Aa
A
A
Close
Avatar universal
Pls help - 2D Echo results - Low LVEF 25%
Below are  my 2D Echo results. Pls advice what should be my next step. Should i go for angiography?

Global Hypokinesia; LVEF 25%. Jerky septum (LBBB)
Normal right ventricular systolic function
Dilated left Ventricle (5.3/4.7 cm). High normal left Atrium
Mild eccentric MR.
Mild TR (PASP=24mm Hg)
Diastolic relaxation abnormality (A>E), E/E’ ~12, s/o LVEPD (~8~12mm Hg)
IVC normal in size, >50% collapse with inspiration, suggestive of normal RA pressure
No intracardiac clot/vegetation/pericardial effusion seen

I am an otherwise healthy person and can walk for 3-4 kms at a stretch without fatigue and never had a heart attack or chest pain. Pls advice.
Cancel
3 Answers
Page 1 of 1
367994 tn?1304957193
Hypokinesis is an impairment of heart walls and as a result a lower than normal ejection fraction (normal is 50 to 70%).  Underlying cause can be high blood pressure.

Also, dilated Left Ventricle can also be the result of high blood pressure.  Also, the filling of blood phase is impaired due to wall stiffness.  That can also be related to high blood pressure.

Jerky septum.  Septum is the wall that separates the right and left side of the heart.  Along the septum are electrical pathways for impulses to pass into the ventricles to cause contractions.  LBBB indicates there may be a some occasional obstruction to block the impulse and that could cause an irregular and harmless missed beat, etc..

Thanks for sharing, and if you have any followup questions you are welcome to respond.  Take care.

Comment
Cancel
367994 tn?1304957193
Comment
Comment
Submit Comment
976897 tn?1379171202
Until they sort out the pressure and possible coronary artery disease, I would restrict your exercise. You really don't want the left ventricle enlarging any more.
Comment
Cancel
976897 tn?1379171202
Comment
Comment
Submit Comment
Avatar universal
my mother's 2D echo showed same report as rahul.My question is that Is it fatal to  her?  or it is harmless as you said above.our family doctor have recommended us to go for angiography .Is it curable with medicines ? Or will have to go for angioplasty? She has high blood pressure.
Easily become discomfort on the name of operation.Our family doc relying on Angiography report for further treatment.
Comment
Cancel
Avatar universal
Comment
Comment
Submit Comment
Your Answer
Avatar universal
Answer
Know how to answer? Tap here to leave your answer...
Answer
Submit Answer
A
A
Top Heart Disease Answerers
159619 tn?1318997813
Blank
erijon
Salt Lake City, UT
11548417 tn?1440481484
Blank
Ger57
Netherlands
Avatar f tn
Blank
achillea
CA
Avatar m tn
Blank
tacolino
Ireland
Avatar m tn
Blank
Occupant
IL
144586 tn?1284669764
Blank
caregiver222
Blank
BloodPressure Tracker
Monitor Your Blood Pressure
Start Tracking Now
Blank
HeartRhythm Tracker
Track your Heart Condition
Start Tracking Now
Recent Activity
4522800 tn?1459192030
Blank
VICourageous Knock-Knock..Anybody Home?? Comment
7 hrs ago
4522800 tn?1459192030
Blank
VICourageous commented on stilltrying1965's status
7 hrs ago
1236893 tn?1408490528
Blank
50-Year Cover-Up
11 hrs ago by gymdandee
Heart Disease Community Resources
RSS Expert Activity
233488 tn?1310696703
Blank
Marathon Running Done Over Many Yea...
05/15 by John C Hagan III, MD, FACS, FAAOBlank
233488 tn?1310696703
Blank
New Article on Multifocal IOL vs &q...
05/15 by John C Hagan III, MD, FACS, FAAOBlank
748543 tn?1463449675
Blank
TMJ/TMJ The Connection Between Teet...
01/15 by Hamidreza Nassery , DMD, FICOI, FAGD, FICCMOBlank
Top Heart Disease Answerers
159619 tn?1318997813
Blank
erijon
Salt Lake City, UT
11548417 tn?1440481484
Blank
Ger57
Netherlands
Avatar f tn
Blank
achillea
CA
Avatar m tn
Blank
tacolino
Ireland
Avatar m tn
Blank
Occupant
IL
144586 tn?1284669764
Blank
caregiver222