mild pulmonic regurgitation; and estimated pulmonary artery pressure at 28 mmHg by TRJ.
I sometimes feel that I palpitate (especially when I am stressed out) and my blood pressure is most of the time 90/60.
Should I be be concerned about this result or is it common? The doctor suggested that I undergo angiogram but I feel that it is an invasive test. Are there other tests that can reveal the cause and severity of my dilated left ventricle?
Segmented LV wall motion abnormalities (hypokinesis) are characteristics of myocardial infarction. The damaged myocyte heart cells inhibit the contractilty of the heart chamber thereby reducing EF (ejection fraction...amount of blood pumped into circulation with each heartbeat...normal is 55 to 75%).
FS is "fractional shortening": It differs from EF (calculations are associated with chamber volume/capacity before and after contractility) in that an enlarged LV functioning is associated with the calculation of the dimensions (before and after contractility) of heart chambers. Normal range: above 30% is considered normal, 26 to 30% represents a mild decrease in ejection fraction.
An angiogram is to determine if the underlying cause for less than normal EF and FS is associated with ischemia (blocked coronary vessels). It appears the valves can be ruled out as the underlying cause (an echo is the best test for valve integrity and functionality) as trivial and mild are considered insiginificant..
An angiogram is a test that injects a contrast dye into the blood stream and takes images of heart vessel blood flow. An interventional angiogram is with a cath, a CT scan 64 slice angiogram is almost as good as a cath and can be a test of choice.
There should be some concern as the condition if not treated can develop into heart failure, arrhythmia, etc.
Copyright 1994-2016 MedHelp International. All rights reserved.
MedHelp is a division of Aptus Health.
This site complies with the HONcode standard for trustworthy health information.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.