Could you please explain the 2Decho result of my father in law? His case is ESRD with history of DM, Hypertension and history of alcoholic drinker years back. His first attack was this week and this was his 1st 2D echo.
What is the prognosis and any treatment for this? Thanks!
Dilated left ventricle with global hypokinesia. Systolic and diastolic function are reduced. Normal right ventricle, left atrium and right atrium.
Thickened mitral valve leaflet with low flow configuration and with mild mitral regurgitation.
Structurally normal aortic, tricuspid and pulmonic valves with mild tricuspid regurgitation. Mild pulmonary hypertension(pulmonary artery systolic pressure = 50 mmHg by TR jet)
There is small pericardial effusion
With ERSD aside, the information you have provided indicates there is some general heart wall movement impairment (hypokinesis) and the heart pumping chamber is enlarged and that can explain reduced systole function (pumping ability).
Diastolic dysfunction can be due to enlarged heart walls, and that condition reduces the heart's filling capacity and could be related to heart muscle disease. Alcholol can damage heart muscle and that may be the underlying cause of the heart problems.
All other chambers are normal, and valves have mild leakage and this condition is almost always considered medically insignificant.
The treatment depends on the underlying cause of the dialted left ventricle. Sometimes with proper treatment the left ventricle can return to normal size and hypokinesis properly treated can restore some of the lost functionality of the heart walls.
Copyright 1994-2016 MedHelp International. All rights reserved.
MedHelp is a division of Aptus Health.
This site complies with the HONcode standard for trustworthy health information.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.