I have some questions which hopefully a cardiologist can answer.
1. I have an echo report on myself. Apart from 1.3. mm LV septum and posterior wall thickess the echo report seems pretty normal. The word 'normal' appears against most things, However, I would like to ask in particular about
a) 'Turbulent flow seen in LVOT
b) Under 'Haemodynamic ' There are the following
E 65 CM/S
A 50 CM/S
E 12 CM/S
MITRAL DTE 202 MS
It does say however that Tricuspid Valve Physiological TR Normal Tricuspid Valve
and the sxame for Pulmonary valve
What is tthe significance of these readings ?
What would qaulify as Diastolic Dysfunction ? The temr isnt mentioned in my echo report but I seem to have very easily provoked high diastolic readings when under stress, and yet I have had normal 24 hr BP assessments. My most recent stressed episode produced a diatsolic of 129 mm/hg at the doctors which I might have thought is a bit more than 'white coat'
Anyway, as for this high diastolic tendency, it seems to go back 30 years to when I was a teenager, and I was noted to have a 'foreceful beat which appears to transmit to the apex' I had an ecg when I was 29 and it showds on its face a clear case of LVH but the doctor at the time wrote that at age 29 LVH would not be likely and matters were not taken any further
I am wondering though, whether I might have had some pathological tendency towards develoiping LVH, being as I was felt to have a notably foreful heart beat and murmer ba\ck to mid teenage years
Anyway, my main questions are above these details, and I'd be pleased to receive any guidance as to those terms
There are a number of causes for LVH, of which, the most common is long-standing hypertension. Other causes include disorders of the myocardium such as hypertrphic cardiomyopathy. Diastolic dysfunction is a term that describes a problem with the relaxation of the heart which is a result of the heart being too stiff. This does not necessarily translate to haveing a high diastolic blood pressure reading. Diastolic dysfunction is measured via a number of parameters on echocardiography including the mitral inflow pattern and tissue doppler of the MV annulus (none of which were reported above). The report of your tricuspid valve (physiological TR) is a normal finding saying there is small degree of regurgitation that is physiologically normal.
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