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Prognosis and Treatment
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Prognosis and Treatment

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!

CONCLUSION:

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

COLOR DOPPLER STUDY:

Abnormal diastolic filling pattern.
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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.
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