Grade II Diastolic Dysfunction is noted.

Hi,

I have gone for a Echo-cardiogram, and got some results back from the Doctor.

when i asked for more information the GP has refereed me back to cardiologist and asked me to check with them for more information.

since there is lot of time before i see them, me and my family are little worried.

if someone can please help me, and tell me in simple terms what this report means that would be a great help.

Exam: ECHOCARDIOGRAM
M-mode
LV Diastolic 5.1 (3.2-5.6cm)
LV Systolic 2.9
IV Septum 1.0 (0.6-1.1)
Posterior Wall 0.9 (0.6-1.1cm)
Aorta 3.4 (2.0-3.7)
Left Atrium 4.0 (1.9-4.0 cm)
FS 44 (37+1-7%)
Etc 75 (>50%)

LV Function and 20 Measurements
LA Area 25 «20cm2
) RA Area 16 «20cm2
)

Mitral Valve
E Velocity 1.0 m/sec E'Velocity 0.06 m/sec
A Velocity 0.9 m/sec E 1 E' 15
Decel Time 204 m/sec A Duration 150 m/sec


Pulmonary Vein
S Velocity 0.5 m/sec o Velocity 0.4 m/sec
AR Velocity 0.2 m/sec AR Duration 108 m/sec


Aortic Valve
AV Velocity 1.7 m/sec AVVTI 1.2 cm

Tricuspid Valve
Peak TR Velocity 2.9 m/sec est. RA pressure 5-6 mmHg
RVSP 40-45 mmHg

Pulmonary Valve
PV Velocity 0.7 m/sec

Comment
Left ventricular systolic function and size is normal. Normal left ventricular wall
thickness.
Grade II diastolic dysfunction is noted.
The aortic valve demonstrates mild sclerosis with no regurgitation or stenosis. There is
a mild tricuspid regurgitation and trivial mitral regurgitation.
RVSP is mildly elevated to 40-45 mmHg. The left atrium is enlarged measuring 25 cm2
•
Right atrium and ventricle have normal size and appearance.

what does this mean.
any help would be greatly appreciated.

thanks,

[vienna13]

I see the word "normal" a few times.That is great!  I am not a doctor, but some patient here knows more than the doctors :),, so they might say something for you if they read that. I personally think, only a doctor should read and explain test results.

  Also you might want to post that here on the “related expert forums” just roll down about the middle of the page  and right side it is,  click on the ‘heart disease’.
Hope it helps AND do NOT worry, that not helping! You will be fine!

[kenkeith]

It may take a doctor to evaluate your medical condition when correlating your symptoms, signs and other tests and that is info beyond anyone other than your doctor who should be able to put everything together for an analysis...that necessary information is not available to anyone other than your doctor. We can provide an insight that will enable you to more effectively consult with your doctor, etc. I'm sure you already know we don't provide any diagnosis nor prognosis and you don't expect that I'm sure.
Thank you for your questions:

Q: Left ventricular systolic function and size is normal. Normal left ventricular wall thickness.

>>>>>>The left ventricle is the chamber of the heart that pumps blood into circulation, and sometimes the chamber pathologically enlarges and/or wall thickens.  Your LV is structually normal.  

Q: "Grade II diastolic dysfunction is noted".

>>>>Diastolic dysfunction refers to decline in performance of one or both right or left ventricles of the heart during the blood filling time (diastolic).  Filling the left ventricle is oxygenated blood from the lungs, and the right ventricle is filled with blood from the body to be pumped to the lungs to be oxygenated. There appears to be a problem with the diastolic phase (filling phase) with the right ventricle.  

Q: RVSP is mildly elevated to 40-45 mmHg. The left atrium is enlarged measuring 25 cm2

>>>>>>Right ventricle systolic pressure (RVSP). This condition indicates there is an abnormally high resistence that the right side pumps against and it may result in less than normal blood being pumped to the lungs and as a result less blood gets to the left side to be pumped into circulation...this would be the underlying cause for your diastolic dysfunction. And could account for the left atrium enlarged.  Left atrium is the upper chamber that receives blood from the lungs and from there to to the left ventricle.

The conditions don't appear to be advanced as the other chambers are normal size, and the left ventricle is pumping adequately...just not receiving as much oxygenated blood that would be optimum.

I hope this provides a perspective and some insight that will enable you to discuss treatment (if necesssary) with your doctor and any other concerns you may have.  What appears to be of concern is the pulmonary pressure that appears to be a little high.

Thank you for your questions, and if you have any other questions or comments you welcome to respond.  

Ken

[vienna13]

I just bring it up for you!

[janinco]

Just saw this post - I would encourage you to see a pulmonologist to see if you are developing a condition called pulmonary hypertension.  The elevated RVSP is a tip-off ,but most people don't catch it that early.  There is a more accurate test to measure the pulmonary arterial pressure.  Jan