HEART DISEASE
COMMUNITY
Left Ventricular Diastolic Dysfunction
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by are1982, Oct 19, 2009
Recently I had a Angiogram done and the report reads as follows.  Can someone help me understand what this means, my Cardiologist doesn't do a very good job of explaining things.  And is this reversable?

Cardiac Cathertherization Results:  Selective injection of the left main coronary artery reveals a moderate sized vessel with short left main, which is a codominant system.  The vessels, LAD, circumfle, and all of their branches are free of any significant stenosis.  Selective injection of the right coronary artery reveals a moderate sized vessel, wihch is also free of any significant disease.  Left ventricular fraction was 70%.  The left ventricular end-diastolic pressure was mildly elevated at 17mmhg.  There was no gradient on LVAL pullback and no mitral regurgitation was seen with the ventricular angiogram.

Impression:  No visible cornary heart disease.  The patient does have diastolic dysfunction.  
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Member Comments (6)
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by erijonBlank, Oct 19, 2009
Diastolic dysfunction means that the left ventricle does not relax enough on the diastolic portion, or refilling of the left ventricle, of each beat. This is a fairly common finding and is usually found during an echo which can measure the size of the chambers and walls of the heart. Have you had an echo and if so what did that report show? This could be the result of hypertension so you should have that checked as well.

Other than that, a pretty good report, congrats!

Jon
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by diva2007, Oct 19, 2009
Well I Had A anginogram in April and my Left Ventricular Distolic pressure was 27 and I was diagosis with Left Ventricular Distolic Heart Failure cause of sign I have. It Also Said I had Mildly Reduced Cardiac Output Using The Fick Method. I'm on Coreg, Lasix Cardizem, Imdurand Nitroquick as needed Cause I also have Coronary Artery Spasm with Mircovascular Heart Disease with PAH.  
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by joanincarolina, Oct 20, 2009
Why did you need to have a heart catherization? Did you have cardiac symptoms and as Jon asked, did you have a cardiac echo done prior to the cath/angiogram? Your age and sex would be helpful also. Diva is known to me and has multiple issues especially cardiac ones and requires all those meds she mentions. Your signs may be different, and not one single cardiac test will determine the whole picture. And if you don't understand a doctor's evaluation, then go back and ask again. Doctors may appear rushed but it does no good to follow a doctor's advice if you don't understand the advice. A second opinion is always good. It's your health!  Joan.  
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by sdstew, Oct 20, 2009
I have been told that I have left side diastolic dysfunction. Also been told that I have all of the systems of diabetes without having diabetes. Could there be a relationship here. And what is ideopathic dysfunction.Since I have passed through the Dr. telling me I would be dead in 3 years, I am now checking up on what they actually found. I have also been diagnosed with peripheral neuropathy in my feet. Drs. last notes were that my breathlessness and other symptoms were psychological and high stress related. I'm ok with that, just wanting to make sure I don't miss anything. Demi
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by are1982, Oct 21, 2009
Hi Jon,

Thank you for your help.  Below is the report from my ECHO.  How often do I have to have these test done?  I am a 45 year old female.

Chambers:
LV:  Cavity size is normal.  Wall thickness is normal. There is no evidence of concentric or asymmetric hypertrophy, aneurysm, or pseudoaneurysm.  Overall systolic function is normal.  There are no global or regional wall motion abnormalities.  Diastoli filling is normal.
EJECTION FRACTION (estimated 65%)
LEFT ATRIUM:  Cavity size and wall thickness are normal.  There are no global or gegional wall motion abnormalities.
RIGHT ATRIUM:  Cavity size is normal.  There is no evidence of thrombus, mass or atrial septal defect.

VALVES/DOPPLER
MITRAL VALVE:  The valve structure is normal with thin mobile leaflets.  Doppler study shows evidence of mild regurgitation.
AORTIC VALVE:  The valve structure is normal, with thin mobile leaflets.  There is no evidence of vegetation.  Doppler study demonstrates no evidence of stenosis or regurgitation.
TRICUSPID VALVE:  The valve structure is normal with thin mobile leaflets.  There is no evidence of vegetation.  Doppler study demonstrates no evidence of stenosis or regurgitation.
PULMONIC VALVE:  The valve structure is normal, with thin mobile leaflets. There is no evidence of vegetation.  Doppler study demonstrates no evidence of stenosis or regurgitation.  
PULMONARY PRESSURE:  Estimated pulmonary artery pressure is normal.
AORTA:  There is no evidence of thickening or effusion

DIAGNOSIS:  424.0 Mitral disorders, non-rheumatic
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by erijonBlank, Oct 22, 2009
Really depends on your doctor, your report doesn't show anything bad, really a pretty good report and almost identical to mine. I was told to repeat in 5 - 7 years or if you develop any heart related symptoms. Your doctor may want to recheck in a year or two just to make sure there is no change in the regurgitation of the mitral valve.

Great report, congrats!

Jon