my dad had just had an echo and it resulted that he has unventricular failure . the left ventricle is very dilated and very hypocontrcatile.estimated ef is 30%. small pericardial effusion present,moderate to severe functional mr, both arteries are dilated.RV is dilated and hypocontractile function is moderate to severe TR with a gradient of about 35mmhg. IVC is very dilated and does not collapse with respiration. estimated pulmonary sytem PR of at least 50mmhg. what does this mean? does it mean that there is no treatment for it? if there is what type of treatment there is. .
Your father has biventricular heart failure (meaning the left ventricle and the right ventricle have decreased systolic/squeezing function). An ejection fraction (EF) of 30% is significantly reduced (normal is >50%). Moderate to severe functional mitral regurgitation (MR) means that the leaflets of the mitral valve are not able to touch each other normally and close due to dilation of the left ventricle. The elevated pulmonary pressure of 50mmHg is reflective of the left ventricle not working well and the mitral valve being so "leaky." Without knowing more about the specifics of his case it is impossible to know exactly what is causing his heart failure. The most common causes are ischemic heart disease (blockages in the coronary arteries supplying blood to the heart muscle) and nonischemic cardiomyopathies (which can include everything from viral infections to alcohol related heart failure, etc). Overall, it means that your father's heart is sick and will require significant changes in his medications likely to help optimize its function. In some scenarios, patients sometimes require heart transplants for refractory, end stage heart failure (which it doesn't sound like he has). There are lots of treatments for heart failure, but knowing what the underlying cause is first is the primary step towards making treatment decisions. He absolutely needs regular followup with a cardiologist, preferably a heart failure specialist.
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