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Heart Disease (Expert Forum)
Re: Please help, I'm real scared
This forum is for questions and support regarding heart issues such as: Angina, Angioplasty, Arrhythmia, Bypass Surgery, Cardiomyopathy, Coronary Artery Disease, Defibrillator, Heart Attack, Heart Disease, High Blood Pressure, Mitral Valve Prolapse, Pacemaker, PAD, Stenosis, Stress Tests.
Re: Please help, I'm real scared
by Laura__0__0, Jan 01, 1995 12:00AM
Posted By Laura on June 04, 1999 at 11:50:03
Hello,
I really need your advice. Below, I am listing some recent tests I've had done. My symptoms are as stated at the beginning of the first test. First came the Echocardiogram, then the stress test, and then the emergency room report (where I went for racing heart).
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Echocardiogram
Indications: Chest pain, and shortness of breath with exertion. Obese, hypertensive (mild), smoker
Plan: Evalute cardiac contractility
This real time ultrasound study demonstrates strong cardiac contractions without evidence of akinesis. The left ventricle diameter measures 5.65 cm in diastole and 4.3 cm in systole. The septal wall measures 0.31 cm in diastole and 0.65 cm in systole. The posterier wall measures 0.62 cm in diastole and 1.13 cm in systole. The valve closure is good without vegetation. Estimated M-mode diastolic volume is 156 ml and systolic volume 109 ml. The estimated ejection fraction is 30%.
Impressions: Suggesti
Hello,
I really need your advice. Below, I am listing some recent tests I've had done. My symptoms are as stated at the beginning of the first test. First came the Echocardiogram, then the stress test, and then the emergency room report (where I went for racing heart).
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Echocardiogram
Indications: Chest pain, and shortness of breath with exertion. Obese, hypertensive (mild), smoker
Plan: Evalute cardiac contractility
This real time ultrasound study demonstrates strong cardiac contractions without evidence of akinesis. The left ventricle diameter measures 5.65 cm in diastole and 4.3 cm in systole. The septal wall measures 0.31 cm in diastole and 0.65 cm in systole. The posterier wall measures 0.62 cm in diastole and 1.13 cm in systole. The valve closure is good without vegetation. Estimated M-mode diastolic volume is 156 ml and systolic volume 109 ml. The estimated ejection fraction is 30%.
Impressions: Suggesti
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Dear Laura
Your degree of LVH would not cause the low ejection fraction. Obesity, smoking and high blood pressure will practically guarantee the development of serious heart problems in the future. You need to stop smoking today, and work on losing a significant amount of weight over the coming months. The low ejection fraction could be a function of your high blood pressure (if it has not been controlled for a period of years) - this will need to be treated aggressively. It is also possible that your weight interfered with the ability to obtain clear echo pictures and that the heart may not be as bad as the test indicated. Depending on your age, coronary artery disease may still be a possibility. Regarding heart failure, you are certainly at risk of developing it.
I hope this has been useful. Feel free to write back with further questions. Good luck.
Information provided here is of a general nature. Specific diagnoses and treatments can only be made by your doctor. If you would like to be seen at the Cleveland Clinic, please call 1-800-CCF-CARE for an appointment with a cardiologist at Desk F15.
Follow Ups:
Please help, I'm real scared Laura 6/06/1999
(1)
Re: Please help, I'm real scared CCF CARDIO MD - DLB 6/08/1999
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