LVEF 30%, IHD with LV Dysfunction, (Normal LV diastolic function)

Please help me understand 2d echocardiography report, and stress test report and what to do ? should i go for angiography ?

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Male  Age 47 years, weight 95 kgs, height 173 cms -- Non smoker, Diabetic - No,   Medication - No

Sector echocardiography
Mildly dilated LV, -- Normal size LA,RA and RV-- LV dysfunction. Distal IVS, LV apex and infero-posterior wall is hypokinetic, Overall LVEF 30%--  structurally normal valves-- No evidence of pericardial effusion.

Conventional Doppler
Normal LV diastolic function--There is no gradient across LVOT or RVOT--.

Colour Doppler
Trivial MR (grade<1/111) -- Normal flow across all orther valves

Impression
IHD with LV dysfunction, Overall LVEF 30%  -- NORMAL LV Diastolic function.
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STRESS TEST RESULT
Total ex time 4.4 min

Max HR  - 143bpm  82% of max predicted 173bpm
Max BP  -140/80
Maximum workload 6.6 METs
Reason for termination Asymptomatic ST dep
Comments finding positive for Reversible ISCHAEMIA upto 4.4 min of ex.

[sitaram986]

Dear,

Your Report Shows mild abnormalities.do not worry Kindly get in touch wioth cardiologist

Regards

Dr S R Kov

[kenkeith]

Your left ventricle is dilated and your heart is not pumping a normal output of blood/oxygen.  Normal output is 50 to 75% and is recorded as ejection fraction (LVEF). Your EF is 30% and heart failure is 30% and below.  QUOTE: "LV apex and infero-posterior wall is hypokinetic*, meaning heart wall in question has heart cell damage and it impairs wall movement, and that would be the cause of the low EF.  

The cardiologist should determine the underlying cause and treat.  The underlying cause can be coronary vessel blockage, and the lack of blood/oxygen flowing to the location in question can be the cause.  The left ventricle dilates as a result of the blockage and dilates due to the increase of resistance of the blood vessels.  

Or the heart wall movement impairment could be due to heart cell damage caused by a virus, alcohol, drugs, medication, etc.

The stress test was terminated due to abnormality shown on the EKG indicating ischemia (lack of blood flow) to heart cells, and normal flow results when not exercising..